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Effects of kidney transplantation on body image, self-esteem, and marital adjustment: A descriptive-comparative study

Yıl 2025, Cilt: 3 Sayı: 1, 13 - 19, 31.01.2025

Öz

Objective: Transplantation surgery involves numerous psychological, existential, emotional, relational, and social changes for both recipients and they families. However, recipients may experience psychosocial problems related to mood changes, sexual problems, conflicts in family roles and relationships, difficulty in returning to work, changes in body image, obligation to comply with intensive medical treatment, and the risk of rejection in the post-transplant process. This study aimed to evaluate the effects of kidney transplantation on body image, self-esteem, and marital adjustment.

Methods: The study was conducted with 68 kidney transplant recipients and 54 healthy individuals. All participants answered the questionnaire, which included Sociodemographic Information Forms, the Body Image Scale (BIS), Rosenberg Self-Esteem Scale (RSES) and Dyadic Adjustment Scale (DAS).

Results: No statistically significant differences were observed between groups in terms of total mean scores for BIS, DAS subscales. There was a significant difference between the groups in terms of RSES mean scores. There was a positive, moderate, correlation between BIS and DAS in kidney transplant recipients, and in healthy individuals. There was a negative, low level, correlation between BIS and RSES in RT recipients, and a negative, moderate, correlation in healthy individuals. There was a negative, moderate, correlation between DAS and RSES in kidney transplant recipients, and in healthy individuals.

Conclusions: No difference was observed between kidney transplant recipients and healthy individuals in terms of body image, and marital adjustment. Self-esteem of kidney transplant recipients was found to be lower than healthy individuals.

Key Words: body image, self-esteem, marital adjustment, kidney transplantation, nursing

Kaynakça

  • 1. Breda A, Territo A, Gausa L, Rodríguez-Faba O, Caffaratti J, de León JP, et al. Robotic kidney transplantation: one year after the beginning. World J Urol. 2017;35(10):1507-1515. https://doi.org/10.1007/s00345-017-2006-8
  • 2. De Pasquale C, Pistorio ML, Veroux M, Indelicato L, Biffa G, Bennardi N, et al. Psychological and psychopathological aspects of kidney transplantation: a systematic review. Front Psychiatry. 2020;11:106. https://doi.org/10.3389/fpsyt.2020.00106
  • 3. Gündüz ES, Akyolcu N. Psychosocial Experiences of Kidney Transplant Patients: A Qualitative Research. Current Approaches in Psychiatry. 2020;12(Suppl 1),204-218. https://doi.org/10.18863/pgy.774117 (In Turkish) https://scholar.google.com/scholar?hl=tr&as_sdt=0%2C5&q=B%C3%B6brek+Nakli+Yap%C4%B1lan+Hastalar%C4%B1n+Psikososyal+Deneyimleri%3A+Nitel+Bir+Ara%C5%9Ft%C4%B1rma&btnG=
  • 4. Yang FC, Chen HM, Huang CM, Hsieh PL, Wang SS, Chen CM. The difficulties and needs of organ transplant recipients during postoperative care at home: A systematic review. Int J Environ Res Public Health. 2020;17(16):5798. https://doi.org/10.3390/ijerph17165798
  • 5. Ribeiro MNS, Santo FHDE, Simões BDS, Diniz CX, Bezerra HCA, Santos LD. Feelings, experiences and expectations of kidney transplant individuals and challenges for the nurse. Rev Bras Enferm. 2021;74(1):e20200392. http://doi.org/10.1590/0034-7167-2020-0392
  • 6. Tuncer M, Khorshtd L. Adherence to immunosuppressive therapy in renal transplantation patients and nurses responsibilities. Journal of Nephrology Nursing. 2018;13(1):26-31. (In Turkish) https://scholar.google.com/scholar?hl=tr&as_sdt=0%2C5&q=B%C3%B6brek+Nakli+Hastalar%C4%B1nda+%C4%B0mm%C3%BCnos%C3%BCpresan+Tedaviye+Uyum+ve+Hem%C5%9Firelerin+Sorumluluklar%C4%B1.&btnG=
  • 7. Medved V, Medved S, Skočić Hanžek M. Transplantation Psychiatry: an Overview. Psychiatr Danub. 2019;31(1):18-25. https://doi.org/10.24869/psyd.2019.18
  • 8. Coelho Gonçalves PR, Loureiro LM, Domingues Fernandes MI. Sexual function of kidney transplant recipients. Revista de Enfermagem Referência. 2019; 4(21). https://doi.org/10.12707/RIV19009
  • 9. Kiecolt-Glaser JK, Wilson SJ. Lovesick: How couples' relationships influence health. Annu Rev Clin Psychol. 2017;13:421-443. https://doi.org/10.1146/annurev-clinpsy-032816-045111
  • 10. Lemmens GM, Hendrickx H, Poppe C, Roche NA, Peeters PC, Vermeersch HF, et al. Long‐term psychosocial outcomes after face transplantation: a patient's and a partner's perspective. Journal of Family Therapy. 2018;40(3):398-412. https://doi.org/10.1111/1467-6427.12182
  • 11. Tavakol Z, Nikbakht Nasrabadi A, Behboodi Moghadam Z, Salehiniya H, Rezaei E. A review of the factors associated with marital satisfaction. Galen Medical Journal. 2017;6(3):197-207. http://dx.doi.org/10.22086/gmj.v0i0.641 https://scholar.google.com/scholar?hl=tr&as_sdt=0%2C5&q=A+review+of+the+factors+associated+with+marital+satisfaction.+&btnG=
  • 12. Aksoy N, Demet D. Sexual problems and counseling needs of the patients admitted to the kidney transplant. Journal of Nephrology Nursing. 2018;2(13):85-90. (In Turkish) https://scholar.google.com/scholar?hl=tr&as_sdt=0%2C5&as_ylo=2017&q=B%C3%B6brek+Nakli+Uygulanan+Hastalar%C4%B1n+Ya%C5%9Fad%C4%B1klar%C4%B1+Cinsel+Sorunlar+Ve+Dan%C4%B1%C5%9Fmanl%C4%B1k+Gereksinimleri&btnG=
  • 13. Körükcü Ö, Boran ÖF, Güngör Ö, Boran M, Bakacak Z, Bozan MB, et al. An underestimated human need after renal transplantation: Sexuality. Sex Disabil. 2020;38(4):699-714. https://doi.org/10.1007/s11195-020-09647-y
  • 14. Secord PF, Jourard SM. The appraisal of body-cathexis: Body-cathexis and the self. Journal of Consulting Psychology, 1953;17(5):343-347. https://doi.org/10.1037/h0060689 https://scholar.google.com/scholar?hl=tr&as_sdt=0%2C5&q=The+appraisal+of+body-cathexis%3A+body-cathexis+and+the+self.+&btnG=
  • 15. Hovardaoğlu S. Vücut algısı ölçeği. Psikiyatri Psikoloji Psikofarmakoloji 3P. 1993;1(Supp 2):26-27. (In Turkish) https://scholar.google.com/scholar?q=V%C3%BCcut+Alg%C4%B1s%C4%B1+%C3%96l%C3%A7e%C4%9Fi+Hovardao%C4%9Flu+1993
  • 16. Rosenberg M. Society and the adolescent self image. Princeton, New Jersey, Princeton University Press. 1965; 12-32. https://scholar.google.com/scholar?hl=tr&as_sdt=0%2C5&q=Society+and+the+Adolescent+Self-Image&btnG=
  • 17. Çuhadaroğlu F. Adolesanlarda benlik saygısı. Hacettepe Üniversitesi Tıp Fakültesi Psikiyatri Anabilim Dalı, Uzmanlık Tezi. 1986. (In Turkish) https://scholar.google.com/scholar?cluster=7394093444673474106&hl=tr&as_sdt=2005&sciodt=0,5
  • 18. Spanier GB. Measuring dyadic adjustment: New scales for assessing the quality of marriage and similar dyads. J Marriage Fam. 1976;38(1):15-28. https://doi.org/10.2307/350547 https://scholar.google.com/scholar?hl=tr&as_sdt=0%2C5&q=Measuring+dyadic+adjustment%3A+New+scales+for+assessing+the+quality+of+marriage+and+similar+dyads.+&btnG=
  • 19. Fişiloğlu H, Demir A. Applicability of the Dyadic Adjustment Scale for measurement of marital quality with Turkish couples. Eur J Psychol Assess. 2000;16(3):214. https://doi.org/10.1027//1015-5759.16.3.214 https://scholar.google.com/scholar?hl=tr&as_sdt=0%2C5&q=Applicability+of+the+Dyadic+Adjustment+Scale+for+measurement+of+marital+quality+with+Turkish+couples.+&btnG=
  • 20. Low JK, Crawford K, Manias E, Williams A. Stressors and coping resources of Australian kidney transplant recipients related to medication taking: a qualitative study. J Clin Nurs. 2017;26(11-12),1495-1507. https://doi.org/10.1111/jocn.13435
  • 21. Osté MC, Corpeleijn E, Navis GJ, Keyzer CA, Soedamah-Muthu SS, Van Den Berg E, et al. Mediterranean style diet is associated with low risk of new-onset diabetes after renal transplantation. BMJ Open Diabetes Res Care. 2017;5(1):e000283. https://doi.org/10.1136/bmjdrc-2016-000283
  • 22. Mota RL, Fonseca R, Santos JC, Covita AM, Marques N, Matias P, et al. Sexual dysfunction and satisfaction in kidney transplant patients. J Sex Med. 2019;16(7):1018-1028. https://doi.org/10.1016/j.jsxm.2019.03.266
  • 23. Zimbrean PC, Gan G, Deng Y, Emre S. Body image in liver transplantation recipients. Liver Transpl. 2019;25(5):712-723. https://doi.org/10.1002/lt.25432
  • 24. Hermann HC, Grimm A, Klapp BF, Neuhaus R, Papachristou C. Body experience after liver transplantation: a body grid examination. J Constr Psychol. 2017;30(3):295-314. https://doi.org/ 10.1080/10720537.2016.1227736.
  • 25. Sadeghian J, Roudsari DM, Seyedfatemi N, Rafiei H. Body-image disturbance: a comparative study among haemodialysis and kidney transplant patients. J Clin Diagn Res. 2016;10(5):OC14-OC16. https://doi.org/10.7860/JCDR/2016/15699.7733
  • 26. Darvishi A, Otaghi M, Mami S. The effectiveness of spiritual therapy on spiritual well-being, self-esteem and self-efficacy in patients on hemodialysis. J Relig Health. 2020;59(1):277–288. https://doi.org/10.1007/s10943-018-00750-1
  • 27. Yagil Y, Geller S, Levy S. Sidi Y, Aharoni S. Body-image, quality of life and psychological distress: a comparison between kidney transplant patients and a matching healthy sample. Psychol Health Med. 2018;23(4):424-433. https://doi.org/10.1080/13548506.2017.1400668
  • 28. Zimbrean PC. Body image in transplant recipients and living organ donors. Curr Opin Organ Transplant. 2015;20(2):198–210. https://doi.org/10.1097/MOT.0000000000000165
  • 29. Mayer K, Junge N, Goldschmidt I, Leiskau C, Becker T, Lehner F, et al. Psychosocial outcome and resilience after paediatric liver transplantation in young adults. Clin Res Hepatol Gastroenterol. 2019;43(2):155-160. https://doi.org/10.1016/j.clinre.2018.08.017
  • 30. Mollazadeh F, Hemmati MM. The comparison of self-esteem of patients undergoing hemodialysis with kidney transplant recipients. Nursing and Midwifery Journal. 2017;15(6): 415-423. https://scholar.google.com/scholar?hl=tr&as_sdt=0%2C5&q=The+comparison+of+self-esteem+of+patients+undergoing+hemodialysis+with+kidney+transplant+recipients&btnG=
  • 31. Jabali SS, Saleem ZSM, Mohammed AA, Mahmood NM. Erectile dysfunction pre and post kidney transplant recipients in Duhok city; cross sectional study. Ann Med Surg (Lond). 2020;55:107-110. https://doi.org/10.1016/j.amsu.2020.04.038
  • 32. van Ek GF, Krouwel EM, van der Veen E, Nicolai MPJ, Ringers J, Den Oudsten BL, et al. The discussion of sexual dysfunction before and after kidney transplantation from the perspective of the renal transplant surgeon. Prog Transplant. 2017;27(4):354–359. https://doi.org/10.1177/1526924817731885
  • 33. Lofaro D, Perri A, Aversa A, Aquino B, Bonofiglio M, La Russa A, et al. Testosterone in renal transplant patients: Effect on body composition and clinical parameters. J Nephrol. 2018;31(5):775-783. https://doi.org/10.1007/s40620-018-0513-3
  • 34. Noerskov KH, Schjødt I, Syrjala KL, Jarden M. Sexual function 1-year after allogeneic hematopoietic stem cell transplantation. Bone Marrow Transplant. 2016;51(6):833-840. https://doi.org/10.1038/bmt.2015.342
  • 35. Perri A, Izzo G, Lofaro D, La Vignera S, Brunetti A, Calogero AE, et al. Erectile dysfunction after kidney transplantation. J Clin Med. 2020;9(6):1991. https://doi.org/10.3390/jcm9061991
  • 36. Spirito L, Manfredi C, Carrano R, Trinchieri A, Salemi F, Sciorio C, et al. Impact of kidney transplantation on male sexual function: Results from a ten-year retrospective study. J Sex Med. 2020;17(11):2191-2197. https://doi.org/10.1016/j.jsxm.2020.07.014
  • 37. Kurtulus FO, Salman MY, Fazlioglu A, Fazlioglu B. Effects of renal transplantation on female sexual dysfunction: Comparative study with hemodialysis and a control group. Transplant Proc. 2017;49(9):2099-2104. https://doi.org/10.1016/j.transproceed.2017.07.014

Effects of kidney transplantation on body image, self-esteem, and marital adjustment: A descriptive-comparative study

Yıl 2025, Cilt: 3 Sayı: 1, 13 - 19, 31.01.2025

Öz

Objective: Transplantation surgery involves numerous psychological, existential, emotional, relational, and social changes for both recipients and they families. However, recipients may experience psychosocial problems related to mood changes, sexual problems, conflicts in family roles and relationships, difficulty in returning to work, changes in body image, obligation to comply with intensive medical treatment, and the risk of rejection in the post-transplant process. This study aimed to evaluate the effects of kidney transplantation on body image, self-esteem, and marital adjustment.

Methods: The study was conducted with 68 kidney transplant recipients and 54 healthy individuals. All participants answered the questionnaire, which included Sociodemographic Information Forms, the Body Image Scale (BIS), Rosenberg Self-Esteem Scale (RSES) and Dyadic Adjustment Scale (DAS).

Results: No statistically significant differences were observed between groups in terms of total mean scores for BIS, DAS subscales. There was a significant difference between the groups in terms of RSES mean scores. There was a positive, moderate, correlation between BIS and DAS in kidney transplant recipients, and in healthy individuals. There was a negative, low level, correlation between BIS and RSES in RT recipients, and a negative, moderate, correlation in healthy individuals. There was a negative, moderate, correlation between DAS and RSES in kidney transplant recipients, and in healthy individuals.

Conclusions: No difference was observed between kidney transplant recipients and healthy individuals in terms of body image, and marital adjustment. Self-esteem of kidney transplant recipients was found to be lower than healthy individuals.

Key Words: body image, self-esteem, marital adjustment, kidney transplantation, nursing

Kaynakça

  • 1. Breda A, Territo A, Gausa L, Rodríguez-Faba O, Caffaratti J, de León JP, et al. Robotic kidney transplantation: one year after the beginning. World J Urol. 2017;35(10):1507-1515. https://doi.org/10.1007/s00345-017-2006-8
  • 2. De Pasquale C, Pistorio ML, Veroux M, Indelicato L, Biffa G, Bennardi N, et al. Psychological and psychopathological aspects of kidney transplantation: a systematic review. Front Psychiatry. 2020;11:106. https://doi.org/10.3389/fpsyt.2020.00106
  • 3. Gündüz ES, Akyolcu N. Psychosocial Experiences of Kidney Transplant Patients: A Qualitative Research. Current Approaches in Psychiatry. 2020;12(Suppl 1),204-218. https://doi.org/10.18863/pgy.774117 (In Turkish) https://scholar.google.com/scholar?hl=tr&as_sdt=0%2C5&q=B%C3%B6brek+Nakli+Yap%C4%B1lan+Hastalar%C4%B1n+Psikososyal+Deneyimleri%3A+Nitel+Bir+Ara%C5%9Ft%C4%B1rma&btnG=
  • 4. Yang FC, Chen HM, Huang CM, Hsieh PL, Wang SS, Chen CM. The difficulties and needs of organ transplant recipients during postoperative care at home: A systematic review. Int J Environ Res Public Health. 2020;17(16):5798. https://doi.org/10.3390/ijerph17165798
  • 5. Ribeiro MNS, Santo FHDE, Simões BDS, Diniz CX, Bezerra HCA, Santos LD. Feelings, experiences and expectations of kidney transplant individuals and challenges for the nurse. Rev Bras Enferm. 2021;74(1):e20200392. http://doi.org/10.1590/0034-7167-2020-0392
  • 6. Tuncer M, Khorshtd L. Adherence to immunosuppressive therapy in renal transplantation patients and nurses responsibilities. Journal of Nephrology Nursing. 2018;13(1):26-31. (In Turkish) https://scholar.google.com/scholar?hl=tr&as_sdt=0%2C5&q=B%C3%B6brek+Nakli+Hastalar%C4%B1nda+%C4%B0mm%C3%BCnos%C3%BCpresan+Tedaviye+Uyum+ve+Hem%C5%9Firelerin+Sorumluluklar%C4%B1.&btnG=
  • 7. Medved V, Medved S, Skočić Hanžek M. Transplantation Psychiatry: an Overview. Psychiatr Danub. 2019;31(1):18-25. https://doi.org/10.24869/psyd.2019.18
  • 8. Coelho Gonçalves PR, Loureiro LM, Domingues Fernandes MI. Sexual function of kidney transplant recipients. Revista de Enfermagem Referência. 2019; 4(21). https://doi.org/10.12707/RIV19009
  • 9. Kiecolt-Glaser JK, Wilson SJ. Lovesick: How couples' relationships influence health. Annu Rev Clin Psychol. 2017;13:421-443. https://doi.org/10.1146/annurev-clinpsy-032816-045111
  • 10. Lemmens GM, Hendrickx H, Poppe C, Roche NA, Peeters PC, Vermeersch HF, et al. Long‐term psychosocial outcomes after face transplantation: a patient's and a partner's perspective. Journal of Family Therapy. 2018;40(3):398-412. https://doi.org/10.1111/1467-6427.12182
  • 11. Tavakol Z, Nikbakht Nasrabadi A, Behboodi Moghadam Z, Salehiniya H, Rezaei E. A review of the factors associated with marital satisfaction. Galen Medical Journal. 2017;6(3):197-207. http://dx.doi.org/10.22086/gmj.v0i0.641 https://scholar.google.com/scholar?hl=tr&as_sdt=0%2C5&q=A+review+of+the+factors+associated+with+marital+satisfaction.+&btnG=
  • 12. Aksoy N, Demet D. Sexual problems and counseling needs of the patients admitted to the kidney transplant. Journal of Nephrology Nursing. 2018;2(13):85-90. (In Turkish) https://scholar.google.com/scholar?hl=tr&as_sdt=0%2C5&as_ylo=2017&q=B%C3%B6brek+Nakli+Uygulanan+Hastalar%C4%B1n+Ya%C5%9Fad%C4%B1klar%C4%B1+Cinsel+Sorunlar+Ve+Dan%C4%B1%C5%9Fmanl%C4%B1k+Gereksinimleri&btnG=
  • 13. Körükcü Ö, Boran ÖF, Güngör Ö, Boran M, Bakacak Z, Bozan MB, et al. An underestimated human need after renal transplantation: Sexuality. Sex Disabil. 2020;38(4):699-714. https://doi.org/10.1007/s11195-020-09647-y
  • 14. Secord PF, Jourard SM. The appraisal of body-cathexis: Body-cathexis and the self. Journal of Consulting Psychology, 1953;17(5):343-347. https://doi.org/10.1037/h0060689 https://scholar.google.com/scholar?hl=tr&as_sdt=0%2C5&q=The+appraisal+of+body-cathexis%3A+body-cathexis+and+the+self.+&btnG=
  • 15. Hovardaoğlu S. Vücut algısı ölçeği. Psikiyatri Psikoloji Psikofarmakoloji 3P. 1993;1(Supp 2):26-27. (In Turkish) https://scholar.google.com/scholar?q=V%C3%BCcut+Alg%C4%B1s%C4%B1+%C3%96l%C3%A7e%C4%9Fi+Hovardao%C4%9Flu+1993
  • 16. Rosenberg M. Society and the adolescent self image. Princeton, New Jersey, Princeton University Press. 1965; 12-32. https://scholar.google.com/scholar?hl=tr&as_sdt=0%2C5&q=Society+and+the+Adolescent+Self-Image&btnG=
  • 17. Çuhadaroğlu F. Adolesanlarda benlik saygısı. Hacettepe Üniversitesi Tıp Fakültesi Psikiyatri Anabilim Dalı, Uzmanlık Tezi. 1986. (In Turkish) https://scholar.google.com/scholar?cluster=7394093444673474106&hl=tr&as_sdt=2005&sciodt=0,5
  • 18. Spanier GB. Measuring dyadic adjustment: New scales for assessing the quality of marriage and similar dyads. J Marriage Fam. 1976;38(1):15-28. https://doi.org/10.2307/350547 https://scholar.google.com/scholar?hl=tr&as_sdt=0%2C5&q=Measuring+dyadic+adjustment%3A+New+scales+for+assessing+the+quality+of+marriage+and+similar+dyads.+&btnG=
  • 19. Fişiloğlu H, Demir A. Applicability of the Dyadic Adjustment Scale for measurement of marital quality with Turkish couples. Eur J Psychol Assess. 2000;16(3):214. https://doi.org/10.1027//1015-5759.16.3.214 https://scholar.google.com/scholar?hl=tr&as_sdt=0%2C5&q=Applicability+of+the+Dyadic+Adjustment+Scale+for+measurement+of+marital+quality+with+Turkish+couples.+&btnG=
  • 20. Low JK, Crawford K, Manias E, Williams A. Stressors and coping resources of Australian kidney transplant recipients related to medication taking: a qualitative study. J Clin Nurs. 2017;26(11-12),1495-1507. https://doi.org/10.1111/jocn.13435
  • 21. Osté MC, Corpeleijn E, Navis GJ, Keyzer CA, Soedamah-Muthu SS, Van Den Berg E, et al. Mediterranean style diet is associated with low risk of new-onset diabetes after renal transplantation. BMJ Open Diabetes Res Care. 2017;5(1):e000283. https://doi.org/10.1136/bmjdrc-2016-000283
  • 22. Mota RL, Fonseca R, Santos JC, Covita AM, Marques N, Matias P, et al. Sexual dysfunction and satisfaction in kidney transplant patients. J Sex Med. 2019;16(7):1018-1028. https://doi.org/10.1016/j.jsxm.2019.03.266
  • 23. Zimbrean PC, Gan G, Deng Y, Emre S. Body image in liver transplantation recipients. Liver Transpl. 2019;25(5):712-723. https://doi.org/10.1002/lt.25432
  • 24. Hermann HC, Grimm A, Klapp BF, Neuhaus R, Papachristou C. Body experience after liver transplantation: a body grid examination. J Constr Psychol. 2017;30(3):295-314. https://doi.org/ 10.1080/10720537.2016.1227736.
  • 25. Sadeghian J, Roudsari DM, Seyedfatemi N, Rafiei H. Body-image disturbance: a comparative study among haemodialysis and kidney transplant patients. J Clin Diagn Res. 2016;10(5):OC14-OC16. https://doi.org/10.7860/JCDR/2016/15699.7733
  • 26. Darvishi A, Otaghi M, Mami S. The effectiveness of spiritual therapy on spiritual well-being, self-esteem and self-efficacy in patients on hemodialysis. J Relig Health. 2020;59(1):277–288. https://doi.org/10.1007/s10943-018-00750-1
  • 27. Yagil Y, Geller S, Levy S. Sidi Y, Aharoni S. Body-image, quality of life and psychological distress: a comparison between kidney transplant patients and a matching healthy sample. Psychol Health Med. 2018;23(4):424-433. https://doi.org/10.1080/13548506.2017.1400668
  • 28. Zimbrean PC. Body image in transplant recipients and living organ donors. Curr Opin Organ Transplant. 2015;20(2):198–210. https://doi.org/10.1097/MOT.0000000000000165
  • 29. Mayer K, Junge N, Goldschmidt I, Leiskau C, Becker T, Lehner F, et al. Psychosocial outcome and resilience after paediatric liver transplantation in young adults. Clin Res Hepatol Gastroenterol. 2019;43(2):155-160. https://doi.org/10.1016/j.clinre.2018.08.017
  • 30. Mollazadeh F, Hemmati MM. The comparison of self-esteem of patients undergoing hemodialysis with kidney transplant recipients. Nursing and Midwifery Journal. 2017;15(6): 415-423. https://scholar.google.com/scholar?hl=tr&as_sdt=0%2C5&q=The+comparison+of+self-esteem+of+patients+undergoing+hemodialysis+with+kidney+transplant+recipients&btnG=
  • 31. Jabali SS, Saleem ZSM, Mohammed AA, Mahmood NM. Erectile dysfunction pre and post kidney transplant recipients in Duhok city; cross sectional study. Ann Med Surg (Lond). 2020;55:107-110. https://doi.org/10.1016/j.amsu.2020.04.038
  • 32. van Ek GF, Krouwel EM, van der Veen E, Nicolai MPJ, Ringers J, Den Oudsten BL, et al. The discussion of sexual dysfunction before and after kidney transplantation from the perspective of the renal transplant surgeon. Prog Transplant. 2017;27(4):354–359. https://doi.org/10.1177/1526924817731885
  • 33. Lofaro D, Perri A, Aversa A, Aquino B, Bonofiglio M, La Russa A, et al. Testosterone in renal transplant patients: Effect on body composition and clinical parameters. J Nephrol. 2018;31(5):775-783. https://doi.org/10.1007/s40620-018-0513-3
  • 34. Noerskov KH, Schjødt I, Syrjala KL, Jarden M. Sexual function 1-year after allogeneic hematopoietic stem cell transplantation. Bone Marrow Transplant. 2016;51(6):833-840. https://doi.org/10.1038/bmt.2015.342
  • 35. Perri A, Izzo G, Lofaro D, La Vignera S, Brunetti A, Calogero AE, et al. Erectile dysfunction after kidney transplantation. J Clin Med. 2020;9(6):1991. https://doi.org/10.3390/jcm9061991
  • 36. Spirito L, Manfredi C, Carrano R, Trinchieri A, Salemi F, Sciorio C, et al. Impact of kidney transplantation on male sexual function: Results from a ten-year retrospective study. J Sex Med. 2020;17(11):2191-2197. https://doi.org/10.1016/j.jsxm.2020.07.014
  • 37. Kurtulus FO, Salman MY, Fazlioglu A, Fazlioglu B. Effects of renal transplantation on female sexual dysfunction: Comparative study with hemodialysis and a control group. Transplant Proc. 2017;49(9):2099-2104. https://doi.org/10.1016/j.transproceed.2017.07.014
Toplam 37 adet kaynakça vardır.

Ayrıntılar

Birincil Dil İngilizce
Konular Cerrahi Hastalıklar Hemşireliği
Bölüm Araştırma Makaleleri
Yazarlar

Nilgun Aksoy 0000-0001-9038-3348

Deniz Taşdemir 0000-0003-2372-4418

Emine Selda Gündüz 0000-0002-1399-7722

Ferda Ülker 0000-0002-6004-7279

Nihal Kiraz 0000-0001-8491-3242

Yayımlanma Tarihi 31 Ocak 2025
Gönderilme Tarihi 28 Ekim 2024
Kabul Tarihi 7 Ocak 2025
Yayımlandığı Sayı Yıl 2025 Cilt: 3 Sayı: 1

Kaynak Göster

APA Aksoy, N., Taşdemir, D., Gündüz, E. S., Ülker, F., vd. (2025). Effects of kidney transplantation on body image, self-esteem, and marital adjustment: A descriptive-comparative study. OneHealth Plus Journal, 3(1), 13-19.