The Determinants of Psychological Well-Being Among Kidney Transplant Recipients in Kazakhstan: A Cross-Sectional Study
Asanova A. Bolatov A. Suleimenova D. Daniyarova G. Sailybayeva A. Altynova S. Pya Y.
May 2025Multidisciplinary Digital Publishing Institute (MDPI)
Journal of Clinical Medicine
2025#14Issue 9
Background: Kidney transplantation (KTx) significantly improves survival and quality of life in patients with end-stage renal disease. However, post-transplant well-being is influenced by multiple factors, including healthcare accessibility, satisfaction with medical care, and psychological health. This study aimed to assess the well-being of post-KTx patients in Kazakhstan and examine its associations with healthcare access, satisfaction, and anxiety. Methods: A cross-sectional study was conducted among 223 post-KTx patients in Kazakhstan. Participants were recruited through online surveys and telephone interviews. Only patients who had undergone transplantation within Kazakhstan were included. The WHO-5 Well-Being Index was used to measure well-being, and additional surveys assessed healthcare access, satisfaction with post-KTx care, and treatment-related anxiety. Multiple linear regression was performed to identify predictors of well-being. Results: The mean WHO-5 well-being score was 66.1 (SD = 24.6), indicating moderate well-being. Satisfaction with post-transplant information (β = 0.287, p = 0.015) and educational level (β = 0.172, p = 0.019) were significant positive predictors of well-being. In contrast, post-KTx anxiety (β = −0.154, p = 0.024) and difficulties in accessing medical care (β = −0.216, p = 0.014) negatively affected well-being. Patients residing in rural areas reported greater barriers to post-transplant care compared to those in urban settings (χ2 = 31.6, p = 0.002). Conclusions: Post-KTx well-being in Kazakhstan is influenced by educational level, access to healthcare, satisfaction with medical information, and anxiety levels. Targeted interventions to improve access to post-transplant care, enhance patient education, and address psychological distress may help improve outcomes for post-KTx patients.
healthcare accessibility , Kazakhstan , kidney transplantation , patient satisfaction , post-transplant anxiety , well-being
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Department of Science, “University Medical Center” Corporate Fund, Astana, 010000, Kazakhstan
School of Medicine, Shenzhen University, Shenzhen, 518060, China
School of Medicine, Astana Medical University, Astana, 010000, Kazakhstan
Clinical Academic Department of Pediatrics, “University Medical Center” Corporate Fund, Astana, 010000, Kazakhstan
School of Medicine, Nazarbayev University, Astana, 010000, Kazakhstan
Department of Medical and Regulatory Affairs, “University Medical Center” Corporate Fund, Astana, 010000, Kazakhstan
Clinical Academic Department of Cardiac Surgery, “University Medical Center” Corporate Fund, Astana, 010000, Kazakhstan
Department of Science
School of Medicine
School of Medicine
Clinical Academic Department of Pediatrics
School of Medicine
Department of Medical and Regulatory Affairs
Clinical Academic Department of Cardiac Surgery
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