Quality of life of Kidney Donors at a national teaching and referral hospital in Kenya

Diviner Kemunto Nyarera, Grace Githemo, Lister Onsongo




Introduction: Kidney transplantation is the best renal replacement therapy for patients with end stage kidney disease. Living kidney donor transplant has better graft and recipient outcome. Information regarding quality of life of kidney donors has a positive influence on a potential donor’s attitude towards kidney donation. The aim of the study was to examine kidney donors’ quality of life in Kenya. Methods: This was a cross-sectional descriptive study design that aimed at examining kidney donors’ quality of life at a national teaching and referral hospital in Kenya. A total of 99 donors participated in the study. Descriptive and inferential statistical tests were used to analyze data. Predictors of quality of life were determined using Multiple regression models. Findings: The findings revealed that majority of the respondents had high quality of life. There was a strong significant relationship between donor’s Body Mass Index and Health Functioning component of QoL r (0.835), p<0.05 with a moderate relationship in Psychological factors r (0.492), p 05. Also there was a statistically significant association between, current monthly income,   =24.793, (p 0.05), marital status   =10.261 (p 0.05) and employment status =11.474 (p 0.05) and quality of life of kidney donors. Multiple regression analysis revealed that Health functioning quality of life component explained 27.5% of the total variance of quality of life while psychological factors explained 12.5%. Conclusions: The overall quality of life of kidney donors was high. Kidney donor’s employment status had a significant predictive association with their quality of life. 


Kidney transplantation, Kidney donors, quality of life.

Full Text:



Abd Elhafeez, S., Bolignano, D., D’Arrigo, G., Dounousi, E., Tripepi, G., & Zoccali, C. (2018). Prevalence and burden of chronic kidney disease among the general population and high-risk groups in Africa: A systematic review. BMJ Open, 8(1). https://doi.org/10.1136/bmjopen-2016-015069

Bugeja, A., & Clark, E. G. (2017). Living kidney donation. Cmaj, 189(32), E1041. https://doi.org/10.1503/cmaj.170304

Cherono, R. J. (2018). The Prevalence and Risk Factors for Chronic Kidney Diseases in Kericho County, Kenya. International Journal of Nursing, 4(2), 90–105. https://doi.org/10.15640/ijn.v4n2a8

Dey, M., Gmel, G., & Mohler-Kuo, M. (2013). Body mass index and health-related quality of life among young Swiss men. BMC Public Health, 13(1), 1. https://doi.org/10.1186/1471-2458-13-1028

Elcioglu, O., & Dum, S. (2012). Concept of the Voluntariness in Kidney Transplantation from the Position of Donors and Recipients. Global Bioethics - Perspective for Human Survival, May. https://doi.org/10.5772/18487

Gordon, E. J., Lee, J., Kang, R., Ladner, D. P., Skaro, A. I., Holl, J. L., French, D. D., Abecassis, M. M., & Caicedo, J. C. (2015). Hispanic/Latino Disparities in Living Donor Kidney Transplantation. Transplantation Direct, 1(8), e29. https://doi.org/10.1097/TXD.0000000000000540

Klop, K. W. J., Timman, R., Busschbach, J. J., Dols, L. F. C., Dooper, I. M., Weimar, W., Ijzermans, J. N. M., & Kok, N. F. M. (2018). Multivariate Analysis of Health-related Quality of Life in Donors After Live Kidney Donation. Transplantation Proceedings, 50(1), 42–47. https://doi.org/10.1016/j.transproceed.2017.10.019

Lee, Y.-J., Lee, J.-A., Kim, S.-H., Lim, J.-S., & Park, H.-S. (2017). The Relationship between Body Mass Index and Health-Related Quality of Life in Korean. Korean Journal of Family Practice, 7(5), 794–798. https://doi.org/10.21215/kjfp.2017.7.5.794

Martínez-Alarcón, L., Ríos, A., Ramis, G., Gómez-Laguna, J., Moll, X., Falceto, V., San Román-Acaso, F., San Román-Llorens, F., Quereda, J. J., Herrero-Medrano, J. M., Mendonça, L., Martin-Barrasa, J. L., Fernández, O. M., Hernández, A. M., Muñoz, A., Ramírez, P., & Parrilla, P. (2018). Veterinary Students’ Attitude Toward Living Kidney Donation: A Multicenter Stratified Study From Spain. Transplantation Proceedings, 50(8), 2280–2283. https://doi.org/10.1016/j.transproceed.2018.02.177

Messersmith, E. E., Gross, C. R., Beil, C. A., Gillespie, B. W., Jacobs, C., Taler, S. J., Merion, R. M., Jowsey, S. G., Leichtman, A. B., & Hong, B. A. (2014). Satisfaction With Life Among Living Kidney Donors : A RELIVE Study of Long-Term Donor Outcomes. 98(12), 1294–1300. https://doi.org/10.1097/TP.0000000000000360

Mikla, M., Rios, A., Lopez-Navas, A., Zysnarska, M., Kilanska, D., Martinez-Alarcón, L., Ramis, G., Ramirez, P., & Lopez-Montesinos, M. J. (2015). What Do Future Nursing Professionals Believe about Living Donor Kidney Transplantation? An Analysis of Attitudes of Nursing Students of the Medical University of Poznan in Western Poland. Transplantation Proceedings, 47(9), 2581–2583. https://doi.org/10.1016/j.transproceed.2015.10.017

Muturi, A., Kotecha, V., & Kanyi, S. (2017). A retrospective study to assess the evaluation of living related kidney donors and their outcomes following nephrectomy at Kenyatta National Hospital. BMC Nephrology, 18(1), 1–7. https://doi.org/10.1186/s12882-017-0585-7

Naicker, S., & Ashuntantang, G. (2017). End Stage Renal Disease in Sub-Saharan Africa. Chronic Kidney Disease in Disadvantaged Populations, 125–137. https://doi.org/10.1016/B978-0-12-804311-0.00014-5

Nöhre, M., Pollmann, I., Mikuteit, M., Weissenborn, K., Gueler, F., & de Zwaan, M. (2018). Partnership satisfaction in living kidney donors. Frontiers in Psychiatry, 9(AUG), 1–8. https://doi.org/10.3389/fpsyt.2018.00353

Reese, P. P., Boudville, N., & Garg, A. X. (2015). Living kidney donation: Outcomes, ethics, and uncertainty. The Lancet, 385(9981), 2003–2013. https://doi.org/10.1016/S0140-6736(14)62484-3

Ríos, A., Carrillo, J., López-Navas, A. I., Sánchez, Flores-Medina, J., Ayala, M. A., Hernández, A. M., Ramírez, P., & Parrilla, P. (2018). Attitude Toward Living Kidney Donation in the Emigrant Algerine Population in Spain. Transplantation Proceedings, 50(8), 2276–2279.


Ruzevicius, J. (2016). Quality of Life and of Working Life : Conceptions and Research. May, 316–334.

Sakhuja, V., & Kumar, V. (2014). Spouses as kidney donors in India: Trends and outcomes. Indian Journal of Nephrology, 24(1), 1. https://doi.org/10.4103/0971-4065.125043

Sawinski, D., & Locke, J. E. (2018). Evaluation of Kidney Donors: Core Curriculum 2018. American Journal of Kidney Diseases, 71(5), 737–747. https://doi.org/10.1053/j.ajkd.2017.10.018

Silverstein, D. C., & Hopper, K. (2015). Renal Replacement Therapies. In Small animal Critical Care Medicine (pp. 1058–1062).

Sommerer, C., Feuerstein, D., Dikow, R., Rauch, G., Hartmann, M., Schaier, M., Morath, C., Schwenger, V., Schemmer, P., & Zeier, M. (2015). Psychosocial and physical outcome following kidney donation - A retrospective analysis. Transplant International, 28(4), 416–428. https://doi.org/10.1111/tri.12509


  • There are currently no refbacks.

Copyright (c) 2021 Kenyan Journal of Nursing & Midwifery

© Numid Publishers        ISSN:  2518-8631