Corley M C, Elswick R K, Sargeant C C, Scott S
Department of Integrative Systems, School of Nursing, Virginia Commonwealth University, Richmond, USA.
Nephrol Nurs J. 2000 Feb;27(1):43-50; discussion 51-2.
The purpose of this research was to assess the attitude, self-image, and quality of life of living kidney donors. This research employed an exploratory design. Instruments included Simmons and colleagues' (1977, 1987) measures on donor attitude and self-image, Ferrans and Powers (1992) scale on quality of life, and Cantril's (1965) ladder of life. Social desirability was also measured. Fifty-five living kidney donors from one transplant program participated in the research. Donations had been made recently or as long as 25 years ago. The research determined that men were significantly more ambivalent about donating than women. Significantly higher levels of predicted self-esteem and independence were found in African-American donors, those with higher levels of education, and those who had recently donated a kidney. Scores on quality of life were high for all donors, and they expected that their quality of life would improve in the next 5 years. Social desirability scores were high for 65% of the donors. The quality of life of donors is high and similar to other healthy persons from reported research. The findings in the difference in self-esteem and independence between those who donated before and after 1990 as well as the social desirability scores are reasons to conduct further research on living donors.
本研究的目的是评估活体肾供者的态度、自我形象和生活质量。本研究采用探索性设计。研究工具包括西蒙斯及其同事(1977年、1987年)关于供者态度和自我形象的测量方法、费兰斯和鲍尔斯(1992年)的生活质量量表以及坎特里尔(1965年)的生活阶梯量表。同时也测量了社会期望性。来自一个移植项目的55名活体肾供者参与了本研究。捐赠时间最近的是近期,最远的可追溯到25年前。研究发现,男性在捐赠问题上比女性更为矛盾。在非裔美国供者、受教育程度较高的供者以及近期捐赠肾脏的供者中,预测的自尊和独立水平显著更高。所有供者的生活质量得分都很高,并且他们预计自己的生活质量在未来5年会有所改善。65%的供者社会期望性得分较高。供者的生活质量较高,与已报道研究中的其他健康人群相似。1990年前后捐赠者在自尊和独立方面的差异以及社会期望性得分方面的研究结果,是对活体供者进行进一步研究的理由。