Heck Gretel, Schweitzer Jochen, Seidel-Wiesel Maria
Department of Medical Psychology, Psychosomatic Hospital, University of Heidelberg, Heidelberg, Germany.
Clin Transplant. 2004 Dec;18(6):716-21. doi: 10.1111/j.1399-0012.2004.00285.x.
Recipients of living donor kidney transplantation hope for an improved physical well-being after transplant. Furthermore the patients and their relatives frequently expect an improvement in their psychological findings in consequence of the living related transplantation. The present study examines the psychosocial effects of living donor kidney transplantation for donors and recipients under successful as well as complicated circumstances.
Based on 31 catamnestic interviews of recipient-donor couples and a content analysis of these interviews, hypotheses regarding the psychological requirements for a successful progression of a living kidney donation are deduced and put forward.
The aspiration for an improvement of psychological problems, particularly anxiety and depression, as an effect of transplantation can on the basis of the present results not be supported. Living donor kidney transplantation between close recipient and donors must not be regarded as a means to solve psychological problems and familial conflicts. An attitude characterized by realistic and modest expectations as well as relationships, which have been cleared of extreme conflicts prior to the transplantation could facilitate a favourable psychological progression.
活体供肾移植受者期望移植后身体状况得到改善。此外，患者及其亲属常常期望亲属活体移植能改善他们的心理状况。本研究考察了在成功及复杂情况下，活体供肾移植对供者和受者的心理社会影响。
基于对31对受者-供者夫妇的随访访谈以及对这些访谈的内容分析，推导并提出了关于活体肾移植成功进行的心理需求的假设。
根据目前的结果，无法支持将移植视为改善心理问题（尤其是焦虑和抑郁）的一种方式这一观点。近亲受者与供者之间的活体供肾移植不应被视为解决心理问题和家庭冲突的手段。以现实适度的期望为特征的态度，以及在移植前消除了极端冲突的关系，可能有助于心理状况良好地发展。
