Minz M, Udgiri N, Sharma A, Heer M K, Kashyap R, Nehra R, Sakhuja V
Postgraduate Institute of Medical Education and Research-Chandigarh, Department of Transplant Surgery, Chandigarh 160012, India.
Transplant Proc. 2005 Jun;37(5):2001-3. doi: 10.1016/j.transproceed.2005.03.110.
With increasing acceptance of living organ transplantation and growing numbers of organ donors, it becomes important to look for any adverse outcomes in this population. Prospective psychosocial evaluation of living related donors and assessment of the outcome of donation process was done. We also tried to identify any risk factors associated with any adverse event. Between January 2003 and December 2003, 75 consecutive donors (mean age 42.8 +/- 11.6 years; M:F 54:21) were interviewed preoperatively and at 3 months postoperatively based on a 57-item questionnaire. Objective assessment of anxiety, depression, and social support was done with "modified Beck's depression inventory," "Speilberg's state and trait anxiety," and "social support" questionnaires. The majority (85.3%) of donors had volunteered for donation. There were no major depressive or anxiety disorders following donation. Though 21.3% donors perceived some negative impact on their health, none regretted the decision to donate and most (96%) would encourage organ donation. Prolonged donor hospitalization, persistent pain, poor recipient reciprocation, or recipient death were associated with a poor psychosocial outcome.
随着活体器官移植越来越被接受以及器官捐献者数量的不断增加，关注这一群体中的任何不良后果变得很重要。我们对活体亲属捐献者进行了前瞻性心理社会评估，并对捐献过程的结果进行了评估。我们还试图确定与任何不良事件相关的风险因素。在2003年1月至2003年12月期间，基于一份包含57个条目的问卷，对75名连续的捐献者（平均年龄42.8 +/- 11.6岁；男:女为54:21）在术前和术后3个月进行了访谈。使用“改良贝克抑郁量表”、“斯皮尔伯格状态特质焦虑量表”和“社会支持”问卷对焦虑、抑郁和社会支持进行了客观评估。大多数（85.3%）捐献者是自愿捐献的。捐献后没有出现严重的抑郁或焦虑障碍。尽管21.3%的捐献者认为对他们的健康有一些负面影响，但没有人后悔捐献的决定，大多数（96%）会鼓励器官捐献。捐献者住院时间延长、持续疼痛、受者回报不佳或受者死亡与不良的心理社会结果相关。
