Medical Clinic for Psychosomatics, Charité - University Medicine Berlin, Luisenstr. 13a, 10117 Berlin, Germany.
Psychosomatics. 2010 Jul-Aug;51(4):312-9. doi: 10.1176/appi.psy.51.4.312.
The practice of living donor liver transplantation (LDLT) has been increasing over the past 20 years. In LDLT, a healthy individual offers a substantial part of his or her liver (up to 60%) for the benefit of a terminally-ill recipient.
The aim of the study was to identify decision-making and risk-assessment patterns of living liver donors and assess whether the principles of informed consent and decision autonomy are being met.
The authors conducted semistructured clinical interviews with 28 donors before transplantation.
The authors found that a decision was being reached before a decision-making process could take place. Surgery risks were perceived and processed in different ways, including the factors of risk-awareness, denial, limited acceptance, and fatalism.
The authors assess concepts of informed consent and decision autonomy in LDLT, and offer suggestions for donor selection.
在过去的 20 年中，活体供肝肝移植（LDLT）的实践一直在增加。在 LDLT 中，健康个体捐献其肝脏的大部分（高达 60%），以造福终末期患者。
本研究旨在确定活体肝供者的决策和风险评估模式，并评估知情同意和决策自主的原则是否得到满足。
作者在移植前对 28 名供者进行了半结构化临床访谈。
作者发现，在决策过程能够进行之前，就已经做出了决定。手术风险以不同的方式被感知和处理，包括风险意识、否认、有限接受和宿命论等因素。
作者评估了 LDLT 中知情同意和决策自主的概念，并为供者选择提供了建议。
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