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活体肾捐赠中的认知:当事人的想法与感受。

Perceptions in living kidney donation: what protagonists think and feel.

作者信息

Frade I C, Lopes A, Teixeira L, Rodrigues J, Almeida M, Dias L, Henriques A C

机构信息

Liaison Psychiatry and Health Psychology Unit, Oporto Hospital Center, Oporto, Portugal.

出版信息

Transplant Proc. 2011 Jan-Feb;43(1):39-42. doi: 10.1016/j.transproceed.2010.12.029.

DOI:10.1016/j.transproceed.2010.12.029
PMID:21335149
Abstract

BACKGROUND

Although donor perceptions of donation have been evaluated in several programs, evaluation of associated recipients has not been as frequent.

PURPOSE

Our aim was to evaluate and compare after transplantation, donor and recipient perceptions of donation.

METHODS

After transplantation 35 recipients and 45 donors completed a sociodemographic and a donation perception questionnaire. We applied the Fisher test to descriptive (absolute and relative frequency) data.

RESULTS

57.8% of donors were female and 62.9% of recipients male. 53.3% of donors were siblings, 44.5% parents, and 2.2% a daughter. Most recipients (71.9%) thought that the donation was the donors' initiative and 21.9% that it was suggested by medical team. 96.4% responded that it was the donor's wish that determined their decision; 51.4% had serious or some doubts about accepting the option, but for 48.6% it was an easy decision. Among the donors, 88.9% decided by themselves and 8.9% were asked for donation. For 91.1%, their wish was the main reason of the decision, but 8.9% felt a moral obligation; 77.8% thought it was an easy decision, and 17.8% hesitated a little 84.4% were not worried about their future health.

CONCLUSIONS

Altruistic motivations were predominant in both groups. Most recipients thought that the motivation for donation was self-determined, a finding that agreed with donor perceptions. Perceptions about the quality of and changes in emotional relationship were the same in both groups. Donors and recipients referred to the donation process as positive, but there were some negative emotions and perceptions.

摘要

背景

尽管在多个项目中对捐赠者对捐赠的看法进行了评估,但对相关受赠者的评估却不那么频繁。

目的

我们的目的是在移植后评估和比较捐赠者和受赠者对捐赠的看法。

方法

移植后,35名受赠者和45名捐赠者完成了一份社会人口统计学和捐赠看法调查问卷。我们将费舍尔检验应用于描述性(绝对和相对频率)数据。

结果

57.8%的捐赠者为女性,62.9%的受赠者为男性。53.3%的捐赠者是兄弟姐妹,44.5%是父母,2.2%是女儿。大多数受赠者(71.9%)认为捐赠是捐赠者的主动行为,21.9%认为是医疗团队建议的。96.4%的人回答说,是捐赠者的意愿决定了他们的决定;51.4%的人对接受这一选择有严重或一些疑虑,但48.6%的人认为这是一个容易的决定。在捐赠者中,88.9%是自己决定的,8.9%是被要求捐赠的。对于91.1%的人来说,他们的意愿是决定的主要原因,但8.9%的人感到有道德义务;77.8%的人认为这是一个容易的决定,17.8%的人略有犹豫,84.4%的人不担心自己未来的健康。

结论

利他动机在两组中都占主导地位。大多数受赠者认为捐赠动机是自我决定的,这一发现与捐赠者的看法一致。两组对情感关系质量和变化的看法相同。捐赠者和受赠者都认为捐赠过程是积极的,但也有一些负面情绪和看法。

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2
Anxiety, depression, and regret of donation in living kidney donors.活体肾供体的焦虑、抑郁及捐赠后悔情绪。
BMC Nephrol. 2018 Sep 4;19(1):218. doi: 10.1186/s12882-018-1024-0.
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Emotional well-being of living kidney donors: findings from the RELIVE Study.活体肾捐献者的情绪健康:来自RELIVE研究的结果。
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