Mazaris Evangelos M, Warrens Anthony N, Smith Glenn, Tekkis Paris, Papalois Vassilios E
Imperial College Kidney and Transplant Institute, Hammersmith Hospital, London, UK.
Nephrol Dial Transplant. 2012 Jun;27(6):2517-25. doi: 10.1093/ndt/gfr642. Epub 2011 Dec 13.
There are many views regarding the initiation of the process for live donor kidney transplantation (LDKT), the motives of the donor and the appropriate ways to promote LDKT.
Health care professionals and patients were recruited in a tertiary renal and transplant centre and completed an anonymous questionnaire. They were then divided into focus groups and a structured interview was performed in order to discover the rationale behind the answers in the questionnaire.
Four hundred and sixty-four participants completed the questionnaire. There were 168 health care professionals and 296 patients. Most of the participants (26.9%) suggested that the first approach to a potential donor should be made by the potential recipient. Participants believed that the most important motives for a kidney donor are relief as a result of the recipient's improved health after the transplant (82.5%) and altruism (80.4%). About 89.2% of participants believed that proper long-term medical follow-up of the donor is the most important factor for LDKT promotion. Fifty-five participants discussed the rationale of their answers in the focus group interview.
In our study, participants preferred an initial approach of the donor by the recipient. The relief as a result of the recipient's improved health was suggested as a very strong motive for donation. Proper donor follow-up was considered to be paramount for the further development of LDKT.
关于活体肾移植（LDKT）流程的启动、供体的动机以及促进LDKT的合适方式，存在诸多观点。
在一家三级肾脏与移植中心招募医护人员和患者，他们填写一份匿名问卷。随后将他们分成焦点小组并进行结构化访谈，以探究问卷答案背后的理由。
464名参与者完成了问卷。其中有168名医护人员和296名患者。大多数参与者（26.9%）建议潜在受者应首先接触潜在供体。参与者认为，肾供体最重要的动机是移植后受者健康状况改善带来的宽慰感（82.5%）以及利他主义（80.4%）。约89.2%的参与者认为，对供体进行适当的长期医学随访是促进LDKT的最重要因素。55名参与者在焦点小组访谈中讨论了他们答案的理由。
在我们的研究中，参与者更倾向于由受者首先接触供体。受者健康状况改善带来的宽慰感被认为是捐赠的一个非常强烈的动机。供体的适当随访被认为对LDKT的进一步发展至关重要。
