Weng Li-Chueh, Huang Hsiu-Li, Tsai Hsiu-Hsin, Lee Wei-Chen
School of Nursing, College of Medicine, Chang Gung University, Taoyuan, Taiwan.
Department of General Surgery, Chang Gung Medical Foundation-Linkuo, Taoyuan, Taiwan.
PLoS One. 2017 May 17;12(5):e0175672. doi: 10.1371/journal.pone.0175672. eCollection 2017.
The decision to become a living liver donor is a stressful event. Ambivalence in decision making may result in psychological distress. Thus, the purpose of this study was to provide a description of the ambivalence of potential living liver donors, to examine the predictors of ambivalence, and to compare the ambivalence of potential living liver donors with that of actual living liver donors.
This descriptive and correlational study was conducted in a medical center from August 2013 to December 2015. Self-reported questionnaires were used to collect data. A total of 263 potential living liver donors who were assessed for donation to their parents were included in this study.
The mean age of the total sample was 30.7 years (SD = 6.39, range = 20-47), and males comprised 53.6% of the sample. The majority of the potential donors had a college education (70.8%) and were single (63.5%). Of the total sample, the mean score for ambivalence was 4.27 (SD = 1.87, range = 0-7). Multivariate analysis revealed that the Mental Component Summary (MCS) of quality of life (β = -0.24, p < 0.01), family support (β = -0.17, p = 0.007), and intimacy (β = -0.13, p = 0.04) were significant protective predictors of ambivalence. Actual living liver donors had significantly lower ambivalence (3.82 versus 4.60), higher intimacy with recipients (3.55 versus 3.34), higher MCS (45.26 versus 42.80), and higher family support (34.39 versus 29.79) than did the remaining potential living liver donors.
Ambivalence is common in potential living liver donors. The MCS of quality of life, family support, and intimacy were protective predictors in terms of ambivalence. Future research should explore other factors and design interventions targeted toward reducing ambivalence, promoting family support, and enhancing the mental dimensions of quality of life in potential living liver donors.
决定成为活体肝供者是一个压力很大的事件。决策过程中的矛盾心理可能导致心理困扰。因此，本研究的目的是描述潜在活体肝供者的矛盾心理，探讨矛盾心理的预测因素，并比较潜在活体肝供者与实际活体肝供者的矛盾心理。
本描述性相关性研究于2013年8月至2015年12月在一家医疗中心进行。采用自填式问卷收集数据。本研究共纳入263名接受向其父母捐赠评估的潜在活体肝供者。
总样本的平均年龄为30.7岁（标准差=6.39，范围=20-47），男性占样本的53.6%。大多数潜在供者拥有大学学历（70.8%）且单身（63.5%）。在总样本中，矛盾心理的平均得分为4.27（标准差=1.87，范围=0-7）。多变量分析显示，生活质量的心理成分总结（MCS）（β=-0.24，p<0.01）、家庭支持（β=-0.17，p=0.007）和亲密程度（β=-0.13，p=0.04）是矛盾心理的显著保护性预测因素。与其余潜在活体肝供者相比，实际活体肝供者的矛盾心理显著更低（3.82对4.60），与受者的亲密程度更高（3.55对3.34），MCS更高（45.26对42.80），家庭支持更高（34.39对29.79）。
矛盾心理在潜在活体肝供者中很常见。生活质量的MCS、家庭支持和亲密程度是矛盾心理方面的保护性预测因素。未来的研究应探索其他因素，并设计针对性的干预措施，以减少矛盾心理，促进家庭支持，并提高潜在活体肝供者生活质量的心理维度。
