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[患者活体捐献经历:对144名活体肾捐献者的问卷调查]

[Patient's Experience with Living Donation: A Questionnaire-Based Survey of 144 Living Kidney Donors].

作者信息

Schieber Katharina, Gaag Sonja, Heller Katharina, Erim Yesim

机构信息

Psychosomatische und Psychotherapeutische Abteilung, Universitätsklinikum Erlangen.

Abteilung für Nephrologie und Hypertensiologie Universitätsklinikum Erlangen.

出版信息

Psychother Psychosom Med Psychol. 2018 May;68(5):195-201. doi: 10.1055/s-0044-101841. Epub 2018 May 3.

Abstract

Living organ donation becomes more and more important as the number of patients needing organ transplantation is increasing. The University Hospital of Erlangen initiated a survey of living kidney donors to improve the process of living donation. The survey aimed to assess the donor's needs and experiences during the process of living kidney donation. From 2003 to 2014 n=199 living kidney donations were registered at the University Hospital of Erlangen. A total of n=144 living kidney donors (65.3% females, mean age M=58.7 years) participated in the study. In general, the majority of the living kidney donors were satisfied with the process of donation. Almost all of them (98%) confirmed to donate again, if it was possible. A large part of the living kidney donors denied any negative physical or psychological consequences of the donation. However, around 25% reported still physical problems for example wound healing, pain or long-term hypertension. Furthermore, a lack of pre- and post-operative psychological care or a regular medical follow-up care was reported. Thus, clinical practice needs to be further developed to meet the patient's needs.

摘要

随着需要器官移植的患者数量不断增加,活体器官捐赠变得越来越重要。埃尔朗根大学医院发起了一项针对活体肾捐赠者的调查,以改进活体捐赠流程。该调查旨在评估捐赠者在活体肾捐赠过程中的需求和经历。2003年至2014年期间,埃尔朗根大学医院登记了199例活体肾捐赠。共有144名活体肾捐赠者(65.3%为女性,平均年龄M = 58.7岁)参与了该研究。总体而言,大多数活体肾捐赠者对捐赠过程感到满意。几乎所有人(98%)都表示,如果可能,愿意再次捐赠。很大一部分活体肾捐赠者否认捐赠会带来任何负面的身体或心理影响。然而,约25%的人报告仍存在身体问题,例如伤口愈合、疼痛或长期高血压。此外,还报告了术前和术后缺乏心理护理或定期医疗随访护理的情况。因此,临床实践需要进一步发展以满足患者的需求。

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