Liu K-L, Chien C-H, Hsieh C-Y, Huang X-Y, Wang H-H, Lin K-J, Chiang Y-J
Department of Urology, Chang Gung Memorial Hospital, Linkou Medical Center, Tao-Yuan, Taiwan; Organ Transplantation Institute, Chang Gung Memorial Hospital, Linkou Medical Center, Tao-Yuan, Taiwan.
College of Nursing, National Taipei University of Nursing and Health Sciences, Taipei, Taiwan.
Transplant Proc. 2018 Dec;50(10):3059-3064. doi: 10.1016/j.transproceed.2018.08.053. Epub 2018 Sep 6.
While most living kidney donors are satisfied with their decision and do not regret donating, few studies have been conducted on the determinants related to the effectiveness and regret of the decision. This study aims to explore the relationship between basic attributes, quality of life, positive affect, negative affect, effectiveness of decision-making, and regret in living kidney donors.
In this cross-sectional study, living kidney donors were recruited from urology and kidney transplant outpatient services. The structured questionnaire used to collect the data included the Positive and Negative Affect Schedule, Medical Outcomes Study 12-Item Short-Form Health Survey, Decision Conflict Scale, and Decision Regret Scale.
The findings indicate that living donors with better health status, 24-hour creatinine clearance, physical health-related quality of life (HRQOL), and positive affect experienced greater feelings of effective decision-making. Moreover, women and donors with better physical HRQOL, positive affect, and decision effectiveness were less regretful about the decision of kidney donation.
Health status, physical HRQOL, and positive affect are related to decision validity and regret of living donors. Therefore, clinical care providers should regularly assess the mood and health of living kidney donors. Furthermore, activities promoting their health should be encouraged, especially for men.
虽然大多数活体肾供者对自己的决定感到满意且不后悔捐赠，但关于与该决定的有效性和后悔相关的决定因素的研究较少。本研究旨在探讨活体肾供者的基本属性、生活质量、积极情绪、消极情绪、决策有效性和后悔之间的关系。
在这项横断面研究中，从泌尿外科和肾移植门诊招募活体肾供者。用于收集数据的结构化问卷包括正负情绪量表、医学结局研究简明健康调查12项量表、决策冲突量表和决策后悔量表。
研究结果表明，健康状况、24小时肌酐清除率、与身体健康相关的生活质量（HRQOL）以及积极情绪较好的活体供者，决策有效感更强。此外，女性以及身体健康相关生活质量、积极情绪和决策有效性较好的供者对肾脏捐赠决定的后悔程度较低。
健康状况、身体健康相关生活质量和积极情绪与活体供者的决策有效性和后悔有关。因此，临床护理人员应定期评估活体肾供者的情绪和健康状况。此外，应鼓励开展促进他们健康的活动，尤其是针对男性。
