Pistorio M L, Veroux M, Trigona C, Patanè M, Lo Bianco S, Cirincione G, Veroux P, Giaquinta A, De Pasquale C
Vascular Surgery and Organ Transplant Unit, Department of Surgery, Transplantation, and Advanced Technologies GF Ingrassia, University Hospital of Catania, Italy.
Vascular Surgery and Organ Transplant Unit, Department of Surgery, Transplantation, and Advanced Technologies GF Ingrassia, University Hospital of Catania, Italy.
Transplant Proc. 2019 Jan-Feb;51(1):124-127. doi: 10.1016/j.transproceed.2018.04.085. Epub 2018 Jun 30.
The decision to resort to living donor transplantation determines a particular condition characterized by a strong mental and emotional anguish, both for the patients and their families. The purpose of the study was to correlate the relational dynamics between donor-recipient, donor/recipient couple with the health team, and the family support perceived by the couple with the quality of life 6 months before transplant and 12 months after transplant and compare the data between the 2 time points after participating in the psychotherapy program of counseling about behavioral change.
Twenty-seven donor and recipient pairs consented to participate. The quality of life was studied through the Complete Form Health Survey (SF-36). All subjects completed a questionnaire that investigated the 3 types of fundamental relationships (donor-recipient, donor/recipient with the health team, and family support perceived by the couple). All participants were involved in an 18-month psychotherapy program in the pre- and post-transplant phase.
The quality of the donor-recipient relationship significantly positively influences the subjective perception of psychophysical well-being before and after transplant. Post-transplant family support is crucial in ensuring a good perception of psychological and emotional health in donors and recipients. The relationship with the health team is important in ensuring a good perception of psychophysical health only in recipients after transplant.
This study suggests that patients should be assisted by a multidisciplinary health care team and receive continuous support from relatives during the post-transplant adaptation process. This facilitates the donor and recipient postoperative quality of life.
决定采用活体供体移植会产生一种特殊情况，其特征是患者及其家属都承受着强烈的精神和情感痛苦。本研究的目的是将供体 - 受体、供体/受体夫妇与医疗团队之间的关系动态，以及夫妇所感受到的家庭支持与移植前6个月和移植后12个月的生活质量相关联，并在参与关于行为改变的心理咨询心理治疗项目后，比较这两个时间点的数据。
27对供体和受体夫妇同意参与。通过完整形式健康调查（SF - 36）研究生活质量。所有受试者都完成了一份调查问卷，该问卷调查了三种基本关系类型（供体 - 受体、供体/受体与医疗团队，以及夫妇所感受到的家庭支持）。所有参与者在移植前和移植后阶段都参与了一个为期18个月的心理治疗项目。
供体 - 受体关系的质量对移植前后身心健康的主观感受有显著的积极影响。移植后的家庭支持对于确保供体和受体对心理和情绪健康有良好的感受至关重要。仅在移植后的受体中，与医疗团队的关系对于确保对身心健康有良好的感受很重要。
本研究表明，患者在移植后的适应过程中应由多学科医疗团队提供帮助，并得到亲属的持续支持。这有助于提高供体和受体术后的生活质量。
