Ahmadian S, Khaghanizadeh M, Zarghami M H, Khaleghi E, Ebadi A
Faculty of Nursing, Baqiyatallah University of Medical Sciences, Tehran, Iran.
Behavioral Sciences Research Center, Baqiyatallah University of Medical Sciences, Tehran, Iran.
Int J Organ Transplant Med. 2018;9(2):53-67. Epub 2018 May 1.
According to the basic ethical principle of non-maleficence, organ procurement systems need to be accountable to donor families. As organ donation can be potentially traumatic, donor families are at risk of developing psychological damage. Appropriate measurement tools are needed to diagnose such disorders and develop appropriate treatment measures.
To examine the appropriateness of measurement tools and approaches used in previous studies for assessing donor families' psychological well-being.
A structured online search was conducted in electronic databases namely and . The main inclusion criterion was the use of psychological assessment tools for data collection.
10 studies were included in which different tools had been used for measuring donor families' psychological well-being in the following 5 dimensions: stress, depression, grief, general health, and positive legacy of trauma. The major pitfalls of the reviewed studies were failure to specifically assess complicated grief and differentiating it from other psychological disorders, diversity of the tools used for psychological well-being assessment, and lack of clear definitions of donor families' psychological well-being and its dimensions.
Donor families' psychological well-being is a complex and multidimensional concept and the existing measurement tools cannot accurately assess it. Therefore, the concept needs to be clearly explored and defined. Developing a comprehensive measurement tool or a set of scales is necessary for the early diagnosis of any impairment in donor families' psychological well-being.
根据不伤害的基本伦理原则，器官获取系统需要对捐赠者家属负责。由于器官捐赠可能具有潜在的创伤性，捐赠者家属有遭受心理伤害的风险。需要合适的测量工具来诊断此类障碍并制定适当的治疗措施。
检验先前研究中用于评估捐赠者家属心理健康的测量工具和方法的适用性。
在电子数据库[具体数据库名称未给出]中进行了结构化在线搜索。主要纳入标准是使用心理评估工具进行数据收集。
纳入了10项研究，这些研究使用了不同工具在以下5个维度测量捐赠者家属的心理健康：压力、抑郁、悲伤、总体健康和创伤的积极遗产。所审查研究的主要缺陷包括未能专门评估复杂性悲伤并将其与其他心理障碍区分开来、用于心理健康评估的工具多样，以及对捐赠者家属心理健康及其维度缺乏明确的定义。
捐赠者家属的心理健康是一个复杂的多维度概念，现有的测量工具无法准确评估它。因此，需要对这一概念进行清晰的探索和定义。开发一种全面的测量工具或一套量表对于早期诊断捐赠者家属心理健康的任何损害是必要的。
