Psychiatry Department, Wroclaw Medical University, Poland.
Psychiatry Department, Wroclaw Medical University, Poland.
Transplant Rev (Orlando). 2020 Oct;34(4):100572. doi: 10.1016/j.trre.2020.100572. Epub 2020 Sep 23.
Due to its numerous advantages, transplantation from a living kidney donor is the best method of renal replacement therapy. However, the characteristics of the procedure require to consider well-being of not only the recipient, but also the donor - a person who suddenly becomes a patient despite former good health. The living donation is a selfless act, but also a decision that may endanger one's own health. The aim of this article was to review the current knowledge concerning the quality of life, symptoms of anxiety and depression occurring among living kidney donors and recipients. In order to do that, we performed a systematic research in the PubMed, Google Scholar and CINAHL databases for the years 2000-2019 with the use of key words. The inclusion and exclusion criteria were met by only 15 articles. This study shows that the mental state of donors is generally better than that of recipients. Additionally, reduction of anxiety and depression as well as increase in the quality of life occurs in both donors and recipients in the post-transplant period compared to the time before surgery. Further research is needed on this topic in order to improve psychological aspects of care of live kidney donors and recipients.
由于其众多优势，活体肾脏捐赠者的移植是肾替代治疗的最佳方法。然而，该程序的特点要求不仅要考虑受者的健康状况，还要考虑供者的健康状况——供者尽管以前身体健康，但突然成为患者。活体捐赠是一种无私的行为，但也是一个可能危及自身健康的决定。本文的目的是回顾目前关于活体肾脏供者和受者生活质量、焦虑和抑郁症状的知识。为此，我们在 PubMed、Google Scholar 和 CINAHL 数据库中对 2000 年至 2019 年进行了系统研究，使用了关键词。只有 15 篇文章符合纳入和排除标准。这项研究表明，供者的精神状态通常比受者好。此外，与手术前相比，捐赠者和受者在移植后都会减少焦虑和抑郁，提高生活质量。需要对此主题进行进一步的研究，以改善活体肾脏供者和受者的心理护理方面。
