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创伤后成长在活体和尸体供肾移植患者中的表现:韧性和述情障碍的作用。

Post-Traumatic Growth among Patients after Living and Cadaveric Donor Kidney Transplantation: The Role of Resilience and Alexithymia.

机构信息

Teaching Department of Anaesthesiology and Intensive Care, Faculty of Health Sciences, Medical University of Warsaw, 02-091 Warsaw, Poland.

Faculty of Psychology, SWPS University of Social Sciences and Humanities, 03-815 Warsaw, Poland.

出版信息

Int J Environ Res Public Health. 2021 Feb 23;18(4):2164. doi: 10.3390/ijerph18042164.

Abstract

The aim of this study was to determine the role of resilience and alexithymia in the post-traumatic growth as a response to extreme stress in patients after kidney transplantation and to determine whether there are differences in the level of posttraumatic growth in patients after living and cadaveric donor kidney transplantation. The relationships between these variables were also evaluated. The questionnaire survey of 91 kidney recipients took place in 2018 and 2019. The following tools were used: authorial post-transplant questionnaire for recipients and validated questionnaires, Post Traumatic Growth Inventory (PTGI-R), Resilience Coping Scale Questionnaire, and Toronto Alexithymia Scale Questionnaire (TAS20). The results obtained showed significant differences between the group of kidney recipients from living donors and recipients from cadaveric donors, in terms of overall post-traumatic growth, as well as changes in self-perception and a greater appreciation for life. Post-traumatic growth in both groups was related to the level of resilience and the level of alexithymia. Resilience is an accurate predictor of posttraumatic growth in general and for each of the groups of recipients separately.

摘要

本研究旨在确定韧性和述情障碍在肾移植患者应对极端压力后的创伤后成长中的作用,并确定活体和尸体供体肾移植患者的创伤后成长水平是否存在差异。还评估了这些变量之间的关系。2018 年至 2019 年期间,对 91 名肾移植受者进行了问卷调查。使用了以下工具:作者的受者移植后问卷和经过验证的问卷、创伤后成长量表(PTGI-R)、韧性应对量表问卷和多伦多述情障碍量表问卷(TAS20)。研究结果表明,活体供者和尸体供者的肾移植受者群体在整体创伤后成长方面存在显著差异,以及自我认知和对生活的更大欣赏方面。两个群体的创伤后成长都与韧性水平和述情障碍水平有关。韧性是总体创伤后成长的准确预测指标,也是每个受者群体的准确预测指标。

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