School of Nursing, The Academic College of Tel Aviv Jaffa, Tel Aviv, Israel.
School of Social Sciences, The Israel Academic College of Ramat Gan, Ramat Gan, Israel.
Nurs Inq. 2021 Dec;28(4):e12410. doi: 10.1111/nin.12410. Epub 2021 Apr 22.
Previous studies showed that it is usually the mother who agrees to donate her kidney to a child with an end-stage renal disease, while the fathers tend much less to donate. The present study sought to explore decision-making regarding which parent would donate a kidney to their child. Interviews were conducted with twenty-five mothers and six fathers who donated a kidney to their child. Analysis of the narratives reveals unwillingness to donate a kidney to a sick daughter and five reasons why mothers are more willing to donate than fathers. Our study shows that parents' patterns of kidney donation to their children powerfully demonstrate gender relations in Arab society and that culturally related matters have a significant impact on human organ transplantation, hence on quality of life and the chances of survival of nephrological pediatric patients. We recommend that the nursing staff enlist the help of Muslim clerics to increase the willingness of fathers to donate a kidney, for sons as well as for daughters. We call for designing education campaigns aimed at raising awareness and encouraging changes in the attitudes of the families of pediatric ESRD patients as well as of physicians.
先前的研究表明，通常是母亲同意将自己的肾脏捐献给患有终末期肾病的孩子，而父亲则不太愿意捐肾。本研究旨在探讨父母双方中谁更愿意为孩子捐肾。对 25 位母亲和 6 位父亲进行了访谈，他们都曾将自己的肾脏捐献给自己的孩子。对这些叙述的分析揭示了不愿意将肾脏捐献给生病的女儿的原因，以及母亲比父亲更愿意捐肾的五个原因。我们的研究表明，父母为孩子捐肾的模式有力地展示了阿拉伯社会中的性别关系，并且与文化相关的因素对人体器官移植具有重大影响，从而影响肾病儿科患者的生活质量和生存机会。我们建议护理人员寻求穆斯林神职人员的帮助，以提高父亲为儿子和女儿捐肾的意愿。我们呼吁开展教育活动，旨在提高儿科 ESRD 患者的家庭以及医生对这一问题的认识，并鼓励他们改变态度。
