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自主决策和社会支持对活体肾移植供者创伤后成长的影响:一项横断面研究。

Influence of Self-Determination and Social Support on Post-Traumatic Growth among Living Kidney Donors: A Cross-Sectional Study.

机构信息

Department of Nursing, College of Medicine, University of Ulsan, Ulsan 44610, Korea.

Department of Transplant Center, Seoul National University Hospital, Seoul 03080, Korea.

出版信息

Medicina (Kaunas). 2022 Aug 25;58(9):1155. doi: 10.3390/medicina58091155.

Abstract

: Although many studies have reported that kidney donation is not physically harmful to living kidney donors, there are few studies on the psychological changes that they experience, especially post-traumatic growth. This study aimed to investigate the influence of self-determination and social support on post-traumatic growth among living kidney donors. : This study used a descriptive, cross-sectional design. Data were collected from 114 living kidney donors who visited the outpatient solid organ transplant center at Seoul National University Hospital. The data were analyzed using the t-test, one-way analysis of variance, and stepwise multiple regression. : The results showed that the mean for post-traumatic growth of living kidney donors was 4.24 (0.81), a level higher than the midpoint. The factors affecting total post-traumatic growth were the relatedness of self-determination, the social support of their significant other, and donor type. In particular, the relatedness of self-determination was a significant factor affecting changed perceptions of self, relating to others, and spiritual change, subscales of post-traumatic growth. Additionally, the social support of donors' significant others was a significant factor affecting relating to others and new possibilities, subscales of post-traumatic growth. : Healthcare providers should endeavor to help living kidney donors experience post-traumatic growth, which can be facilitated by improving their self-determination and social support.

摘要

虽然许多研究报告指出,肾脏捐赠对活体肾脏捐赠者的身体没有伤害,但很少有研究关注他们所经历的心理变化,尤其是创伤后成长。本研究旨在探讨自我决定和社会支持对活体肾脏捐赠者创伤后成长的影响。

本研究采用描述性、横断面设计。数据来自于 114 名曾访问首尔国立大学医院门诊实体器官移植中心的活体肾脏捐赠者。使用 t 检验、单因素方差分析和逐步多元回归分析对数据进行了分析。

结果显示,活体肾脏捐赠者的创伤后成长平均得分为 4.24(0.81),高于中位数。影响总体创伤后成长的因素包括自我决定的相关性、重要他人的社会支持以及捐赠者类型。特别是,自我决定的相关性是影响创伤后成长的感知、与他人的关系和精神变化等子量表的重要因素。此外,捐赠者重要他人的社会支持是影响与他人的关系和新可能性等子量表的重要因素。

医疗保健提供者应努力帮助活体肾脏捐赠者体验创伤后成长,这可以通过提高他们的自我决定和社会支持来实现。

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