Laskowski Nora M, Brandt Gerrit, Tigges-Limmer Katharina, Halbeisen Georg, Paslakis Georgios
University Clinic for Psychosomatic Medicine and Psychotherapy, Campus East-Westphalia, Medical Faculty, Ruhr-University Bochum, Virchowstr. 65, 32312 Luebbecke, Germany.
Clinic for Thoracic and Cardiovascular Surgery, Herz- und Diabeteszentrum NRW, Ruhr-University Bochum, 32545 Bad Oeynhausen, Germany.
J Clin Med. 2023 Jan 26;12(3):952. doi: 10.3390/jcm12030952.
Organ transplantation is associated with significant physical and psychological burden for the recipients. Qualitative reports indicate that organ recipients develop donor and donation images (DDI)-conceptions of the donor and/or the organ. A deeper understanding of DDI is needed in the care of transplant recipients. To present the current state of knowledge, we searched for and identified DDI-related publications in PubMed and Scopus. Inclusion criteria were (1) studies addressing transplant recipients, and (2) English or German language. Twenty-one studies of individuals with transplanted hearts, lungs, or kidneys were included in this scoping review. Prevalence for DDI ranged from 6% to 52.3%. DDI occurs both before and after transplantation and includes ideas about the donor as well as whether and how the recipient's personality may be altered by the transplanted organ. Some transplant recipients did indeed report personality changes following transplantation due to the adoption of assumed donor characteristics. One study showed a positive association between the presence of DDI and anxiety scores and one described a coping effect. DDI is understudied and should be systematically assessed to improve care for the vulnerable group of individuals undergoing organ transplantation. Current research gaps and future directions are discussed.
器官移植给受者带来了巨大的身心负担。定性报告表明，器官受者会形成供体与捐献意象（DDI）——对供体和/或器官的认知。在移植受者的护理中，需要更深入地了解DDI。为了呈现当前的知识状况，我们在PubMed和Scopus中搜索并识别了与DDI相关的出版物。纳入标准为：（1）针对移植受者的研究；（2）英文或德文。本范围综述纳入了21项关于心脏、肺或肾脏移植个体的研究。DDI的发生率在6%至52.3%之间。DDI在移植前后均会出现，包括对供体的看法，以及移植器官是否会改变受者的性格以及如何改变。一些移植受者确实报告称，移植后由于接受了假定的供体特征而出现了性格变化。一项研究表明，DDI的存在与焦虑评分之间存在正相关，另一项研究描述了一种应对效应。对DDI的研究不足，应进行系统评估，以改善对器官移植弱势群体的护理。本文讨论了当前的研究差距和未来方向。
