Lee Ye Sol, Koh Chin Kang, Yi Nam-Joon
Department of Nursing, Catholic Kwandong University, Gangneung, South Korea.
College of Nursing, The Research Institute of Nursing Science, Seoul National University, Seoul, South Korea.
Ann Transplant. 2025 Mar 25;30:e947414. doi: 10.12659/AOT.947414.
BACKGROUND Living donor liver transplantation (LDLT) from a family member, particularly adult children, is common in South Korea. Although LDLT is restricted to donors with altruistic motivations, some still experience post-donation regret. However, the role of family-related motivation in post-donation regret remains underexplored. This study examined whether family-related motivations were associated with regret intensity and whether these associations varied by the type of family relationship (child vs spouse, sibling, or parent donors). MATERIAL AND METHODS This study was a cross-sectional secondary analysis. The sample comprised 124 postoperative living liver donors. They completed a family-related motivation subscale of the Donor Motivation Questionnaire and a single-item measure of regret intensity. For moderation analysis, Model 1 of the PROCESS macro was used. RESULTS The mean score of post-donation regret was 1.3 out of 4. Non-child donors reported higher levels of regret than child donors. Particularly in non-child donors, family-related motivation was inversely associated with regret intensity, after adjusting for age, sex, caregiver role, postoperative complications, and months since donation. CONCLUSIONS These findings suggest that child and non-child donors have distinct motivations, which are linked to differing levels of regret. Accordingly, transplant teams should provide tailored information and support services based on the donor's family relationship type.
背景 在韩国，来自家庭成员（尤其是成年子女）的活体肝移植（LDLT）很常见。尽管LDLT仅限于出于利他动机的供体，但仍有一些人在捐赠后感到后悔。然而，与家庭相关的动机在捐赠后后悔中所起的作用仍未得到充分研究。本研究探讨了与家庭相关的动机是否与后悔强度相关，以及这些关联是否因家庭关系类型（子女供体与配偶、兄弟姐妹或父母供体）而异。
材料与方法 本研究为横断面二次分析。样本包括124名活体肝移植术后供体。他们完成了《供体动机问卷》中与家庭相关的动机子量表以及一项后悔强度单项测量。对于调节分析，使用了PROCESS宏的模型1。
结果 捐赠后后悔的平均得分为4分制中的1.3分。非子女供体报告的后悔程度高于子女供体。特别是在非子女供体中，在调整年龄、性别、照顾者角色、术后并发症和捐赠后的月数后，与家庭相关的动机与后悔强度呈负相关。
结论 这些发现表明，子女供体和非子女供体有不同的动机，这与不同程度的后悔有关。因此，移植团队应根据供体的家庭关系类型提供量身定制的信息和支持服务。
