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[一组儿童肾移植前后的初步心理评估]

[Preliminary psychological evaluation of a group of children before and after renal transplantation].

作者信息

Silvestre D, Gagnadoux M F, Raimbault G, Broyer M

出版信息

Helv Paediatr Acta. 1976 Jun;31(1):9-19.

PMID:780324
Abstract

Eighteen children who have received kidney transplants within the last three years at the Hopital des Enfants Malades in Paris provide material for this survey. We try to find out how these transplants effect the way the children live, and the main psychological problems that they create. This new way of life is characterized by an explosion of vitality, a certain liberation from prior restraint and the possibility of activities which up to then had been difficult or forbidden. However, the necessity for the child to be watched regularly, to attend the hospital for examination, to follow a special diet, to take immunodepressive drugs remind him that he is not cured. Consequences of corticotherapy and the growth retardation remain essential problems for some of them. The child will have to cope with this complex situation which also creates difficulties to acquire independence.

摘要

在巴黎儿童医院,过去三年里接受过肾脏移植的18名儿童为本次调查提供了素材。我们试图弄清楚这些移植手术如何影响孩子们的生活方式,以及它们所引发的主要心理问题。这种新的生活方式的特点是活力的迸发、从先前的束缚中得到一定程度的解放,以及能够参与到此前一直困难重重或被禁止的活动。然而,孩子需要定期接受观察、前往医院检查、遵循特殊饮食、服用免疫抑制药物,这一切都让他意识到自己并未痊愈。皮质激素疗法的后果以及生长发育迟缓对其中一些孩子来说仍是至关重要的问题。孩子将不得不应对这种复杂的局面,而这也给他们实现独立带来了困难。

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