Westlie L, Fauchald P, Talseth T, Jakobsen A, Flatmark A
Department of Medicine, Oestfold Sentralsykehus, Fredrikstad, Norway.
Nephrol Dial Transplant. 1993;8(10):1146-50.
The Norwegian kidney transplant programme is based on more extensive use of living donors than in other countries. Re-examination of the physical health of kidney donors has in the majority of studies revealed no long-term medical risk. The quality of life after donation has only been described in very few studies, and with a small number of donors. This report concerns a cross-sectional study of 494 donors with a mean observation time from donation of 6.7 years. A standardized questionnaire containing 19 items related to quality of life was used. The donors were compared to the general adult population in a county in mid-Norway. Out of the 19 quality of life items, the donors scored significantly better in 13. Donors who had experienced that the corresponding recipient had died have been tested separately. The results in this subgroup were equal to the population, but inferior compared to the rest of the donors. We conclude that the quality of life of Norwegian kidney donors is better than the general population. We will continue our policy of an extensive use of living kidney donors.
挪威的肾脏移植项目比其他国家更多地使用活体捐赠者。大多数研究对肾脏捐赠者的身体健康进行复查后发现，不存在长期医疗风险。仅有极少数研究描述了捐赠后的生活质量，且涉及的捐赠者数量较少。本报告涉及一项对494名捐赠者的横断面研究，从捐赠时起的平均观察时间为6.7年。使用了一份包含19项与生活质量相关内容的标准化问卷。将这些捐赠者与挪威中部一个县的普通成年人群体进行比较。在19项生活质量项目中，捐赠者在13项上的得分显著更高。经历过相应受赠者死亡的捐赠者已单独进行测试。该亚组的结果与总体人群相当，但与其他捐赠者相比则较差。我们得出结论，挪威肾脏捐赠者的生活质量优于普通人群。我们将继续广泛使用活体肾脏捐赠者的政策。
