| 摘要: |
| 目的 调查分析亲属活体肾移植供者和受者术后生活质量。方法 应用自编个人资料调查问卷、SF-36生活质量量表、Zung焦虑自评量表(SAS)和抑郁自评量表(SDS)对169对亲属活体肾移植供受者的一般情况、社会经济情况、捐肾动机和过程、生活质量和心理状况进行调查分析。结果 供者和受者都以初中及以下文化程度 [81.8%(90/110) vs 83.1%(103/124) ]和中低收入者 [85.5%(94/110) vs 54.8%(68/124) ]居多;供者以女性为主(61.8%,68/110),少数供者(5.5%,6/110)因捐肾对婚姻产生不良影响。供者与我国常模相比生活质量无明显差别,术后无焦虑和抑郁状态;受者与血透患者相比生活质量明显改善,极少数患者存在轻度焦虑(1.6%,2/124)和抑郁(5.6%,7/124)。结论 亲属活体肾移植对供者生活质量和心理无明显不良影响,可明显提高受者生活质量,但仍要术前严格筛选供者,加强术后随访和社会支持。 |
| 关键词: 肾移植 活体供者 受者；生活质量 焦虑 抑郁 |
| DOI：10.3724/SP.J.1008.2012.00280 |
| 投稿时间：2011-11-11修订日期：2012-02-26 |
| 基金项目: |
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| Quality of life of living related kidney donors and recipients: a single center study |
| ZHENG Xue-yang,HAN Shu*,WANG Li-ming,ZHU You-hua,ZENG Li,ZHOU Mei-sheng |
(Organ Transplantation Institute of PLA,Changzheng Hospital,Second Military Medical University,Shanghai 200003, China
*Corresponding author.) |
| Abstract: |
| Objective To investigate quality of life (QOL) of living related kidney donors and recipients after renal transplantation. Methods The demographic, socioeconomic, transplantation process, data of QOL and psychosocial outcomes of 169 living related kidney donors and recipients were analyzed by self-made sociodemographic questionnaire, short form 36 health survey (SF-36), Zung self-rating anxiety(SAS) and depression scales(SDS). Results Most donors (81.8%, 90/110) and recipients (83.1%, 103/124) were with an education background of secondary school or lower; and 85.5%(94/110) of donors and 54.8%(68/124) of recipients had moderate- or low-incomes. The donors were predominantly females (61.8%, 68/110). A few donors (5.5%, 6/110) witnessed a negative impact on their marriage due to kidney donation. The evaluation results of the donors’ QOL were not significantly different from those of the Chinese norm, and they had no anxiety or depression after operation. The QOL of recipients was greatly improved compared with the patients on hemodialysis. There was slight anxiety (1.6%, 2/124) and depression (5.6%, 7/124) among recipients. Conclusion Living related kidney transplantation has no noticeable adverse effect on the lives and psychological aspects of donors and can significantly improve the lives of recipients. Careful donor selection, close follow-up and social support are recommended for them. |
| Key words: kidney transplantation living donors recipients quality of life anxiety depression |
