亲属活体供肾者术后心理状态调查和分析

Survey of psychological states of living related kidney donors after renal transplantation

目的分析与研究亲属活体供肾者术前一般情况和术后心理状态。方法应用自编个人资料问卷、社会支持评定量表、SF-36量表、Beck抑郁自评量表和Zung焦虑白评量表（SAS）对56名活体供肾者术后6个月至4年时的心理状态进行调查分析。结果供者以女性、农村巾低收入、低学历者居多，所有供者自愿捐肾。供者术后客观和主观支持良好，支持利用度稍差。供者术后躯体健康质量稍差，精神健康较好，无抑郁和焦虑状态。结论亲属活体供肾者术后的心理状态较好，但临床工作者仍应适时采取心理干预，加强健康教育，同时社会应加强宣教，术后应给予供者良好的社会支持。

Objective To survey psychological states of living related kidney donors after renal transplantation. Methods Between January 2003 and January 2007, 56 consecutive donors were interviewed preoperatively based on a 22-item questionnaire. Objective assessment of social support, quality of life, anxiety and depression was done with ＂Social support rating scale＂, ＂SF 36＂,＂Beck＇s depression inventory＂ and ＂self rating anxiety scale （SAS）＂ questionnaires from 6 months to 4 years postoperatively. Results All donors had volunteered for donation without pressure from family or recipient. Subject supports and objective supports of the donors were preferable and the utility of supports was poor. The donors showed a higher quality of life. There were no major depressive or anxiety disorders following donation. Conclusion All donors had a good psychological states after renal transplantation. More attention should be paid to mental health of the donors. Improving social support could be considered a good way to enhance their quality of life.