QUALITY OF LIFE OF IRANIAN KIDNEY “DONORS”статья из журнала
Аннотация: No AccessJournal of UrologyCLINICAL UROLOGY: Original Articles1 Nov 2001QUALITY OF LIFE OF IRANIAN KIDNEY "DONORS" JAVAAD ZARGOOSHI JAVAAD ZARGOOSHIJAVAAD ZARGOOSHI View All Author Informationhttps://doi.org/10.1016/S0022-5347(05)65677-7AboutFull TextPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookLinked InTwitterEmail Abstract Purpose: The quality of life of Iranian kidney vendors was clarified. Materials and Methods: A questionnaire was completed by 300 kidney vendors 6 to 132 months postoperatively (median 61). Interviews and living conditions were videotaped. In addition, the 300 vendors and 100 controls that underwent nephrectomy for benign disease completed the RAND 36-Item Health Survey (SF-36). Results: Poverty prevented 79% of vendors from attending followup visits, and vending caused negative effects on employment in 65%. Of the families 68% strongly disagreed with vending, which caused rejection of 43% and increased marital conflicts in 73% of vendors, including 21% who divorced. There were 70% of vendors isolated from society, and 71% had severe de novo postoperative depression and 60% anxiety. Vending caused somewhat (20%) to very (66%) negative financial effects. It also had negative effects on the physical abilities in 60% of vendors who were mainly unskilled laborers, and 80% were dissatisfied with postoperative physical stamina, which was decreased mostly by depression. Of the vendors 37% concealed the truth of kidney sale from anyone, 14% disclosed it only to spouses, 43% to first generation relatives and 94% were unwilling to be known as donors. The mental preoccupation with kidney loss was usually (30%) to always (57%) present and interfered negatively with vendor life, and 62% reported negative effects on sense of being useful. Effects on general health were somewhat (22%) to very (58%) negative. When thinking about vending, the majority cited negative feelings. They responded that if they had another chance 85% would definitely not vend again, and 76% strongly discouraged potential vendors from "repeating their error." Half the vendors were ready to lose greater than 10 years of life and 76% to 100% of properties to regain kidneys. Compared to controls, vendors had significantly lower scores on all SF-36 scales (p <0.001). Conclusions: Our sample is a good representative of Iranian kidney vendors, with the majority having psychosocial complications. Globally, the medical community should focus more attention on motivations, quality of life, health and opinions of kidney vendors. References 1 : Iranian kidney donors: motivations and relations with the recipients. J Urol2001; 165: 386. Link, Google Scholar 2 : Long-term follow-up of living kidney donors: quality of life after donation. Transplantation1999; 67: 717. Google Scholar 3 : The psychosocial impact of donating a kidney: long-term followup from a urology based center. J Urol1997; 157: 1596. Link, Google Scholar 4 : Transplants from living donors: how donation affects family dynamics. Adv Ren Replace Ther1998; 5: 89. Google Scholar 5 : Psychosocial impact of renal donation. Can J Urol1999; 6: 859. Google Scholar 6 : Attitude, self-image, and quality of life of living kidney donors. Nephrol Nurs J2000; 27: 43. Google Scholar 7 : Quality of life in Norwegian kidney donors. Nephrol Dial Transplant1993; 8: 1146. Google Scholar 8 : Study protocol for the World Health Organization project to develop a Quality of Life assessment instrument (WHOQOL). Qual Life Res1993; 2: 153. Google Scholar 9 Peik-e-Ilam: p. 8, January 12, 2001 Google Scholar 10 Norooz: p. 13, June 23, 2001 Google Scholar 11 Bisotoon: p. 5, February 18, 2001 Google Scholar 12 Dowran-e-Emrouz: Publication banned, p. 9, February 13, 2001 Google Scholar 13 Dowran-e-Emrouz: Publication banned, p. 3, February 19, 2001 Google Scholar 14 Dowran-e-Emrouz: Publication banned, p. 13, January 14, 2001 Google Scholar 15 Hamshahri: p. 4, January 8, 2001 Google Scholar 16 Hayateno: p. 2, January 7, 2001 Google Scholar 17 Iran: p. 14, February 20, 2001 Google Scholar 18 Hamshahri: p. 3, July 20, 2000 Google Scholar 19 Dowran-e-Emrouz: Publication banned, p. 11, November 23, 2000 Google Scholar 20 : SF-36 health survey update. Spine2000; 25: 3130. Google Scholar 21 : The philosophy of health-related quality of life translation. Qual Life Res1993; 2: 461. Google Scholar 22 : Personality disorders. In: . Edited by . Philadelphia: Lippincott Williams & Wilkins2000: 1723. chapt. 24. Google Scholar 23 : Clinical aspects of renal transplantation. In: . Edited by . Philadelphia: W. B. Saunders Co.2000: 2542. chapt. 60. Google Scholar 24 : Living unrelated donor kidney transplantation. Kidney Int2000; 58: 491. Google Scholar From the Department of Urology, Kermanshah University of Medical Sciences, Kermanshah, Iran© 2001 by American Urological Association, Inc.FiguresReferencesRelatedDetails Volume 166Issue 5November 2001Page: 1790-1799 Advertisement Copyright & Permissions© 2001 by American Urological Association, Inc.Keywordsquality of lifekidney transplantationkidneycommerceliving donorsMetricsAuthor Information JAVAAD ZARGOOSHI More articles by this author Expand All Advertisement PDF downloadLoading ...
Год издания: 2001
Авторы: Javaad Zargooshi
Издательство: Lippincott Williams & Wilkins
Источник: The Journal of Urology
Ключевые слова: Organ Donation and Transplantation, Palliative Care and End-of-Life Issues, Organ Transplantation Techniques and Outcomes
Другие ссылки: The Journal of Urology (HTML)
PubMed (HTML)
PubMed (HTML)
Открытый доступ: closed
Том: 166
Выпуск: 5
Страницы: 1790–1799