Changes in Decisional Conflict and Decisional Regret Among Living Kidney Donors From Pre‐Donation to 1‐Year Post‐Donation
Research in Nursing & Health,
Год журнала:
2025,
Номер
unknown
Опубликована: Фев. 1, 2025
ABSTRACT
Previous
research
indicates
that
most
living
kidney
donors
(LKDs)
are
content
with
their
decision
to
donate
and
seldom
experience
regret.
Nevertheless,
a
small
percentage
of
report
adverse
experiences,
such
as
psychological
distress
reduced
vitality.
Therefore,
it
is
essential
explore
the
experiences
LKDs,
particularly
within
context
decision‐making
process
both
before
following
donation.
This
study
aimed
examine
decisional
conflict
regret
experienced
by
LKDs
from
evaluation
stage
12
months
post‐donation
identify
associated
factors.
A
longitudinal
design
was
implemented,
initial
data
collection
took
place
when
potential
visited
hospital
for
(
n
=
50).
Subsequent
conducted
at
3
49),
6,
46)
post‐donation.
Variables,
including
basic
demographics,
conflict,
regret,
perceived
control,
distress,
healthcare
orientation,
were
collected.
Generalized
estimating
equations
used
obtain
inferential
statistics.
Results
showed
control
characterized
personal
lower
better
orientation
among
LKDs.
Meanwhile,
self‐perceived
health
status,
inclined
toward
interpersonal
less
Nurses
should
assess
mental
provide
clear
information
support
regarding
They
also
offer
self‐care
stress‐coping
strategies
related
donor
nephrectomy
aid
in
reducing
Язык: Английский
The hidden emotional costs of giving life: preserving donors’ mental health and quality of life after living kidney donation
Journal of Nephrology,
Год журнала:
2025,
Номер
unknown
Опубликована: Апрель 19, 2025
Abstract
Kidney
living
donation
remains
the
best
treatment
available
for
kidney
failure.
Most
donors
report
positive
personal
outcomes,
such
as
enhanced
life
satisfaction
and
growth.
However,
mental
health
challenges
have
also
been
documented.
The
study
by
Tahir,
Aftab
Nabi
(J
Nephrol
https://doi.org/10.1007/s40620-025-02217-5
,
2025)
call
attention
to
a
small
subset
of
who
may
experience
significant
depression
symptoms
occasionally
suicidal
ideation
after
donation,
particularly
when
recipient
dies
or
suffers
severe
graft
failure
with
return
dialysis.
As
observed
in
previous
studies,
only
whose
recipients
experienced
negative
outcomes
reported
mood
alterations
dissatisfaction
(Menjivar
et
al.,
Transpl
Int
31(12):1332–1344,
2018).
These
rare
post-donation
risk
scenarios
justify
careful
evaluation
identify
psychological
vulnerabilities
history
difficulties
managing
coping
stressful
situations.
adverse
appear
more
likely
pre-donation
physical
and/or
vulnerabilities,
those
complicated
surgical
recovery
cases
where
poor
outcomes.
Moreover,
death
might
significantly
increase
donor's
likelihood
anxiety,
Despite
generally
low
incidence
psychosocial
problems
there
calls
structured
routine
follow-up
assessment
further
mitigate
risks
ensure
equitable
safety
all
donors.
Язык: Английский