Family functioning before kidney transplantation from living-related donors: Perspectives of donors and recipients in Japan.

IF 1.2 4区 医学 Q3 FAMILY STUDIES
Families Systems & Health Pub Date : 2024-06-01 Epub Date: 2023-09-11 DOI:10.1037/fsh0000831
Rumiko Kamba, Sayaka Kobayashi, Rie Akaho, Kosuke Takano, Junko Tsutsui, Satoko Ito, Hidehiro Oshibuchi, Katsuji Nishimura
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Abstract

Introduction: In Japan, approximately 90% of kidney transplantations involve living donors who are relatives. Selection of a living donor from potential family member donors could affect the entire family. However, reports focusing on preliving-related kidney transplant (LRKT) family functioning are lacking. Family functioning comprises ways that family members communicate and cooperate with each other. The Family Assessment Device (FAD) was used to measure family functioning from the perspective of donors and recipients just prior to LRKT.

Method: A total of 122 donor-recipient pairs (244 participants in total) who planned to have LRKT were recruited consecutively from July 2020 to July 2021 and included in the analysis.

Results: There was no significant difference in FAD scores between donors and recipients, with approximately 20% of both groups reporting poor family functioning. Differences in family functioning according to types of relatives were shown in recipients. The rate of poor family functioning was significantly lower in the spouse group than in the parent-to-child group (recipient: 6.6%, 29.3%; donor: 8.2%, 34.1%, respectively). However, agreement regarding good or poor family functioning assessment was high in the parent-to-child pairs and low in the spouse pairs.

Discussion: Most LRKT donors and recipients reported good family functioning; however, some perceived poor family functioning. Evaluations by donors did not always align with that of recipients, especially among spouse pairs. It is important to treat them as independent entities. Preoperative assessment to connect them with appropriate support can enhance recovery after LRKT. (PsycInfo Database Record (c) 2024 APA, all rights reserved).

活体肾移植前的家庭功能:日本捐赠者和受捐者的观点。
简介在日本,约有 90% 的肾移植手术涉及亲属活体捐献。从潜在的亲属捐献者中选择活体捐献者可能会影响整个家庭。然而,目前还缺乏关于活体肾移植(LRKT)前相关家庭功能的报告。家庭功能包括家庭成员之间的沟通和合作方式。我们使用家庭评估装置(FAD)从肾移植前捐献者和受者的角度来测量家庭功能:方法:在2020年7月至2021年7月期间,连续招募了122对计划进行LRKT的捐献者和受捐者(共244人),并将其纳入分析:捐献者和受捐者的 FAD 评分无明显差异,两组中均有约 20% 的人报告家庭功能不佳。受者的家庭功能因亲属类型而异。配偶组的家庭功能不良率明显低于亲子组(受捐者:6.6%,29.3%;捐献者:8.2%,34.1%)。然而,父母对子女组对良好或不良家庭功能评估的一致性较高,而配偶组的一致性较低:讨论:大多数 LRKT 捐赠者和受捐者都表示家庭功能良好;但也有一些人认为家庭功能不佳。捐赠者的评价并不总是与受助者的评价一致,尤其是配偶双方。将他们视为独立个体非常重要。通过术前评估为他们提供适当的支持,可以促进 LRKT 术后的恢复。(PsycInfo Database Record (c) 2024 APA,保留所有权利)。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
Families Systems & Health
Families Systems & Health HEALTH CARE SCIENCES & SERVICES-PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH
CiteScore
1.50
自引率
7.70%
发文量
81
审稿时长
>12 weeks
期刊介绍: Families, Systems, & Health publishes clinical research, training, and theoretical contributions in the areas of families and health, with particular focus on collaborative family healthcare.
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