Post-Donation Regret and Anxiety Among Family Living Liver Donors: The Mediating Roles of Family Relationships and Sense of Mastery.

IF 1.1 4区 医学 Q3 SURGERY
Ye Sol Lee, Chin Kang Koh, Nam-Joon Yi
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引用次数: 0

Abstract

BACKGROUND Post-donation regret in family living liver donors can impact their mental well-being. This study examined whether the relationship between post-donation regret and anxiety is mediated by family relationships and a sense of mastery. MATERIAL AND METHODS We conducted a secondary analysis of de-identified cross-sectional data from a prior study that included 124 living liver donors. These donors underwent partial hepatectomy between January 2011 and March 2021 at a tertiary hospital in Seoul, South Korea. The data included demographic and clinical characteristics, along with the results from administering the following measures: the Post-Donation Regret Scale, Family Relationships Index, Pearlin Mastery Scale, and the Generalized Anxiety Disorder-2 scale. RESULTS Among family living liver donors, 5.6% had anxiety after donation. The total effect of post-donation regret on anxiety was significant (B=0.41, p<0.05). However, the direct effect of regret on anxiety was not significant (B=-0.05, p=0.733). Post-donation regret had indirect effects on anxiety, solely through family relationships (B=0.329, 95% CI=0.130, 0.563) and sequentially through family relationships and mastery (B=0.088, 95% CI=0.008, 0.232), even after controlling for sex, age, postoperative complications, years since donation, and recipient's death. In addition, postoperative complication was a predictor of anxiety (B=0.64, p<0.05). CONCLUSIONS Providing family-centered and mastery-enhancing interventions may help alleviate the anxiety of family living liver donors.

家庭活体肝脏捐献者捐献后的遗憾和焦虑:家庭关系和主人翁意识的中介作用。
背景:家庭活体肝脏捐献者捐献后的遗憾会影响他们的心理健康。本研究探讨了捐献后遗憾与焦虑之间的关系是否会受到家庭关系和主人翁意识的影响。材料与方法 我们对之前一项研究中的去身份化横断面数据进行了二次分析,该研究包括 124 名活体肝脏捐献者。这些捐献者于 2011 年 1 月至 2021 年 3 月期间在韩国首尔的一家三级医院接受了部分肝切除术。数据包括人口统计学特征、临床特征以及以下测量结果:捐献后后悔量表、家庭关系指数、Pearlin掌握量表和广泛性焦虑症-2量表。结果 在家庭活体肝脏捐献者中,5.6%的人在捐献后有焦虑症。捐献后遗憾对焦虑的总影响是显著的(B=0.41,P<0.05)。
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
CiteScore
2.50
自引率
0.00%
发文量
79
审稿时长
>12 weeks
期刊介绍: Annals of Transplantation is one of the fast-developing journals open to all scientists and fields of transplant medicine and related research. The journal is published quarterly and provides extensive coverage of the most important advances in transplantation. Using an electronic on-line submission and peer review tracking system, Annals of Transplantation is committed to rapid review and publication. The average time to first decision is around 3-4 weeks. Time to publication of accepted manuscripts continues to be shortened, with the Editorial team committed to a goal of 3 months from acceptance to publication. Expert reseachers and clinicians from around the world contribute original Articles, Review Papers, Case Reports and Special Reports in every pertinent specialty, providing a lot of arguments for discussion of exciting developments and controversies in the field.
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