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Colonnello V, La Manna G, Cangini G, Russo PM. Post-Donation Evaluation: Emotional Needs for Social Connection and Social Support among Living Kidney Donors-A Systematic Review. Healthcare (Basel) 2024; 12:1216. [PMID: 38921330 PMCID: PMC11203999 DOI: 10.3390/healthcare12121216] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/07/2024] [Revised: 06/09/2024] [Accepted: 06/13/2024] [Indexed: 06/27/2024] Open
Abstract
INTRODUCTION Evaluation of post-nephrectomy social health in living kidney donors is essential. This systematic review examines their emotional need for social relatedness post-donation. METHODS Following the PRISMA guidelines, we systematically searched Scopus, CINAHL, and PsycINFO. RESULTS Among the screened records, 32 quantitative and 16 qualitative papers met the inclusion criteria. Quantitative research predominantly utilized questionnaires featuring generic items on social functioning. However, a minority delved into emotional and social dimensions, aligning with qualitative studies emphasizing the importance of social connection and perceived social support post-donation. Specifically, post-donation changes in connecting with others encompass a sense of belongingness, heightened autonomy, shifts in concern for the recipient's health, and continued care by shielding the recipient from personal health issues. Social acknowledgment and social support from both close and extended networks are reported as relevant for recovery after nephrectomy. DISCUSSION These findings underscore the necessity for targeted measures of emotional needs and social functioning to effectively assess post-donation adjustment. They also inform the identification of key health themes for kidney donor Patient-Reported Outcome Measures (PROMs) and Patient-Reported Experience Measures (PREMs) questions.
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Affiliation(s)
- Valentina Colonnello
- Department of Medical and Surgical Sciences, Alma Mater Studiorum, University of Bologna, 40138 Bologna, Italy; (G.L.M.); (G.C.)
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Liu S, Zhou X, Dai H, Fang C, Wang H, Yao M, Hou Y. Assessing health-related quality of life of living kidney donors using the 36-item medical outcomes Short-Form-36 questionnaire: a meta-analysis. PSYCHOL HEALTH MED 2020; 26:917-930. [PMID: 33332156 DOI: 10.1080/13548506.2020.1856392] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 10/22/2022]
Abstract
The purpose of this meta-analysis was to assess the health-related quality of life (HRQoL) of living kidney donors using the 36-item Medical Outcomes Short-Form-36 questionnaire (SF-36). A systematic search of the Web of Science, PubMed, Embase, Elsevier/ScienceDirect, Wanfang, Weipu, and China National Knowledge Infrastructure databases for studies that used the SF-36 to evaluate the HRQoL of living kidney donors up to April 2020 was performed. Stata version 12.0 (StataCorp LLC, College Station, TX, USA) was used for meta-analysis. In all, nine studies comprising 802 living kidney donors were included in this meta-analysis. The research revealed that living kidney donors were inferior in physical health to the general population with regard to bodily pain (BP), superior to the general population in terms of general health (GH), and exhibited no significant difference from the general population in physical function (PF) and role-physical (RP). In the case of psychological health, living kidney donation had a positive impact on well-screened living kidney donors. Based on our results, clinicians can inform potential kidney donors that there is a low risk in donating a kidney, which contributes to provide guidance to design counseling interventions for both kidney recipients and donors.
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Affiliation(s)
- Sai Liu
- Clinical Nursing Teaching and Research Section, the Second Xiangya Hospital, Central South University, Changsha, China.,Xiangya School of Nursing, Central South University, Changsha, China.,Department of Kidney Transplantation, The Second Xiangya Hospital of Central South University, Changsha, China
| | - Xihong Zhou
- Clinical Nursing Teaching and Research Section, the Second Xiangya Hospital, Central South University, Changsha, China
| | - Helong Dai
- Department of Kidney Transplantation, The Second Xiangya Hospital of Central South University, Changsha, China.,Clinical Research Center for Organ Transplantation in Hunan Province, Changsha, China.,Clinical Immunology Center, Central South University, Changsha, China
| | - Chunhua Fang
- Clinical Nursing Teaching and Research Section, the Second Xiangya Hospital, Central South University, Changsha, China.,Department of Kidney Transplantation, The Second Xiangya Hospital of Central South University, Changsha, China
| | - Haifeng Wang
- Department of Urology, Longyan First Hospital Affiliated with Fujian Medical University, Longyan, Fujian, China
| | - Ming Yao
- Clinical Nursing Teaching and Research Section, the Second Xiangya Hospital, Central South University, Changsha, China.,Xiangya School of Nursing, Central South University, Changsha, China
| | - Yiping Hou
- Xiangya School of Nursing, Central South University, Changsha, China
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Al Breizat AH, Abunaser MT, Al Breizat Z. Living Donors: Altruism and Feeling Forgotten. EXP CLIN TRANSPLANT 2020; 18:22-28. [PMID: 32008488 DOI: 10.6002/ect.tond-tdtd2019.l25] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/05/2022]
Abstract
OBJECTIVES Living donors endure several challenges throughout the organ donation process. Physically related effects are further compounded by social and emotional challenges. To date, no previous studies have addressed the motives and impact of organ donations from living donors in Jordan. MATERIALS AND METHODS We conducted a qualitative exploratory study to understand the experiences of a random sample of genetically and legally related living donors in Jordan. Participants were identified through the Directorate of the Jordanian Center for Organ Transplantation database. Our sample included Jordanians and non-Jordanians who donated a kidney or liver. Most data were collected by phone interviews with living donors; some donors were personally interviewed. Donors were asked about their experiences during the periods before and after the process of donation, including their feelings, emotions, and motives. Interviews were analyzed using the thematic analysis approach. RESULTS In total, 360 participants (337 kidney and 23 liver donors; 290 Jordanians and 70 non-Jordanians) completed the interview. The time from donation to interview ranged from 14 days to 7 years. The period before donation was characterized by fear and confusion. After donation, most donors described a positive emotional state that was marked by selfsatisfaction, pride, and increased support of organ donation. However, many stated that they felt forgotten. Most donors were motivated by social solidarity, and others invoked the role of their religious beliefs as the main motive. Other motives included improving the recipient's life and fear that patients would be abandoned. CONCLUSIONS The emotional distress of living donors during the predonation period emphasizes the need for social and psychological support in addition to medical evaluations. Donors who had positive experiences with donation can play a role in advocating for donation. Finally, in Jordan, social solidarity and religious beliefs are the most important factors that motivate donation.
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Affiliation(s)
- Abdel-Hadi Al Breizat
- From the Jordanian Ministry of Health, Jordanian Centre of Organ Transplantation, General and HPB Surgery
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Pennington KM, Benzo RP, Schneekloth TD, Budev M, Chandrashekaran S, Erasmus DB, Lease ED, Levine DJ, Thompson K, Stevens E, Novotny PJ, Kennedy CC. Impact of Affect on Lung Transplant Candidate Outcomes. Prog Transplant 2019; 30:13-21. [PMID: 31838950 DOI: 10.1177/1526924819892921] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/06/2023]
Abstract
BACKGROUND We examined the association of adult lung transplant candidates' self-reported affect with transplant-related outcomes, evaluating whether a positive (vs negative) frame of mind might be protective. METHOD Consenting waitlisted candidates from 6 centers completed the questionnaires including the Positive and Negative Affect Schedule annually and posttransplant. Univariate logistic regression analysis was performed to determine the association of baseline affect with outcomes of death or delisting. Models were subsequently adjusted for age, marital status, and education. RESULTS Questionnaires were completed by 169 candidates (77.9% participation). Mean positive affect, negative affect, and positive-to-negative affect ratio (positivity ratio) were similar to expected norms. The scores of the questionnaire did not change significantly over time. Fifteen (8.9%) waitlisted participants died. Candidates who died while waiting had lower positivity ratios compared to those who survived (1.82 vs 2.45; P = .02). A more negative affect was associated with increased death on the waiting list (adjusted odds ratio [OR] 1.10; P = .021). Conversely, a higher positivity ratio was associated with decreased death while waiting (adjusted OR: 0.45; P = .027). CONCLUSION Negative affect may represent a novel risk factor for death on the waitlist. Enhancing positive affect may represent a useful target for psychological optimization in lung transplant candidates.
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Affiliation(s)
- Kelly M Pennington
- Division of Pulmonary and Critical Care Medicine, Department of Medicine, Mayo Clinic Rochester, MN, USA.,Robert D. and Patricia E. Kern Center for the Science of Healthcare Delivery, Mayo Clinic Rochester, MN, USA
| | - Roberto P Benzo
- Division of Pulmonary and Critical Care Medicine, Department of Medicine, Mayo Clinic Rochester, MN, USA
| | - Terry D Schneekloth
- Department of Psychiatry and Psychology, Mayo Clinic Rochester, MN, USA.,William J. von Liebig Center for Transplantation and Clinical Regeneration, Mayo Clinic Rochester, MN, USA
| | - Marie Budev
- Division of Pulmonary and Critical Care Medicine, Department of Medicine, Cleveland Clinic Foundation Cleveland, OH, USA
| | - Satish Chandrashekaran
- Division of Pulmonary and Critical Care Medicine, Department of Medicine, University of Florida, Gainesville, FL, USA
| | - David B Erasmus
- Division of Pulmonary and Critical Care Medicine, Department of Medicine, Mayo Clinic Jacksonville, FL, USA
| | - Erika D Lease
- Division of Pulmonary, Critical Care, and Sleep Medicine, Department of Medicine, University of Washington Seattle, WA, USA
| | - Deborah J Levine
- Division of Pulmonary and Critical Care Medicine, Department of Medicine, University of Texas Health Sciences Center San Antonio, TX, USA
| | - Karin Thompson
- Division of Pulmonary and Critical Care Medicine, Department of Medicine, Mayo Clinic Rochester, MN, USA
| | - Elizabeth Stevens
- Division of Pulmonary and Critical Care Medicine, Department of Medicine, Mayo Clinic Rochester, MN, USA
| | - Paul J Novotny
- Department of Health Sciences Research, Mayo Clinic, Rochester, MN, USA
| | - Cassie C Kennedy
- Division of Pulmonary and Critical Care Medicine, Department of Medicine, Mayo Clinic Rochester, MN, USA.,Robert D. and Patricia E. Kern Center for the Science of Healthcare Delivery, Mayo Clinic Rochester, MN, USA.,William J. von Liebig Center for Transplantation and Clinical Regeneration, Mayo Clinic Rochester, MN, USA
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Liu KL, Chien CH, Hsieh CY, Huang XY, Wang HH, Lin KJ, Chiang YJ. Effective Decision-Making and Decisional Regret in Living Kidney Donors of Taiwan. Transplant Proc 2018; 50:3059-3064. [PMID: 30577166 DOI: 10.1016/j.transproceed.2018.08.053] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/12/2018] [Revised: 08/04/2018] [Accepted: 08/29/2018] [Indexed: 11/29/2022]
Abstract
BACKGROUND While most living kidney donors are satisfied with their decision and do not regret donating, few studies have been conducted on the determinants related to the effectiveness and regret of the decision. This study aims to explore the relationship between basic attributes, quality of life, positive affect, negative affect, effectiveness of decision-making, and regret in living kidney donors. METHODS In this cross-sectional study, living kidney donors were recruited from urology and kidney transplant outpatient services. The structured questionnaire used to collect the data included the Positive and Negative Affect Schedule, Medical Outcomes Study 12-Item Short-Form Health Survey, Decision Conflict Scale, and Decision Regret Scale. RESULTS The findings indicate that living donors with better health status, 24-hour creatinine clearance, physical health-related quality of life (HRQOL), and positive affect experienced greater feelings of effective decision-making. Moreover, women and donors with better physical HRQOL, positive affect, and decision effectiveness were less regretful about the decision of kidney donation. CONCLUSION Health status, physical HRQOL, and positive affect are related to decision validity and regret of living donors. Therefore, clinical care providers should regularly assess the mood and health of living kidney donors. Furthermore, activities promoting their health should be encouraged, especially for men.
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Affiliation(s)
- K-L Liu
- Department of Urology, Chang Gung Memorial Hospital, Linkou Medical Center, Tao-Yuan, Taiwan; Organ Transplantation Institute, Chang Gung Memorial Hospital, Linkou Medical Center, Tao-Yuan, Taiwan
| | - C-H Chien
- College of Nursing, National Taipei University of Nursing and Health Sciences, Taipei, Taiwan.
| | - C-Y Hsieh
- Department of Nursing, Chang Gung Memorial Hospital, Linkou Medical Center, Tao-Yuan, Taiwan
| | - X-Y Huang
- College of Nursing, National Taipei University of Nursing and Health Sciences, Taipei, Taiwan
| | - H-H Wang
- Department of Urology, Chang Gung Memorial Hospital, Linkou Medical Center, Tao-Yuan, Taiwan; Organ Transplantation Institute, Chang Gung Memorial Hospital, Linkou Medical Center, Tao-Yuan, Taiwan; School of Medicine, Chang Gung University, Tao-Yuan, Taiwan
| | - K-J Lin
- Department of Urology, Chang Gung Memorial Hospital, Linkou Medical Center, Tao-Yuan, Taiwan; Organ Transplantation Institute, Chang Gung Memorial Hospital, Linkou Medical Center, Tao-Yuan, Taiwan; School of Medicine, Chang Gung University, Tao-Yuan, Taiwan
| | - Y-J Chiang
- Department of Urology, Chang Gung Memorial Hospital, Linkou Medical Center, Tao-Yuan, Taiwan; Organ Transplantation Institute, Chang Gung Memorial Hospital, Linkou Medical Center, Tao-Yuan, Taiwan; School of Medicine, Chang Gung University, Tao-Yuan, Taiwan
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