活体肾移植和肝移植旨在改善儿科受者的社会心理健康,但是接受者的社会心理影响在很大程度上取决于对捐赠者的影响和家庭关系的质量。我们系统地回顾了定量和定性研究,这些研究解决了小儿活体肾脏和肝移植对受体的心理社会影响。捐助者,和家庭。根据PRISMA准则,我们系统地搜索了Medline数据库,WebofKnowledge,Cinahl,Embase,ERIC,谷歌学者。我们确定了23项符合我们纳入标准的研究。收件人的应对能力得到了提高,同伴关系令人满意,但也报告了焦虑和抑郁症状,担心未来,有一个负面的身体形象。同样,捐赠者的自尊心增强了,赋权,和社区意识,但也抱怨术后疼痛和缺乏情感支持。关于家庭影响,移植在供体和受体之间产生了特殊的联系,以感激和钦佩为特征,但也提高了对收件人的生活方式的新期望。由于接受者的心理问题有时是由负罪感和对捐赠者的债务引起的,我们建议更多研究礼物交换动态如何在捐赠者-接受者关系中发挥作用,在同一研究中登记捐赠者和接受者。
Living-donor kidney and liver transplantation intend to improve pediatric recipients\' psychosocial well-being, but psychosocial impact in recipients strongly depends upon the impact on the donor and the quality of family relations. We systematically reviewed quantitative and qualitative studies addressing the psychosocial impact of pediatric living-donor kidney and liver transplantation in recipients, donors, and the family. In accordance with the PRISMA guidelines, we systematically searched the databases Medline, Web of Knowledge, Cinahl, Embase, ERIC, and Google Scholar. We identified 23 studies that satisfied our inclusion criteria. Recipients had improved coping skills and satisfactory peer relationships, but also reported anxiety and depressive symptoms, worried about the future, and had a negative body image. Similarly, donors experienced increased self-esteem, empowerment, and community awareness, but also complained of postoperative pain and a lack of emotional support. With respect to family impact, transplantation generated a special bond between the donor and the recipient, characterized by gratitude and admiration, but also raised new expectations concerning the recipient\'s lifestyle. As psychological problems in recipients were sometimes induced by feelings of guilt and indebtedness toward the donor, we recommend more research on how gift exchange dynamics function within donor-recipient relationships, enrolling donors and recipients within the same study.