Canlı Karaciğer Donörlerinde Yaşam Kalitesinin Değerlendirilmesi

Abstract

AbstractObjective: In this study, it was aimed to examine the effect of transplantation on physical, mental and psychosocial health of donors by evaluating the quality of life of living liver donors after transplantation.Material and Methods: The study was conducted with three groups at Ege University Faculty of Medicine Organ Transplantation and Research Center. 43 living donors from 2017 and 43 living donors from 2007-2016 who underwent liver transplantation were randomly selected to participate in the study. Also 43 control subjects were selected randomly from the community. The study was conducted by a single interviewer between 01.02.2018 and 31.05.2018 by telephone or e-mail. The socio-demographic data questionnaire, Short Form-36 (SF-36) and Hospital Anxiety-Depression Scale (HADS) prepared by the researchers were applied to all participants.Results: The mean age of the participants was 38.04±9.84 years, and of these participants 48.1% (n=62) of them were female. When donors and control group were evaluated in terms of their quality of life, no significant difference was found between physical role, energy (vitality) and mental health subgroups.However, donors have a better quality of life in physical functioning, emotional aspect, social functioning, pain and general health subgroups. It was detected that the quality of life was not affected by age, gender, marital status, educational status, economic status, job loss, comorbidity or disturbance by presence of operational scar. Only sexual problems and the loss of the recipient’s life were observed to have a negative impact on the quality of life. There was no significant difference between the groups in terms of anxiety and depression (p<0.05).Conclusion: In our study, it was determined that donors’ quality of life was not adversely affected by transplantation procedure. But it was observed that post-transplant follow-ups had not been performed properly. In addition to independent units that monitor physical, mental, and psychosocial health of living donors who undergo major surgery without any medical need, awareness should be increased to follow the quality of life by family medicine discipline which adopts biopsychosocial approach.