Korean Journal of Psychosomatic Medicine (정신신체의학)

Korean Psychosomatic Society (한국정신신체의학회)
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Psychosocial Pre-Transplant Assessment of Living Kidney Donors

생체 신장 이식 공여자에 대한 정신사회적 평가

  • Ah Rah Lee (Department of Psychiatry, Kyung Hee University College of Medicine, Kyung Hee University Hospital) ;
  • Myungjae Baik (Department of Psychiatry, Kyung Hee University College of Medicine, Kyung Hee University Hospital) ;
  • Sang Min Lee (Department of Psychiatry, Kyung Hee University College of Medicine, Kyung Hee University Hospital) ;
  • Won Sub Kang (Department of Psychiatry, Kyung Hee University College of Medicine, Kyung Hee University Hospital) ;
  • Jin Kyung Park (Department of Psychiatry, Kyung Hee University College of Medicine, Kyung Hee University Hospital at Gangdong)
  • 이아라 (경희대학교병원 정신건강의학과) ;
  • 백명재 (경희대학교병원 정신건강의학과) ;
  • 이상민 (경희대학교병원 정신건강의학과) ;
  • 강원섭 (경희대학교병원 정신건강의학과) ;
  • 박진경 (강동경희대학교병원 정신건강의학과)
  • Received : 2023.09.28
  • Accepted : 2023.11.02
  • Published : 2023.12.31
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Abstract

In Korea, the dependence on living donations is high due to the shortage of organs available for donation compared to the number of people waiting for transplants and the number of living organ donations continues to increase. In particular, the number of living-donor transplantations is high worldwide, highlighting the importance of pre-transplant psychosocial evaluation of living kidney donors. According to previous studies, when evaluating living organ donors before transplantation, it is crucial to determine whether the donor can give informed consent and be aware of the risks after surgery. Pre-transplant evaluation tests such as ELPAT living organ donor Psychological Assessment Tool (EPAT), Live Donor Assessment Tool (LDAT), Living Donation Expectancies Questionnaire (LDEQ), Minnesota Multiphasic Personality Inventory-2 questionnaire (MMPI-2) and Temperament and Character Inventory (TCI) are conducted for donors. After reviewing the literature on these pre-transplant psychosocial assessment tools, we will also look at legal considerations for living kidney donors in Korea and suggest an effective and essential pre-transplant screening evaluation method for living kidney transplant donors.

우리나라의 경우, 이식 대기자에 비해 공여 장기 수가 부족하여 생체 장기기증에 대한 의존도가 높으며, 생체 장기기증 건수도 지속적으로 증가하고 있다. 특히, 생체 신장 이식 건수는 전 세계적으로 높기 때문에 생체 신장 공여자에 대한 이식 전 정신사회적 평가의 중요성이 부각되고 있다. 이전 연구에 따르면 이식 전 공여자 평가 시 사전 동의 여부 및 수술 위험성에 대한 인지 여부를 파악하는 것이 중요하며 이를 위해 다음과 같은 평가 도구들을 시행할 수 있다. ELPAT living organ donor Psychological Assessment Tool (EPAT), Live Donor Assessment Tool (LDAT), Living Donation Expectancies Questionnaire (LDEQ), Minnesota Multiphasic Personality Inventory-2 questionnaire (MMPI-2). 이식 전 정신사회적 평가 도구에 관한 문헌을 검토한 후, 한국의 생체 신장 기증자에 대한 법적 고려 사항을 살펴본 후 생체 신장 공여자에 대한 효과적인 이식 전 선별 평가 방법을 제안하려 한다.

Keywords

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