Vol. 9, No 3, 2002 pp. 195 - 200
UC 616-089.84:611.61]:616.89
PSYCHOLOGICAL ASPECTS OF LIVING DONOR
KIDNEY TRANSPLANTATION
Slobodan Ilić1, Marina Avramović2
1Society for Liaison Psychiatry, Niš,
Serbia
2Institute for Nephrology and Hemodialysis,
Medical faculty, Niš, Serbia
E-mail: lorens@bankerinter.net
Summary. Deciding between the dialysis and kidney transplantation
is very delicate and requires multi-phase discus-sions with the patient
and his family. Transplantation carries along numerous psychological implications
affecting both, the kidney donor and the kidney recipient. The attitude
towards transplantation differ in relation to the age, edu-cation level
and character features of the patient. The starting of the transplantation
procedure is paradoxically both complicated and facilitated but the fact
that there is always a medical alternative in the form of hemodialysis.
The psychological adaptation of the donor and the recipient to transplantation
occasionally actualizes intrapsychological conflicts, which should be studied
and recognized in time. Considering the significant psycho-sociological
implica-tions in all its stages, the method of transplantation soon indicates
the need for a psychiatrist as a member of a multidisciplinary team.
Key words: Transplantation, hemodialysis, donor, recipient,
intrapsychological conflict
PSIHOLOŠKI ASPEKT TRANSPLANTACIJE BUBREGA
Kratak sadržaj: Transplantacija bubrega predstavlja medicinski postupak
prožet višestrukim psihičkim implikacijama vezanim za davaoca i primaoca.
Odluka pacijenta da se povrgne transplantaciji ili ostane na hemodijalizi
je veoma delikatna i podrazumeva uključenje porodice. Činjenica da hemodijaliza
postoji kao alternativni postupak, može umnogome da olakša, ali paradoksalno
i oteža donošenje odluke. Psihološki stav prema transplantaciji zavisi
od mnogih faktora, godina starosti, obrazovanja i karakternih osobina pacijenta.
Psihološka adaptacija donora i primaoca na transplantaciju aktuelizuje
intrapsihičke konflikte čije pravovremeno prepoznavanje umnogome olakšava
pre i posttransplantacini tretman. S obzirom na značajne psiho-socijalne
reperkusije u svim fazama transplantacionog postupka, naglašena je uloga
psihijatra u multidisciplinarnom timu.
Ključne reči: Transplantacija bubrega, hemodijaliza, davalac
bubrega, primalac bubrega, intrapsihički konflikt
