학술논문
신장이식에 대한 정신의학적 연구
이용수 3
- 영문명
- Psychiatric Aspects of Kidney Transplantation
- 발행기관
- 대한신경정신의학회
- 저자명
- 민성길 김경호 한정옥
- 간행물 정보
- 『신경정신의학』제22권 제2호, 283~289쪽, 전체 7쪽
- 주제분류
- 의약학 > 정신과학
- 파일형태
- 발행일자
- 1983.05.31
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국문 초록
영문 초록
The preoperative and postoperative psychiatric reactions were studied on 23 pairs of donors and
recipients undergoing kidney transplantation. In 22 recipients, kidneys were donated by living family
members.
Female was more than male in donors, and youn-ger sisters and mothers were most. However, 22 of
23 recipients were males, and oldest sons and fathers were most. In whole, the recipients were
older and in higher socioeconomic status than the donors were.
In donors, the presented motivation of kidney donation was altruism in most cases. But they had
unconscious conflicts associated with intrafamiiial pressure and loss of organ, which were revealed
through, anxiety, tension, depression, somatic concern and various somatization symptoms such as
palpitation, headache, and paresthesia and, especially in dreams. Those symptoms gradually impro-
ved after operation. Most recipients had already suffered from depression
associated with chronic renal failure, and dialysis. Confronting the new problem w other some
one in the family would willingly donate the kidney, they had more serious conflict. Already before
the operation, they showed depression with marked guilt feeling, resentment, and anxiety for operation,
various somatization symptoms such as insomnia, palpitation and headache, and even paranoid trends.
They were expecting many things such as survival and healthy life from the kidney transplantation.
Some patients had improved from depression after operation. However, more patients showed
grave prognosis than donors did. The possibility of rejection phenomenon the patients might imagined,
seemed to remarkably influence on postoperative prognosis. One patient showed a brief psychotic episode.
Prognosis was better when the donors were female, married, the parents of recipients and in
lower socioeconomic state. As fo r the recipients, prognosis was better when they were older, the
parents or children of donors, in higher or lower in education level and particularly when the rejection
phenomenon was less likely to occur.
With these finding, the authors had discussed on the possible psychiatrist*s role of psychiatrist who
would contribute h elpfully in kidney transplantation
목차
서 론
연구대상 및 방법
연구 결과
고 찰
결 론
REFERENCES
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