scholarly journals Post-Traumatic Growth among Patients after Living and Cadaveric Donor Kidney Transplantation: The Role of Resilience and Alexithymia

Author(s):  
Aleksandra Tomaszek ◽  
Aleksandra Wróblewska ◽  
Elżbieta Zdankiewicz-Ścigała ◽  
Patryk Rzońca ◽  
Robert Gałązkowski ◽  
...  

The aim of this study was to determine the role of resilience and alexithymia in the post-traumatic growth as a response to extreme stress in patients after kidney transplantation and to determine whether there are differences in the level of posttraumatic growth in patients after living and cadaveric donor kidney transplantation. The relationships between these variables were also evaluated. The questionnaire survey of 91 kidney recipients took place in 2018 and 2019. The following tools were used: authorial post-transplant questionnaire for recipients and validated questionnaires, Post Traumatic Growth Inventory (PTGI-R), Resilience Coping Scale Questionnaire, and Toronto Alexithymia Scale Questionnaire (TAS20). The results obtained showed significant differences between the group of kidney recipients from living donors and recipients from cadaveric donors, in terms of overall post-traumatic growth, as well as changes in self-perception and a greater appreciation for life. Post-traumatic growth in both groups was related to the level of resilience and the level of alexithymia. Resilience is an accurate predictor of posttraumatic growth in general and for each of the groups of recipients separately.

1971 ◽  
Vol 26 (01) ◽  
pp. 029-037
Author(s):  
L Dintenfass ◽  
J. H Stewart

SummaryDynamic (VFTV) coagulation and thrombus formation studies were carried out on 15 patients who had undergone cadaveric-donor kidney transplantation and 6 patients with end-stage renal failure awaiting transplantation.All patients whose kidney graft functioned successfully and without major medical complications showed a coagulation VFTV pattern similar to that of healthy normals. This pattern was present as early as 1 week after transplantation.Abnormal VFTV pattern (i.a., greatly elevated viscosity), characterised patients awaiting transplantation (6 patients) and 4 patients with serious medical complications following transplantation.Viscosities of thrombi were two and a half to three-fold higher, and rates of thrombus degradation two to ten fold higher, in the complicated than in the successful kidney transplants.The viscosity increase is not counteracted by haemodialysis or immunosuppressive drugs.The difference of VFTV parameters between patients awaiting transplantation and normals and between complicated transplant patients and normals were significant to p <0.005 and p <0.001 respectively.


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