02516nas a2200205   4500008003900000245010700039210006900146260000800215300000600223490000700229520194700236100001002183700001202193700001202205700001202217700001302229700001202242700001102254856004502265       2021                          d00aPsychosocial Assessment of Donors in Pediatric Living Donor Liver Transplantation: A Systematic Review0 aPsychosocial Assessment of Donors in Pediatric Living Donor Live  cFeb  a30 v533 aBackground: Pediatric living donor liver transplantation (LDLT) is the only way to save children with end-stage liver disease. The donor for liver transplantation (LT) may have a complicated psychosocial condition.

Purpose: This review aims to identify the domains of the donor psychosocial questions that should be addressed and summarize the aspects and tools future psychosocial assessments should include.

Methods: We searched the PubMed, Medline, Cochrane Library, Embase, Web of Science, and Google Scholar databases for the terms pediatric, liver transplantation, donor, and psychosocial. We used the Joanna Briggs Institute Critical Appraisal Tool to appraise reporting quality. Two researchers independently selected the papers and performed data extraction and quality appraisal.

Results: The articles included in this review contain 26 quantitative studies and 2 qualitative studies. The study quality was moderate to high. Donors have ambivalence, anxiety, the need for family and social support, the need for adequate information, distress, and low self-esteem during the preoperative period. In the postoperative period they have poor psychological condition, panic disorder, conversion disorder and substance use/abuse disorder, abnormal family functioning, better psychosocial outcome, or among others. The assessment methods consisted of the questionnaire survey and semi-structured interview. Among the 28 studies, 17 different psychosocial domains were mentioned. The most frequently referred to was family and social support.

Conclusion: The contents of the psychosocial assessment must include anxiety or depression, family and social support, ambivalence, information, and positive psychosocial characteristics. Assessment methods should use the questionnaire survey and semi-structured interview. According to this review, future research can develop a specific psychosocial assessment tool for pediatric LT donors.1 aLi, L1 aYang, L1 aDong, C1 aYang, Q1 aHuang, W1 aLiao, T1 aSun, X  uhttps://notifylibrary.org/reference/4922