Comparison of Liver Function, Emotional Status, and Quality of Life of Living Liver Donors in Taiwan.
BACKGROUND
Living donor liver transplantation may put the donor at risk of physical and psychological impacts. Recovery of physical and psychological function as well as quality of life (QOL) in living liver donors warrants investigation.


OBJECTIVE
This study aims to examine the recovery of liver function, emotional status, and QOL in living liver donors through a comparison with the general population and reference values.


METHODS
This descriptive, comparative study included 97 living liver donors who underwent surgery from 2008 to 2012 and were divided into 4 groups according to their postoperative period (1 year [n = 31], 2 years [n = 31], 3 years [n = 21], and 4 years above [n = 14]). Data were collected retrospectively in a medical center in northern Taiwan.


RESULTS
The mean aspartate aminotransferase level was 20.2-32.1 U/L, the mean alanine aminotransferase level was 14.7-33.5 U/L, and the mean total bilirubin level was 10.8-15.5 μmol/L among the 4 groups. Among donors of the 4 groups, 23.8%-51.6% and 0%-29% were defined as having a mild level of anxiety and depression, respectively. Donors in the 1- and 2-year groups had poorer QOL in the physical function, role physical, vitality, and mental health domains than did the general population of Taiwan (P < .05).


CONCLUSIONS
Liver function was at normal levels in all 4 groups. The emotional and psychological function of living liver donors should be monitored and health-related QOL should be promoted during the first and second year after liver donation.
College of Nursing, Chang Gung University of Science and Technology, Taoyuan, Taiwan.
C-J
CJ
Shen
School of Nursing, College of Medicine, Chang Gung University, Taoyuan, Taiwan.
H-L
HL
Huang
School of Nursing, College of Medicine, Chang Gung University, Taoyuan, Taiwan.
K-H
KH
Chen
School of Nursing, College of Medicine, Chang Gung University, Taoyuan, Taiwan. Electronic address: ax2488@mail.cgu.edu.tw.
L-C
LC
Weng
Department of Nursing, Chang Gung Medical Foundation, Linkuo Medical Center, Taoyuan, Taiwan.
S-Y
SY
Wang
Transplantation and General Surgery, Chang Gung Medical Foundation, Linkuo Medical Center, Taoyuan, Taiwan.
W-C
WC
Lee
School of Nursing, College of Medicine, Chang Gung University, Taoyuan, Taiwan.
H-F
HF
Chou
School of Nursing, College of Medicine, Chang Gung University, Taoyuan, Taiwan.
H-H
HH
Tsai
D000328:Adult; D001007:Anxiety / Q000523:psychology; D003863:Depression / Q000523:psychology; D004644:Emotions; D005260:Female; D006801:Humans; D008099:Liver / Q000502:physiology*; D016031:Liver Transplantation / Q000523:psychology*; D019520:Living Donors / Q000523:psychology*; D008297:Male; D008603:Mental Health; D011788:Quality of Life; D020127:Recovery of Function / Q000502:physiology; D012189:Retrospective Studies; D013624:Taiwan; D013997:Time Factors