Newton Sarah E
Oakland University School of Nursing, Rochester, Michigan 48309, USA.
Gastroenterol Nurs. 2007 Jan-Feb;30(1):37-42. doi: 10.1097/00001610-200701000-00004.
Abstinence from alcohol after liver transplantation is an important outcome for all adult liver transplant recipients to attain. Currently, there is no clear explanation for why some recipients consume alcohol after transplantation, whereas others do not, and the predictors of alcohol relapse after liver transplantation have not been clearly explained. It often is believed that nurses do not have sufficient knowledge of alcohol abuse and that addiction specialists are needed to assess alcohol relapse after transplantation. As a result, the contributions of nursing to abstinence counseling for adult liver transplant recipients are unknown. For this study, a mixed method approach was used that combined the qualitative research method known as phenomenology with statistical findings to illuminate the lived experience of adult liver transplant recipients and to discover whether a relationship exists between the recipients' lived experiences and alcohol relapse after transplantation. Five clinical themes emerged from the data, two of which had positive relationships with alcohol relapse. Nursing implications related to abstinence counseling for all adult liver transplant recipients are addressed.
肝移植后戒酒是所有成年肝移植受者都应达成的一项重要结果。目前，对于为何有些受者在移植后饮酒而有些则不饮酒，尚无明确解释，并且肝移植后酒精复饮的预测因素也未得到清晰阐释。人们通常认为护士对酒精滥用的了解不足，需要成瘾专科医生来评估移植后的酒精复饮情况。因此，护理工作对成年肝移植受者戒酒咨询的贡献尚不明确。在本研究中，采用了一种混合方法，将名为现象学的定性研究方法与统计结果相结合，以阐明成年肝移植受者的生活经历，并探究受者的生活经历与移植后酒精复饮之间是否存在关联。数据中出现了五个临床主题，其中两个与酒精复饮呈正相关。文中探讨了与所有成年肝移植受者戒酒咨询相关的护理启示。
