Taylor Laura A, McMullen Patricia
Johns Hopkins University School of Nursing, Baltimore, MD 21205, USA.
J Clin Nurs. 2008 Jan;17(2):232-41. doi: 10.1111/j.1365-2702.2007.02016.x.
The purpose of this study was to explore the process of living kidney donation as experienced by husbands of donors to aid nurses and all members of the health care team in promoting informed consent for those considering living donation and to promote the well being of spouses of living donors, donors and their families.
The attitudes of husbands of living kidney donors may affect their decision to donate and satisfaction with recovery from donation surgery, thus it is critical to know how husbands of living kidney donors view kidney donation.
Eleven male spouses of living kidney donors were interviewed three months following their wife's donation. Grounded theory methodology was used to inaugurate a substantive theory that describes living kidney donation and its impact on the spousal relationship and family, as experienced by the husband of a donor.
The result of the data analysis was a substantive theory pertaining strictly to the husbands' experiences as the spouse of the living kidney donor. The process commenced with scheduling of the living donation followed by the postoperative time frame, including bringing the donor wife home. The core variable, 'Fulfilling Your Vows', described attitudes, behaviours and actions that guided husbands in successfully and generously caring for their wives, their families, the recipients and themselves throughout the living kidney donation process and continuing 'to this day'.
The substantive theory of 'Fulfilling Your Vows' will guide nurses and other transplant specialists in helping to improve fully informed consent of potential donors before surgery and in developing supportive strategies to maximize spouse, donor and family outcomes throughout the transplantation process.
本研究旨在探索活体肾捐献者的丈夫所经历的过程，以帮助护士及医疗团队所有成员促进那些考虑活体捐献者的知情同意，并促进活体捐献者配偶、捐献者及其家人的福祉。
活体肾捐献者丈夫的态度可能会影响他们的捐献决定以及对捐献手术后恢复的满意度，因此了解活体肾捐献者的丈夫如何看待肾捐献至关重要。
对11位活体肾捐献者的男性配偶在其妻子捐献三个月后进行了访谈。采用扎根理论方法开创一种实质性理论，该理论描述了作为捐献者丈夫所经历的活体肾捐献及其对配偶关系和家庭的影响。
数据分析的结果是一种严格与作为活体肾捐献者配偶的丈夫的经历相关的实质性理论。这个过程始于安排活体捐献，接着是术后阶段，包括将捐献者妻子带回家。核心变量“履行誓言”描述了在整个活体肾捐献过程及持续到“今天”的过程中，引导丈夫成功且慷慨地照顾其妻子、家人、受赠者和他们自己的态度、行为和行动。
“履行誓言”的实质性理论将指导护士和其他移植专家，帮助在手术前提高潜在捐献者的充分知情同意，并制定支持策略，以在整个移植过程中使配偶、捐献者和家庭的结果最大化。
