a Department of Psychology , University of Stirling , Stirling , UK.
Psychol Health. 2014;29(12):1373-87. doi: 10.1080/08870446.2014.940950. Epub 2014 Aug 7.
Adult-to-adult living liver donation (LLD) is a controversial procedure due to the risk to the healthy donor. The decision to proceed with LLD is an important, yet under-researched area. This study aims to explore the decision-making process of the donor and recipient independently, and within the donor-recipient dyad.
A longitudinal, qualitative analysis of the LLD decision from the perspective of a LLD donor-recipient dyad.
In-depth interviews were conducted with the donor and recipient separately on three occasions: pre LLD, six weeks post and six months post LLD. Transcripts were subject to interpretative phenomenological analysis.
During the pre-LLD interviews, a series of intra- and interpersonal negotiations were reported as both the donor and recipient grappled to make a decision about LLD. Following the decision, the focus then centred on the consequences of the decision and making sense of unanticipated outcomes. By six months post LLD, both were able to reflect on adapting to the changes their decision had ultimately caused.
This case study offers a unique insight into the risk assessment and decision-making demands of LLD and the results can help support future LLD candidates.
成人对成人活体肝脏捐赠（LLD）是一个有争议的程序，因为这对健康供体存在风险。进行 LLD 的决定是一个重要但研究不足的领域。本研究旨在从 LLD 供体-受体对的角度独立探索供体和受体的决策过程。
从 LLD 供体-受体对的角度对 LLD 决策进行纵向、定性分析。
在三个时间点（LLD 前、LLD 后 6 周和 6 个月）分别对供体和受体进行深入访谈。对转录本进行解释性现象学分析。
在 LLD 前的访谈中，报告了一系列内部和人际之间的谈判，因为供体和受体都在努力就 LLD 做出决定。做出决定后，重点则集中在决定的后果和对意外结果的理解上。在 LLD 后 6 个月，双方都能够反思他们的决定最终带来的变化。
本案例研究提供了对 LLD 的风险评估和决策需求的独特见解，研究结果可以帮助支持未来的 LLD 候选者。
