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肾移植术后受者及活体供者头三天的经历

EXPERIENCES OF RECIPIENTS AND LIVING DONORS THE FIRST THREE DAYS AFTER KIDNEY TRANSPLANTATION.

作者信息

Bertelsen Kathrine Hainer, Rasmussen Katrine, Ludvigsen Mette Spliid, Finderup Jeanette

机构信息

Department of Renal Medicine, Aarhus University Hospital, Aarhus, Denmark.

出版信息

J Ren Care. 2015 Sep;41(3):195-201. doi: 10.1111/jorc.12113. Epub 2015 Feb 2.

Abstract

BACKGROUND

Living donor transplantation is described as a stressful and complex process for both recipients and donors. Few studies have described the experiences of recipients and donors in the first three post-operative days after living kidney transplantation.

OBJECTIVES

To explore how recipients and living donors experienced the first three post-operative days after kidney transplantation.

DESIGN

A qualitative phenomenological-hermeneutic framework was used to uncover the meaning of lived experiences through interpretation of transcribed interviews.

PARTICIPANTS

Seven dyads of kidney recipients and donors admitted at a Danish university hospital were included from September 2013 to November 2013.

APPROACH

Fourteen semi-structured qualitative interviews were analysed using Malterud's principles of systematic text condensation.

FINDINGS

Recipients and donors both experienced post-operative discomfort, though not the same. Both recipients and donors expressed that it gave them peace of mind to be able to follow each other at close hand sharing the same room during the post-operative period. All recipients saw receiving a kidney as a huge gift; donating a kidney gave donors a feeling of satisfaction.

CONCLUSION

The first three post-operative days were characterised by different types of post-operative discomfort and caring needs. Recipients and donors all experienced benefits from staying in the same room during hospitalisation. All patients in this study were related; this may have influenced their experiences, choices and opinions.

摘要

背景

活体供体移植对受者和供体而言都是一个压力巨大且复杂的过程。很少有研究描述过活体肾移植术后头三天受者和供体的经历。

目的

探讨受者和活体供体在肾移植术后头三天的经历。

设计

采用质性现象学 - 诠释学框架,通过对转录访谈的解读来揭示生活经历的意义。

参与者

纳入了2013年9月至2013年11月在丹麦一家大学医院收治的7对肾移植受者和供体。

方法

运用马尔特鲁德的系统文本浓缩原则对14次半结构化质性访谈进行分析。

结果

受者和供体都经历了术后不适,不过情况不同。受者和供体都表示,术后期间能够在同一病房近距离陪伴彼此让他们安心。所有受者都将接受肾脏视为一份巨大的礼物;捐赠肾脏让供体有满足感。

结论

术后头三天的特点是存在不同类型的术后不适和护理需求。住院期间受者和供体同处一室都体验到了益处。本研究中的所有患者都是亲属关系;这可能影响了他们的经历、选择和观点。

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