Tankurt A, Krespi Boothby M R, Acarlı K, Kalayoğlu M, Kanmaz T, Yankol Y
Counselling Service, Doga College, Istanbul, Turkey.
Psychology Department, Kadir Has University, Istanbul, Turkey.
Transplant Proc. 2016 Jan-Feb;48(1):107-10. doi: 10.1016/j.transproceed.2015.11.013.
Liver transplantation affects not only recipients and living donors' lives, but also the nature and quality of their relationship. Moreover, the ways in which recipients of liver transplant experience life and views of living donors on how recipients experience life may differ. These differences may account for relational changes. It is also important to understand how recipients and their living donors' views differ if the aim is to devise psychoeducational programs for recipients and living donors. Therefore, the present study examined the recipients' experience of life after a diagnosis of end-stage liver failure (ESLF) and transplantation surgery from donors' perspective.
The sample consisted of 16 living donors who donated a part of their liver to a patient with ESLF. Thematic analysis was undertaken in parallel with interviews during which an interview guide was followed.
Donors felt that recipients evaluated life after the diagnosis of ESLF and transplantation surgery in terms of limitations, mixed relationships, emotional changes, and improvement in life.
Experience of social limitations, negative emotions, and the feeling that one is supported by others could be interpreted in terms of existing psychological theory. Some ways of adjusting that have not been reported before within the context of ESLF extended the literature. These included others being frightened of being infected by ESLF and being insensitive, experience of positive emotions, and ways of improving. Overall, compared with findings of previous qualitative work among recipients, our findings suggest that donors' evaluation of recipients' lives converge with that of recipients.
肝移植不仅会影响受者和活体供者的生活,还会影响他们关系的性质和质量。此外,肝移植受者体验生活的方式以及活体供者对受者体验生活的看法可能存在差异。这些差异可能导致关系的变化。如果旨在为受者和活体供者设计心理教育项目,了解受者及其活体供者的观点如何不同也很重要。因此,本研究从供者的角度考察了终末期肝衰竭(ESLF)诊断及移植手术后受者的生活体验。
样本包括16名向ESLF患者捐赠部分肝脏的活体供者。在访谈过程中采用主题分析法,并遵循访谈指南。
供者认为,受者在ESLF诊断及移植手术后,从生活限制、复杂关系、情绪变化和生活改善等方面对生活进行了评估。
社会限制、负面情绪以及被他人支持的感觉等体验可以根据现有的心理学理论进行解释。在ESLF背景下以前未报道过的一些调整方式扩展了文献内容。这些包括他人对感染ESLF的恐惧和麻木不仁、积极情绪的体验以及改善的方式。总体而言,与之前对受者进行的定性研究结果相比,我们的研究结果表明供者对受者生活的评价与受者的评价趋于一致。