Institute of Liver Studies, King's College Hospital NHS Foundation Trust, London, UK.
Research Group for Therapeutic Education, Department of Psychology, University of Roehampton, London, UK.
J Clin Nurs. 2020 Aug;29(15-16):2991-2998. doi: 10.1111/jocn.15309. Epub 2020 May 17.
This study aimed to explore the experiences of liver transplant recipients during their journey through the treatment and their need for psychotherapeutic support related to this process.
Over time, measures of survival and quality of life in liver transplant recipients have continued to improve but their emotional needs remain under explored. In the longer-term recovery from transplantation, the focus shifts from physical health to psychological health. In the UK, there are no known embedded adult psychological services in liver transplant centres to react to this need.
A qualitative descriptive design was used.
Grounded theory analysis was used to study the narratives of six adult liver transplant recipients. Through a process of coding, conceptual categories were established to describe the participant experiences. The study adhered to the EQUATOR checklist, SRQR.
Four categories emerged that were related to the experience of liver transplantation for the recipients. These were a process of adjustment, the phenomenon of waiting, liver transplant as a transformative experience and on the value of support. The participants identified a lack of psychotherapeutic support provided by the liver transplant service and felt that an embedded psychotherapeutic service would promote accessing such support during challenging times.
Through the process of liver transplantation, recipients experience challenges with adjustment, waiting, feeling transformed and they value support with these feelings. In correlation with other studies, the findings of this study highlight the need for providing psychotherapeutic support within liver transplant services.
The study provides evidence to support recommendations for a conjoined psychotherapy service within liver transplant services to support patients with their holistic needs.
本研究旨在探索肝移植受者在治疗过程中的经历，以及他们在这一过程中对心理治疗支持的需求。
随着时间的推移，肝移植受者的生存率和生活质量不断提高，但他们的情感需求仍未得到充分探索。在移植后的长期康复过程中，重点从身体健康转移到心理健康。在英国，肝移植中心没有已知的嵌入式成人心理服务来满足这一需求。
采用定性描述性设计。
使用扎根理论分析研究了 6 名成年肝移植受者的叙述。通过编码过程，建立了概念类别来描述参与者的经验。本研究遵循 EQUATOR 清单和 SRQR。
有四个类别与受者的肝移植经历有关。这些类别是调整过程、等待现象、肝移植作为变革性体验和支持的价值。参与者发现肝移植服务没有提供心理治疗支持，并认为嵌入式心理治疗服务将在困难时期促进他们获得这种支持。
通过肝移植的过程，受者经历了调整、等待、感觉转变的挑战，他们重视对这些感受的支持。与其他研究结果相关，本研究的结果强调了在肝移植服务中提供心理治疗支持的必要性。
该研究为在肝移植服务中联合提供心理治疗服务以支持患者的整体需求提供了证据支持。
