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[年轻成人活体肝移植供体的经历]

[Young Adult Donor's Experiences of Living Donor Liver Transplantation].

作者信息

Bang Miseon, Shin Haeyun, Ryu Min, Kwon Suhye

机构信息

Kosin University Gospel Hospital, Busan, Korea.

Research Institute of Holistic Nursing Science, Kosin University, Busan, Korea.

出版信息

J Korean Acad Nurs. 2021 Feb;51(1):105-118. doi: 10.4040/jkan.20235.

DOI:10.4040/jkan.20235
PMID:33706335
Abstract

PURPOSE

This study aimed to explore young adult donors' experiences of living donor liver transplantation.

METHODS

A phenomenological research method was used. The participants were two women and six men. Data were collected through individual in-depth interviews from November 25th, 2019 to June 10th, 2020 and analyzed using Colaizzi's phenomenological method.

RESULTS

Five theme clusters extracted from the young adult donors' experiences were painful decision of a liver donation, the agony of both mind and body that overpowers youth, the bitter and bare face of reality that a young donor encounters, feeling the power of love that fills up the space of the organ removed, and liver donation becoming priming water for maturity.

CONCLUSION

The results of this study provide a deeper understanding of the lives of young adult donors who have experienced unexpected difficulties as well as self growth from the donation. It is expected that the results can be of use for developing and applying customized nursing interventions for management before and after liver donation among young adult donors.

摘要

目的

本研究旨在探讨青年活体肝移植供体的经历。

方法

采用现象学研究方法。参与者包括两名女性和六名男性。于2019年11月25日至2020年6月10日通过个体深度访谈收集数据,并采用柯莱齐现象学方法进行分析。

结果

从青年供体的经历中提取出五个主题簇,分别是肝脏捐赠的痛苦抉择、超越青春的身心煎熬、青年供体所面临的现实的苦涩与赤裸、感受爱填补被摘除器官空间的力量以及肝脏捐赠成为成熟的引用水。

结论

本研究结果有助于更深入地了解经历了意外困难以及从捐赠中实现自我成长的青年活体肝移植供体的生活。预计这些结果可用于制定和应用针对青年活体肝移植供体肝移植前后管理的定制化护理干预措施。

相似文献

1
[Young Adult Donor's Experiences of Living Donor Liver Transplantation].[年轻成人活体肝移植供体的经历]
J Korean Acad Nurs. 2021 Feb;51(1):105-118. doi: 10.4040/jkan.20235.
2
The essence of living parental liver donation--donors' lived experiences of donation to their children.活体亲体肝移植的本质——捐赠者向子女捐赠的生活体验。
Pediatr Transplant. 2004 Aug;8(4):372-80. doi: 10.1111/j.1399-3046.2004.00187.x.
3
Anonymous living liver donor perspectives on the role of family in their donation experience.匿名活体肝供体对家庭在其捐赠经历中所起作用的看法。
Clin Transplant. 2022 Mar;36(3):e14556. doi: 10.1111/ctr.14556. Epub 2021 Dec 20.
4
Psychosocial Issues Related to Donor's Decision-Making in Living Donor Liver Transplantation.活体肝移植中与供体决策相关的社会心理问题
Ann Transplant. 2019 Oct 18;24:576-583. doi: 10.12659/AOT.916340.
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Roller coaster marathon: being a live liver donor.过山车式马拉松:成为活体肝供者。
Prog Transplant. 2008 Sep;18(3):185-91. doi: 10.1177/152692480801800307.
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Beliefs of Living Donors About Recipients' End-Stage Liver Failure and Surgery for Organ Donation.活体供体对受者终末期肝衰竭及器官捐献手术的看法。
Transplant Proc. 2017 Jul-Aug;49(6):1369-1375. doi: 10.1016/j.transproceed.2017.02.050.
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Factors influencing donor and recipient decision making in adult-to-adult living donor liver transplantation: a survey of a non-transplant population.影响成人对成人活体肝移植中供体和受体决策的因素:对非移植人群的一项调查
ANZ J Surg. 2017 Mar;87(3):177-181. doi: 10.1111/ans.12839. Epub 2014 Sep 11.
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Experiences of living kidney donors during the donation process.活体肾供体在捐献过程中的经历。
J Ren Care. 2018 Jun;44(2):96-105. doi: 10.1111/jorc.12233. Epub 2018 Jan 10.
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Motivation for living-donor liver transplantation from the donor's perspective: an in-depth qualitative research study.从供体角度看活体肝移植的动机:一项深入的定性研究
Transplantation. 2004 Nov 27;78(10):1506-14. doi: 10.1097/01.tp.0000142620.08431.26.
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The coping experience of Taiwanese male donors in living donor liver transplantation.台湾男性活体肝移植供者的应对体验。
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Med Health Care Philos. 2025 Sep;28(3):517-531. doi: 10.1007/s11019-025-10275-6. Epub 2025 Jun 5.
2
Family-Related Motivation and Regret Intensity Among Family Liver Donors by Type of Family Relationship.按家庭关系类型划分的家庭活体肝供者的家庭相关动机及遗憾强度
Ann Transplant. 2025 Mar 25;30:e947414. doi: 10.12659/AOT.947414.
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Post-Donation Regret and Anxiety Among Family Living Liver Donors: The Mediating Roles of Family Relationships and Sense of Mastery.

本文引用的文献

1
Longterm Impact of Living Liver Donation: A Self-Report of the Donation Experience.长期活体肝移植捐赠的影响:捐赠体验的自我报告。
Liver Transpl. 2019 May;25(5):724-733. doi: 10.1002/lt.25402. Epub 2019 Mar 26.
2
Current Status of Living Donor Liver Transplantation in the United States.美国活体供肝移植的现状。
Annu Rev Med. 2019 Jan 27;70:225-238. doi: 10.1146/annurev-med-051517-125454. Epub 2018 Oct 24.
3
A review of current status of living donor liver transplantation.活体供肝肝移植现状综述
亲属活体肝移植供者捐献后后悔和焦虑状况及其与家庭关系和掌控感的关系
Ann Transplant. 2024 Jun 25;29:e944176. doi: 10.12659/AOT.944176.
4
[The Caring Experience of Family Caregivers for Patients of Living Donor Liver Transplantation from the Family Members].[活体肝移植患者家属照顾者的照顾体验]
J Korean Acad Nurs. 2022 Aug;52(4):435-450. doi: 10.4040/jkan.22043.
Hepatobiliary Surg Nutr. 2016 Apr;5(2):107-17. doi: 10.3978/j.issn.2304-3881.2015.08.04.
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A review of life quality in living donors after liver transplantation.肝移植术后活体供体生活质量综述。
Int J Clin Exp Med. 2015 Jan 15;8(1):20-6. eCollection 2015.
5
Long-term quality of life after liver donation in the adult to adult living donor liver transplantation cohort study (A2ALL).成人对成人活体肝移植队列研究(A2ALL)中肝捐赠后的长期生活质量。
J Hepatol. 2015 Feb;62(2):346-53. doi: 10.1016/j.jhep.2014.08.043. Epub 2014 Sep 6.
6
Totally laparoscopic full left hepatectomy for living donor liver transplantation in adolescents and adults.全腹腔镜下左半肝切除术在青少年和成人活体肝移植中的应用。
Am J Transplant. 2013 Sep;13(9):2462-6. doi: 10.1111/ajt.12360. Epub 2013 Aug 22.
7
The coping experience of Taiwanese male donors in living donor liver transplantation.台湾男性活体肝移植供者的应对体验。
Nurs Res. 2012 Mar-Apr;61(2):133-9. doi: 10.1097/NNR.0b013e3182475688.
8
EULID project: European living donation and public health.EULID项目:欧洲活体捐赠与公共卫生。
Transplant Proc. 2009 Jul-Aug;41(6):2021-4. doi: 10.1016/j.transproceed.2009.05.021.
9
Roller coaster marathon: being a live liver donor.过山车式马拉松:成为活体肝供者。
Prog Transplant. 2008 Sep;18(3):185-91. doi: 10.1177/152692480801800307.
10
Lessons learned from 1,000 living donor liver transplantations in a single center: how to make living donations safe.单中心1000例活体肝移植的经验教训:如何确保活体捐赠安全。
Liver Transpl. 2006 Jun;12(6):920-7. doi: 10.1002/lt.20734.