Chair of Health Science and Physiotherapy, Jan Dlugosz University in Czestochowa, Czestochowa, Poland.
Department of Clinical Psychology and Health, University of Social Sciences and Humanities, Poznan, Poland.
PLoS One. 2021 Apr 15;16(4):e0249397. doi: 10.1371/journal.pone.0249397. eCollection 2021.
The aim of the study was to perform an in-depth exploratory analysis of the experience and image of one's body among living kidney donors.
The research was carried out using mixed methodology. The study on experiencing one's own body was carried out using the sociological methodology of the grounded theory (qualitative research). This method was supplemented with psychometric measurement-the Body Esteem Scale (quantitative research). The basic research method was the in-depth interview. Using this method, a group of 25 living kidney donors who had not experienced any serious health or psychological problems after donation was examined. The participants of the study came from three transplant centers in Poland.
The data from the sociological interviews indicate that the donors: 1. do not experience radical changes in the functioning of their body; 2. maintain full control over it and do not feel the absence of a kidney in the body; 3. consciously and reflectively take care of their body after donation. In addition, the sociological research indicates that caring for one's own body also includes the transferred organ. The kidney donors experience a kind of bodily identity extension, including the recipient's body. However, the personal and social identity of the studied kidney donors is not disturbed in any way. The psychometric data correspond to the sociological results and indicate: 1. a lack of extreme emotional assessments about one's body; 2. awareness of one's own body and consistency of its image; 3. reduced emotional assessment of body zones directly related to the surgery; 4. differences in body image between the sexes.
The research results presented in the text indicate not only the possibility, but also the need for triangulation of research methods in the study of the experience and image of one's own body in living kidney donors. The proposed research approach employing mixed methodology within the fields of sociology and psychology for researching the phenomenon of living kidney donation is not very common.
本研究旨在深入探讨活体肾捐献者对自身身体的体验和认知。
本研究采用混合方法进行。对自身身体体验的研究采用扎根理论的社会学方法(定性研究)。该方法补充了身体自尊量表的心理测量(定量研究)。基本研究方法是深入访谈。采用这种方法,对来自波兰三个移植中心的 25 名无严重健康或心理问题的活体肾捐献者进行了检查。
社会学访谈数据表明,捐献者:1. 身体功能没有发生根本性变化;2. 对身体完全控制,身体没有缺失感;3. 自觉反思地照顾捐献后的身体。此外,社会学研究表明,照顾自己的身体还包括移植的器官。肾捐献者体验到一种身体认同的延伸,包括受者的身体。然而,研究对象的个人和社会认同没有受到任何干扰。心理测量数据与社会学结果相对应,表明:1. 对身体的极端情绪评估缺乏;2. 对自身身体的意识和身体形象的一致性;3. 与手术直接相关的身体区域的情绪评估减少;4. 性别之间的身体形象差异。
本文所呈现的研究结果不仅表明在研究活体肾捐献者对自身身体的体验和认知时,有必要也有可能对研究方法进行三角验证,而且在社会学和心理学领域内采用混合方法研究活体肾捐献现象的研究方法也并不常见。