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活体肝供体的生活经历:一项定性元分析。

The life experiences of living liver donors: A qualitative meta-synthesis.

作者信息

Jang Hye-Young, Im Hyei Yeon, Nam Hye Jin

机构信息

College of Nursing, Hanyang University, Seoul, South Korea.

College of Nursing, Seoul National University, Seoul, South Korea.

出版信息

Res Nurs Health. 2022 Dec;45(6):693-706. doi: 10.1002/nur.22273. Epub 2022 Oct 29.

Abstract

As living liver transplantation has become a standard treatment method with a high success rate, many studies have investigated the experiences of living liver donors; however, their results have not been integrated. This qualitative meta-synthesis aimed to explore the life experiences of living liver donors to provide an in-depth understanding of meaningful common experiences. A comprehensive search on qualitative studies published in English or Korean was conducted in October 2021. The PRISMA statement was used for reporting each phase of the literature search, and MAXQDA2020 software was used for data analysis. Data synthesis was conducted using the three-step thematic synthesis method suggested by Thomas and Harden. Ten articles met the inclusion criteria. The analysis revealed five main themes: "Becoming an earnest donor," "Transitioning from a potential donor to an actual donor," "Difficulties in returning to normal life," "Re-examining the meaning of donation," and "Wishes for prospective donors." The study emphasizes that living liver donors need medical attention and intervention from multilateral perspectives as well as the need for systematic change in the society to enhance support for donors. This review provides comprehensive insights on how individuals became the living liver donor and the important aspects of living donation and other considerations in an integrated manner. Transplant teams, including nurses and coordinators, should have a comprehensive understanding of physical, psychological, and social experiences of donors ranging from decision-making to post donation health management.

摘要

随着活体肝移植已成为一种成功率很高的标准治疗方法,许多研究都对活体肝供体的经历进行了调查;然而,这些研究结果尚未得到整合。这项定性元综合研究旨在探索活体肝供体的生活经历,以深入了解有意义的共同经历。2021年10月对以英文或韩文发表的定性研究进行了全面检索。文献检索的每个阶段均采用PRISMA声明进行报告,并使用MAXQDA2020软件进行数据分析。数据综合采用Thomas和Harden提出的三步主题综合法进行。十篇文章符合纳入标准。分析揭示了五个主要主题:“成为一名真诚的供体”、“从潜在供体转变为实际供体”、“恢复正常生活的困难”、“重新审视捐赠的意义”以及“对未来供体的期望”。该研究强调,活体肝供体需要多方面的医疗关注和干预,同时社会需要进行系统性变革,以加强对供体的支持。本综述以综合的方式提供了关于个体如何成为活体肝供体以及活体捐赠的重要方面和其他考虑因素的全面见解。包括护士和协调员在内的移植团队应该全面了解供体从决策到捐赠后健康管理的身体、心理和社会经历。

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