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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.

DOI:10.1002/nur.22273
PMID:36308399
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。

相似文献

1
The life experiences of living liver donors: A qualitative meta-synthesis.活体肝供体的生活经历:一项定性元分析。
Res Nurs Health. 2022 Dec;45(6):693-706. doi: 10.1002/nur.22273. Epub 2022 Oct 29.
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The Meaning of Being a Living Kidney, Liver, or Stem Cell Donor-A Meta-Ethnography.活体肾、肝和干细胞捐献者的意义:一项元分析。
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A qualitative systematic review of anonymous/unspecified living kidney and liver donors' perspectives.匿名/未指定活体肾和肝供体观点的定性系统评价
PLoS One. 2022 Dec 30;17(12):e0277792. doi: 10.1371/journal.pone.0277792. eCollection 2022.
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Living kidney organ donation: experiences of spousal support of donors.活体肾器官捐赠:捐赠者配偶支持的经历。
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Living Donors: Altruism and Feeling Forgotten.活体捐献者:利他主义与被遗忘的感觉。
Exp Clin Transplant. 2020 Jan;18(Suppl 1):22-28. doi: 10.6002/ect.TOND-TDTD2019.L25.
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Donor and Recipient Views on Their Relationship in Living Kidney Donation: Thematic Synthesis of Qualitative Studies.供者和受者对活体肾捐赠中双方关系的看法:定性研究的主题综合分析。
Am J Kidney Dis. 2017 May;69(5):602-616. doi: 10.1053/j.ajkd.2016.09.017. Epub 2016 Nov 23.
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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。
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Psychological Impact of Living Kidney Donation: A Systematic Review by the EAU-YAU Kidney Transplant Working Group.活体肾脏捐赠的心理影响:EAU-YAU 肾脏移植工作组的系统评价。
Transpl Int. 2023 Nov 24;36:11827. doi: 10.3389/ti.2023.11827. eCollection 2023.
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Living kidney donors' experiences while undergoing evaluation for donation: a qualitative study.活体肾供体在接受捐赠评估期间的经历:一项定性研究。
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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。
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引用本文的文献

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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.
2
What is said about #donateliver or #liverdonor? Reflexive thematic analysis of Twitter (X) posts from 2012 to 2022.关于#捐赠肝脏或#肝脏捐赠者都说了些什么?对2012年至2022年推特(X)帖子的反思性主题分析。
BMC Public Health. 2024 Jul 16;24(1):1904. doi: 10.1186/s12889-024-19381-1.
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The aim of donor safety: surgical approaches and current results.
供体安全的目标:手术方法及当前结果。
Updates Surg. 2024 Jun 25. doi: 10.1007/s13304-024-01881-9.
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Post-Donation Regret and Anxiety Among Family Living Liver Donors: The Mediating Roles of Family Relationships and Sense of Mastery.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.