Clinical Operations, Virtual Therapeutics Inc., Kirkland, WA, USA.
Johns Hopkins University, Baltimore, MD, USA.
Clin Nurs Res. 2023 Nov;32(8):1124-1133. doi: 10.1177/10547738231156151. Epub 2023 Mar 13.
This study employed a qualitative descriptive approach to examine living kidney donor's experience of postoperative pain. Thirteen living kidney donors aged 46.5 (±14.4) years participated in this study. Semi-structured interviews were conducted and transcribed. Transcripts were inductively coded and reviewed for trends, patterns, and insights into donor's experience of postoperative pain. Donors experienced postoperative pain from a variety of sources that hindered recovery and created anxiety and fear in some. Donors managed pain with opioid and non-opioid medications, social support, and ambulation. Donor's past experiences with and expectations about pain, relationships with intended recipients, social support, as well as motivations for and meaning of donation informed their experience of postoperative pain. Prompt pharmacologic intervention for pain, as well as further coaching and education about pain management should be emphasized for nurses caring for living kidney donors. Further study of how donor's motivation might mediate their pain experience is needed.
本研究采用定性描述方法来研究活体肾脏捐献者术后疼痛的体验。本研究共纳入了 13 名年龄为 46.5（±14.4）岁的活体肾脏捐献者。对这些捐献者进行了半结构化访谈并记录了访谈内容。对转录内容进行了归纳编码，并对捐赠者术后疼痛体验的趋势、模式和见解进行了审查。捐献者经历了多种来源的术后疼痛，这些疼痛阻碍了他们的康复，并在某些情况下造成了焦虑和恐惧。捐献者通过阿片类药物和非阿片类药物、社会支持和活动来管理疼痛。捐献者过去对疼痛的体验和预期、与预期接受者的关系、社会支持以及捐赠的动机和意义，都影响了他们的术后疼痛体验。应该强调对护理活体肾脏捐献者的护士进行及时的药物干预治疗疼痛，并进一步进行疼痛管理方面的辅导和教育。需要进一步研究捐赠者的动机如何调节他们的疼痛体验。
