Faculty of Nursing, Shitennoji University, Habikino, Osaka, Japan.
Department of Nursing, Osaka Metropolitan University Hospital, Abeno-ku, Osaka-City, Japan.
Transplant Proc. 2023 Nov;55(9):2046-2052. doi: 10.1016/j.transproceed.2023.07.033. Epub 2023 Sep 30.
This study aimed to analyze male renal transplant recipients' experience with their partners' pregnancy and childbirth and to investigate their methods of nursing their condition. We performed semistructured interviews and collected data from 6 Japanese males who underwent a kidney transplant after their partner had given birth. The data were analyzed using the Qualitative Synthesis Method (KJ Method). The mean age of the participants at data collection was 40.3 ± 4.7 years, whereas it was 34.7 ± 5.8 years when the transplant was performed. The Qualitative Synthesis Method revealed 7 symbols related to the pregnancy and childbirth experience of the partners of male kidney transplant recipients. Males who received a kidney transplant struggled with severe renal disease before the transplant. They also experienced indecisiveness about whether they should go through with the transplant. However, their lives changed because of the transplant and having children. This situation resulted in a sense of responsibility and a reason to live robustly for the male kidney transplant recipients. Nevertheless, they faced distress as kidney transplant patients. Their wives supported them through this experience. They communicated to their children what they learned from the experience while effectively dealing with their condition. The improvement in their sexual function resulting from the transplant influenced their determination to get married. It is necessary to offer information about the recovery of fertility and the possibility of having a child when choosing renal replacement therapy, give explanations based on evidence, and construct a counseling system.
本研究旨在分析男性肾移植受者在伴侣怀孕和分娩时的体验，并探讨他们护理病情的方法。我们对 6 名在伴侣分娩后接受肾移植的日本男性进行了半结构化访谈并收集了数据。使用定性综合法（KJ 法）对数据进行分析。参与者在数据收集时的平均年龄为 40.3 ± 4.7 岁，而在接受移植时的平均年龄为 34.7 ± 5.8 岁。定性综合法揭示了与男性肾移植受者伴侣怀孕和分娩经历相关的 7 个符号。在接受肾移植之前，患有严重肾脏疾病的男性经历了艰难的抉择。他们还对是否应该接受移植犹豫不决。然而，移植和生育改变了他们的生活。这种情况使男性肾移植受者产生了责任感和更强烈的生存动力。尽管如此，他们作为肾移植患者仍面临困扰。他们的妻子在这一过程中给予了支持。他们向孩子传达了从这一经历中学到的东西，同时有效地应对了病情。移植后性功能的改善影响了他们结婚的决心。在选择肾替代治疗时，有必要提供有关生育能力恢复和生育可能性的信息，提供基于证据的解释，并构建咨询系统。
