Nottingham Kelly L, Crawford Rebekah Perkins, Starkie Sophia D, Shaffer Libby K
Public Health, Department of Social & Public Health, Ohio University, College of Health Sciences & Professions, Athens, OH, USA.
J Patient Exp. 2025 Jul 30;12:23743735251360491. doi: 10.1177/23743735251360491. eCollection 2025.
The COVID pandemic disrupted healthcare systems worldwide, affecting medical care delivery, including transplant centers. As sites of tertiary healthcare delivery, living kidney donations were particularly impacted, with delays, communication challenges, and an increased burden on potential donors. This qualitative study explored the lived experiences of individuals navigating the predonation evaluation (PDE) during the pandemic. Through 25 semistructured interviews, the participants shared insights into delays in care, inconsistent communication, pandemic-related emotions, and unexpected facilitators. The constant comparative analysis method identified key themes, including (1) delays in care due to COVID, (2) inconsistent communication due to COVID, (3) pandemic-related emotions, and (4) pandemic-era shifts that facilitated living kidney donor (LKD) PDE. The data highlighted the importance of maintaining patient-centered care, effective communication and pointed to specific ways to improve the patient's experience. These themes highlight mitigating strategies to address future care for other types of LKD disruptions.
新冠疫情扰乱了全球医疗体系,影响了包括移植中心在内的医疗服务提供。作为三级医疗服务场所,活体肾捐赠受到了特别影响,出现了延误、沟通挑战以及潜在捐赠者负担加重的情况。这项定性研究探讨了疫情期间经历活体肾捐赠前评估(PDE)的个人的生活体验。通过25次半结构化访谈,参与者分享了关于护理延误、沟通不一致、与疫情相关的情绪以及意外促进因素的见解。持续比较分析法确定了关键主题,包括:(1)因新冠疫情导致的护理延误;(2)因新冠疫情导致的沟通不一致;(3)与疫情相关的情绪;(4)促进活体肾捐赠者(LKD)PDE的疫情时代转变。数据突出了以患者为中心的护理、有效沟通的重要性,并指出了改善患者体验的具体方法。这些主题凸显了应对未来其他类型LKD中断护理的缓解策略。