关键词: adaptation experience kidney transplantation middle-aged qualitative research young adult

Mesh : Middle Aged Humans Kidney Transplantation / psychology Adaptation, Psychological Qualitative Research Emotions China

来  源:   DOI:10.1177/01939459241238683

Abstract:
Successful adaptation to post-transplantation life in patients who have undergone kidney transplants is crucial. The psychosocial needs of people with kidney transplants are closely related to the health of the transplanted kidney. If transplant recipients cannot adapt to the effects of the transplant, their physical and mental health will be seriously impaired.
The purpose of this study was to explore the early post-transplant adaptation experience of young and middle-aged persons with kidney transplants in China based on the Roy adaptation model.
A qualitative descriptive study was conducted using semi-structured interviews. Fifteen young and middle-aged persons with kidney transplant were recruited from a tertiary hospital in China between September 2022 and March 2023 through purposive sampling. Data were analyzed using a thematic analysis approach.
This study identified 4 themes: (1) \"two-sided\" changes in physiological functioning, (2) \"dawn and darkness\" (conflicting perceived emotions about the future), (3) role functioning adaptation conflict and impairment, and (4) social isolation and the challenges of coping.
This study found that early post-transplant adaptation in young and middle-aged people with kidney transplant included both positive and negative experiences, and these findings can provide new insights into research related to successful post-operative adaptation.
摘要:
成功适应肾移植患者的移植后生活至关重要。肾移植患者的心理社会需求与移植肾的健康密切相关。如果移植接受者不能适应移植的效果,他们的身心健康将受到严重损害。
本研究的目的是基于Roy适应模型探讨中国中青年肾移植术后早期移植适应体验。
使用半结构化访谈进行了定性描述性研究。2022年9月至2023年3月,通过目的性抽样,从中国一家三级医院招募了15名接受肾脏移植的年轻人和中年人。采用专题分析方法对数据进行分析。
这项研究确定了4个主题:(1)生理功能的“双面”变化,(2)“黎明与黑暗”(对未来的感知情绪冲突),(3)角色功能适应冲突和损害,(4)社会孤立和应对的挑战。
这项研究发现,肾移植的中青年早期移植后适应包括积极和消极的经历,这些发现可以为与成功的术后适应相关的研究提供新的见解。
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