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Adaptation Experience of Living Kidney Donors after Donation

Journal of Korean Academy of Nursing 2016³â 46±Ç 2È£ p.271 ~ 282
KMID : 0806120160460020271
°­´ÙÇؼØ:Kang, Da-Hai-Som
¾çÁøÇâ:Yang Jin-Hyang

Abstract

Purpose: This study was done to explore adaptation experience of living kidney donors after donation. Specific aims were to identifychallenges donors face in the process of adaptation following surgery and how they interact with recipients and other people.

Methods: Grounded theory methodology was utilized. Participants were 13 living kidney donors at six months or more after donation. Data were collected by in-depth interviews with individual participants. Data were analyzed using constants comparative methodwith theoretical saturation.

Results: A core category emerged as ¡®keeping the fences of my family in spite of vulnerability¡¯. Theadaptation process after donation was manifested in four phases: exploration, balance, maintenance, and acclimatization. Phenomenonwas perception of vulnerability. Strategies to manage the vulnerability were assessing changes of body awareness, tailoringregimen to one¡¯s own body condition, coping with health problems, keeping restoration of health, and ruminating on the meaningof one¡¯s kidney donation. Consequences were reestablishing family well-being, realizing the values of one¡¯s kidney donation, and livingwith uncertainty.

Conclusion: Findings of the study indicate that there is a need for health professionals to understand the vulnerabilityof living kidney donors and help their family system maintain a healthy and productive life. The results of this study can beused to develop phase-specific, patient-centered, and tailored interventions for living kidney donors.
KeyWords
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Organ transplantation, Living donors, Family, Adaptation, Qualitative research
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