Att bli transplanterad — en studie av patientens upplevelse

Abstract

Sahlgrenska akademin VID GÖTEBORGS UNIVERSITETInstitutionen för vårdvetenskap och hälsa D-uppsats i Omvårdnad Titel (svensk):Att bli transplanterad -en studie av patientens upplevelse. Titel (engelsk):To be transplantated -a study about the patients' experience. BackgroundEarlier research according studying the experience of being transplanted, either with a kidney or a liver, have focused patients experience three months after the transplantation. Focus in this study is in the first month after the transplantation. From a perspective of "lifeworld" it is important that the integrity and entire life situation of the patient is maintained and protected. To illuminate patients need considering his/her experience of health and suffering during the first month after the transplantation can be a guide for nurses in order to take care for these patients in a way that cant strengthen there wellbeing. PurposeThe purpose was to describe patient´s experience of being transplanted, one month after the surgery. MethodThe study is a interview study. The interviews took place at two occasions during the first month after the transplantation. The interviews were taped and transcribed. The text has been analyzed by a qualitative method where the text after careful reading has been converged into codes according to the context of the text. Consequently the codes have been sorted into categories. Finally categories formed three separate themes. ResultsThe patients show a remarkable confidence in medical care even if the transplantation involved suffering for some of the individual patients. In order to ease the adjustment to the situation for the patient and to preserve the patient's trust in medical care it is important to utilize the knowledge and experience of illness and sub-health of the patient. This would be the best way for following up the situation of the transplant patient. The patient can be given an opportunity to adapt to his/her situation in life if the competence of the nurse as a transmitter of knowledge and as a medical expert is utilized. This will also improve future contacts between the patient and medical care.

Patients’ experiences in hospital following a liver transplantation

“…Regarding general contentment with the hospital stay, our results are in line with the study by Frejd et al. (1). Most patients were satisfied with the care they received, and they trusted the health care personnel.…”

“…An exception is a study by Frejd et al. (1), where patients with kidney transplants were also included as participants. The design of their study is quite similar to ours, although Frejd and colleagues also analysed the data together with data from a second interview of the patients, conducted after discharge from hospital.…”

“…Frejd et al. (1) reported that the patients wondered how long it was estimated they would continue to have pain. However, in their study, it was not clearly articulated whether this was while staying in hospital or after discharge.…”

“…In every case, family members made up for the deficit. In contrast to these findings, patients have also described the care experienced in the ICU (8) and the transplant unit (1, 5) as excellent, particularly the individual attention given by nursing staff.…”

“…Studies of patients who have experienced liver transplantation have been conducted from the mid‐1990s. The number of patients who have gone through liver transplantation has greatly increased during the past decade (1) and resulted in better health and quality of life for patients. There is, though, a need to move forward, beyond the striving for survival and focus on the various stages of the recovery process.…”