Psychosocial Aspects of Kidney Transplantation and Living Kidney Donation

Hoffman, Benson M.; Saulino, Caroline K.; Smith, Patrick J.

doi:10.1016/b978-0-323-53186-3.00040-1

Cited by 1 publication

(1 citation statement)

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“…1 Canada's KPD program was established in 2009 by Canadian Blood Services. 1 Posttransplantation, kidney recipients face a set of psychosocial challenges including adherence to a medication regimen with intrusive side effects, 3,4 feelings of guilt and indebtedness toward the donor, 5,6 fears about graft rejection, 7,8 and depression. 9 The social context in which the donor-recipient relationship is embedded can also impact recipients' posttransplantation.…”

Section: Introductionmentioning

confidence: 99%

The Psychosocial Adjustment of Kidney Recipients in Canada's Kidney Paired Donation Program

Bourkas

Achille

2021

Prog Transpl

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Introduction: Kidney paired donation programs have been implemented globally. The involvement of at least 2 donors in these programs might exacerbate recipients’ debt of gratitude and guilt, worries about the donor's health, and worries about graft failure documented by previous studies. However, there is an absence of research on the psychosocial implications of kidney paired donation. This study aimed to provide an in-depth examination of recipients’ experience of kidney paired donation, with a focus on psychosocial adjustment. Methods/Approach: Individual interviews were conducted with 8 recipients who received a transplant through Canada's Kidney Paired Donation program. Data was analyzed using Interpretative Phenomenological Analysis. Findings: Four themes emerged: (a) an emotionally charged relationship with the known donor, (b) optimal distance regulation in the relationship with the anonymous donor, (c) kidney paired donation as a series of ups and downs, and (d) multilayered gratitude. Discussion: Findings are considered in relation to extant literature. Issues relevant to the transplant community's clinical and research efforts to provide kidney recipients responsive care are discussed.

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