Published online Apr 29, 2016.
https://doi.org/10.4040/jkan.2016.46.2.271
Adaptation Experience of Living Kidney Donors after Donation
Abstract
Purpose
This study was done to explore adaptation experience of living kidney donors after donation. Specific aims were to identify challenges 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 method with theoretical saturation.
Results
A core category emerged as 'keeping the fences of my family in spite of vulnerability'. The adaptation process after donation was manifested in four phases: exploration, balance, maintenance, and acclimatization. Phenomenon was perception of vulnerability. Strategies to manage the vulnerability were assessing changes of body awareness, tailoring regimen to one's own body condition, coping with health problems, keeping restoration of health, and ruminating on the meaning of one's kidney donation. Consequences were reestablishing family well-being, realizing the values of one's kidney donation, and living with uncertainty.
Conclusion
Findings of the study indicate that there is a need for health professionals to understand the vulnerability of living kidney donors and help their family system maintain a healthy and productive life. The results of this study can be used to develop phase-specific, patient-centered, and tailored interventions for living kidney donors.
Figure 1
Adaptation experience of living kidney donors after donation.
Table 1
Paradigm and Categorization of the Data
This manuscript is based on a part of the first author's doctoral dissertation from Inje University.
CONFLICTS OF INTEREST:The authors declared no conflict of interest.
References
-
Ministry of Health & Welfare. Korean Network for Organ Sharing. Annu rep transpl 2012. Seoul: Korean Netword for Organ Sharing; 2013.
-
-
Crombie AK, Franklin PM. Family issues implicit in living donation. Mortal 2006;11(2):196–210. [doi: 10.1080/13576270600616011]
-
-
Lee BM. Korea is the country of the devoted son and devoted daughter [Internet]. Seoul: Maeil Business News Korea; 2013 [cited 2014 October 7].Available from: http://news.mk.co.kr/newsRead.php?year=2013&no=356011.
-
-
Park SH. Decision of organ donation by the bucket list [Internet]. Seoul: Newsis; 2014 [cited 2014 October 7].Available from: http://www.newsis.com/ar_
detail/view.html?ar_ id=NISX20140820_ 0013119207&cID=10201&pID=10200.
-
-
Park MR. Living organ donation [Internet]. Seoul: Medical Observer; 2014 [cited 2014 November 7].Available from: http://www.monews.co.kr/news/articleView.html?idxno=78873.
-
-
Møjen G, Hallan S, Hartmann A, Foss A, Midtvedt K, Øyen O, et al. Long-term risks for kidney donors. Kidney Int 2014;86(1):162–167. [doi: 10.1038/ki.2013.460]
-
-
Williams AM, Colefax L, O'Driscoll CT, Dawson S. An exploration of experiences of living renal donors following donation. Nephrol Nurs J 2009;36(4):423–427.
-
-
Kim MH, Kwon OJ, Kang CM. The quality of life for living donors after kidney transplantation. J Korean Soc Transplant 2012;26(1):15–22. [doi: 10.4285/jkstn.2012.26.1.15]
-
-
Yi M. Psychosocial adjustment after kidney transplantation. J Korean Acad Nurs 1998;28(2):291–302.
-
-
Fujita M, Akabayashi A, Slingsby BT, Kosugi S, Fujimoto Y, Tanaka K. A model of donors' decision-making in adult-to-adult living donor liver transplantation in Japan: Having no choice. Liver Transplant 2006;12(5):768–774. [doi: 10.1002/lt.20689]
-
-
Adams-Leander S. The experiences of African-American living kidney donors. Nephrol Nurs J 2011;38(6):499–508.
-
-
Corbin J, Strauss A. In: Basic of qualitative research: Techniques and procedures for developing grounded theory. 3rd ed. Thousand Oaks, CA: Sage; 2008.
-
-
Ingram RE, Miranda J, Segal ZV. In: Cognitive vulnerability to depression. New York, NY: Guilford Press; 2000.
-
-
Korea Ministry of Government Legislation; Internal organs. Transplant act [Internet]. Sejong: Author; 2013 [cited 2014 October 7].Available from: http://www.law.go.kr/lsSc.do?menuId=0&subMenu=1&query=%EC%9E%A5%EA%B8%B0%EC%9D%B4%EC%8B%9D#undefined.
-
-
Lee HK, Park JH, Chung SY, Choi SJ. Long term outcomes for living renal donors. J Korean Soc Transplant 2012;26(1):10–14. [doi: 10.4285/jkstn.2012.26.1.10]
-
-
Choi SB. 'Sharing of sublime life' support system is 'poor' [Internet]. Seoul: Able News; 2014 [cited 2014 October 7].Available from: http://www.ablenews.co.kr/News/NewsContent.aspx?CategoryCode=0014&NewsCode=001420141126192323370676.
-
-
Mishel MH. Reconceptualization of the uncertainty in illness theory. Image J Nurs Scholarsh 1990;22(4):256–262. [doi: 10.1111/j.1547-5069.1990.tb00225.x]
-