Psychological experiences of renal transplant patients: a qualitative analysis.

INTRODUCTION: Organ-sourcing developments now permit increasing numbers of renal transplants. Recipients commonly experience negative affect pre- and/or post-transplant yet research on patient experience is lacking. AIMS: This study aims to develop theory based on the lived experience of recipients,...

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Publicado en:Counselling & Psychotherapy Research Vol. 9; no. 4; pp. 273 - 280
Autores principales: Amerena P, Wallace P
Formato: research tables/charts Journal Article
Publicado: Wiley-Blackwell Dec2009
Acceso en línea:Ver este registro en EBSCOhost
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      dt: Dec2009
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      pub: Wiley-Blackwell
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        atl: Psychological experiences of renal transplant patients: a qualitative analysis.
      aug:
        au:
          Amerena P
          Wallace P
        affil: School of Human and Life Sciences, Roehampton University, London, UK
      sug:
        subj:
          Adaptation, Psychological
          Conflict (Psychology)
          Kidney Transplantation Psychosocial Factors
          Funding Source
          Grounded Theory
          Human
          Interviews
          Qualitative Studies
          Snowball Sample
      ab: INTRODUCTION: Organ-sourcing developments now permit increasing numbers of renal transplants. Recipients commonly experience negative affect pre- and/or post-transplant yet research on patient experience is lacking. AIMS: This study aims to develop theory based on the lived experience of recipients, and to guide psychological and support interventions by counsellors and professional carers for the benefit of patients. METHODS: A sample of eight participants was interviewed about their transplant experiences. The interview data were analysed using grounded theory methodology. Uniquely the research was conducted by a renal transplant patient, which potentially adds interpretive insight. RESULTS: The central finding is that the issues facing transplant patients before and after transplant may be summarised as living with paradox and conflict. Thus, recipients may need to juxtapose anger/sadness about losses with an adaptive attitude to making the most of a second chance at life, and negotiate a positive relationship with an 'alien' organ. CONCLUSIONS/IMPLICATIONS: The study offers evidence-based guidance to counsellors supporting recipients to adjust to a changing sense of self, and to form adaptive relationships with self, others and the new kidney. Finally the research recommends action on improving awareness of and access to counselling and other supports for renal transplantees, and the need for in-depth experiential research in this expanding area.
      pubtype: Academic Journal
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      ougenre: Article
    language: English
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