| Project/Area Number |
10672239
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| Research Category |
Grant-in-Aid for Scientific Research (C)
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| Allocation Type | Single-year Grants |
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| Section | 一般 |
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| Research Field |
Clinical nursing
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| Research Institution | Okayama University |
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Principal Investigator |
KATO Kumiko Okayama University, Medical school Hospital Professor, 医学部, 教授 (30134068)
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| Co-Investigator(Kenkyū-buntansha) |
HAYASHI Yuko Okayama University, Medical school Hospital Professor, 医学部, 教授 (50284120)
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| Project Period (FY) |
1998 – 1999
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| Project Status |
Completed (Fiscal Year 1999)
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| Budget Amount *help |
¥1,400,000 (Direct Cost: ¥1,400,000)
Fiscal Year 1999: ¥600,000 (Direct Cost: ¥600,000)
Fiscal Year 1998: ¥800,000 (Direct Cost: ¥800,000)
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| Keywords | kidney transplant / self-determination / self-determination process / nursing approach / nursing interview / registration of kidney transplant / self-insight and awareness / self-control / 意思決定 / 身体的・心理的・社会的準備 / 気づきと人間的成長 / 移植後の生活の自己管理 / person-centered approach / 自己一致 / 共感的理解 / 受容 |
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| Research Abstract |
It's conceivable that it is important for nurses to help the recipients undergo the organ transplant with their self-determination. The purpose of this study is to clarify the recipients' self-determination process to the kidney transplant and to produce the nursing approach to help the recipients undergo the kidney transplant with self-determination. Based on person-centered approach proposed by Carl R. Rogers, three recipients were given counseling and interviewed individually after the kidney transplant. The interviewer attentively listened to the kidney transplant recipients so that the three can tell of their own kidney transplant experiences in detail.
The results of data analysis were as follows : The recipient donated by a cadaver kidney differed from the recipient donated by a living related kidney in their self-determination. The self-determination of the kidney transplant depended upon the recipient's perception of the kidney transplant at the time of their first transplant registration with an organ bank, and upon their first hemodialysis experiences and their chronic hemodialysis experiences, and upon their concerns for a kidney organ donor, and upon their biographies and so on. Some points for the nursing approach were extracted from the interviews and classified under three topics ; the confirmation of the preparation for the kidney transplant, the viewpoint of the nursing interview and the viewpoint of a nursing approach after the kidney transplant.
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