Development of psychosocial follow-up care guidelines for children with living donor liver transplantation

2022 Fiscal Year Final Research Report

• Project/Area Number: 20K10944
• Research Category: Grant-in-Aid for Scientific Research (C)
• Allocation Type: Multi-year Fund
• Section: 一般
• Review Section: Basic Section 58070:Lifelong developmental nursing-related
• Research Institution: University of Kochi
• Principal Investigator: Tanokashira Eri 高知県立大学, 看護学部, 助教 (90758905)
• Co-Investigator(Kenkyū-buntansha): 池添 志乃 高知県立大学, 看護学部, 教授 (20347652) ; 中野 綾美 高知県立大学, 看護学部, 教授 (90172361)
• Project Period (FY): 2020-04-01 – 2023-03-31
• Keywords: 生体肝移植 / 小児 / 心理社会的課題

Outline of Final Research Achievements

In this study, we identified five psychosocial problems from 31 domestic research papers. 1)The problems linked to cognitive, emotional, and social development related to morphological development and functional development caused by the primary disease and limitations associated with living donor liver transplant(LDLT) treatment. 2)The problems with implementing and continuing treatment methods such as outpatient visits, and medications. 3)The problems related to the recognition of self as a liver transplant recipient in the various experiences after the development of the primary disease. 4)The problems related to family relationships, including the complex conflicts that arise between parents and siblings during the course of a child's illness and LDLT. 5)The problems arising from changes in medical conditions after LDLT and the resulting changes in living arrangements and life stages.
Furthermore, we found directions for psychosocial support for children who have undergone LDLT.

Free Research Field

小児看護

Academic Significance and Societal Importance of the Research Achievements

現在、小児期に生体肝移植を受けた子どもは、主に移植実施施設やその関連施設の医師によって身体面を中心としたフォローアップが行われているが、身体面だけでなく子ども特有の心理・社会的な側面を含めた子どもの全体性から子どもの支援を考えるうえで、今回明らかになった①～⑤の課題を活用することができると考える。また、これらの課題をもとに、支援の現状もふまえて長期的で継続的かつ包括的な視点からの長期的なフォローアップシステムの構築に向けた検討につなげることができると考える。