KATSUNO Towako Tokyo Metropolitan University of Health Sciences, Associate Professor, 保健科学部・看護学科, 助教授 (60322351)
SUGIMOTO Masako Tokyo Metropolitan University of Health Sciences, Professor, 保健科学部・看護学科, 教授 (80226464)
KAWAMURA Sawako Tokyo Metropolitan University of Health Sciences, Professor, 保健科学部・看護学科, 教授 (30186142)
MITORI Naoko Tokyo Metropolitan University of Health Sciences, Instructor, 保健科学部・看護学科, 助手 (30347281)
SHUDA Akihiro Tokyo Metropolitan University of Health Sciences, Instructor, 保健科学部・看護学科, 助手 (60315760)
In this study, a semi-structured interview survey was conducted targeted at 4 donors (families), 11 recipients ans 19 mursing staff members focusing on living-related liver transplants from living donors, the results of which are reported here.
Objective 1)Experiences of dependent donors : The following categories were identified : A.Process of becoming a donor <1.Cases of Imminent Death : 1)Commitment to care, 2)Acceptance of donor by family : Competition with step-sister, etc.> B.Somatic effects of living liver transplant <Poor physical condition : During hospitalization : Pain of incision, itchiness, clouding consciousness, etc.> C.Psychological and social effects of living liver transplant <1)changes in conjugal relationship, 2)loss, 3)depression, etc.> Objective 2)Anguish and distress felt by recipients : The following three categories were extracted : 1)Physical uncertainy ((1)fear of death, (2)restricted lifestyle, (3)health concerns), 2)Doubts about one's worth ((1)sense of debt
, (2)Physical collapse, (3)anger), 3)Losses following transplant ((1)economic burden, (2)loss of role). Objective 3)Nursing care : The following categories were extracted : 1)Psychological care, 2)Support during course of determining treatment (transplant), 3)Improvement of recipient self-care abilities, 4)Care including family care, 5)Coordination with transplant coordinator. Objective 4)Concerns and problems encountered by nurses : These were classified into the following categories : 1)Opposition to transplant procedures, 2)Difficult accommodation, 3)Inadequate preoperative care, 4)Accommodations during symptom exacerbation, 5)Lack of clarity of the role of a transplant coordinators as members of the transplant team by conducting interviews with 9 nurse clinical transplant coordinators at the following institutions : Thomas E.Starzl Transplant Center, Pittsburgh University, Pennsylvania ; the Recani-Miller Transplant Center, Mount Sinai Hospital, New York ; and Northwestern Memorial Hospital, Chicago, Illinois. Less