DOI QR코드

DOI QR Code

Lived Experience of Kidney Transplant Recipients with Kidney Graft Failure

이식신장의 기능부전을 경험한 환자의 질병체험

  • Hwang, Younghui (Department of Nursing Science, College of Medicine, Chungbuk National University) ;
  • Min, Kyoungok (Department of Transplant Center, Seoul National University Hospital) ;
  • Son, Haeng-Mi (Department of Nursing, College of Medicine, University of Ulsan)
  • 황영희 (충북대학교 의과대학 간호학과) ;
  • 민경옥 (서울대학교병원 장기이식센터) ;
  • 손행미 (울산대학교 의과대학 간호학과)
  • Received : 2023.09.04
  • Accepted : 2024.01.30
  • Published : 2024.02.28

Abstract

Purpose: The study aimed to understand the semantic structure and nature of the disease experience of kidney transplant recipients with kidney graft failure by applying phenomenological research methods. Methods: Data were collected between February and September 2021 through individual in-depth interviews with 12 kidney transplant recipients with kidney graft failure. Colaizzi's phenomenological analysis was used to analyze the meaning of the participants' illness experiences. Results: 5 theme clusters and 15 themes were derived. The five theme clusters are as follows: (1) First transplant giving me a second life; (2) Body and mind becoming sick again; (3) Waiting for a re-transplant with hope and worry; (4) Life supported by gratefulness; (5) Having control over my own life. Conclusion: This study shows that kidney transplant recipients with kidney graft failure experience physical and psychological difficulties during the long disease period and require help from many people, including family members, friends, colleagues, and health care providers, to overcome their difficulties.

Keywords

References

  1. Hong WK. 120% increase in 9 years of end-stage renal failure... 2,164.7 billion won in medical expenses [Internet]. Doctors News; c2022 [cited 2023 Jun 31]. Available from: https://www.doctorsnews.co.kr/news/articleView.html?idxno=144888.
  2. Lee EJ, Jo HS, Kim SS. Phenomenology on the hemodialysis experience of patients with end-stage renal disease. The Korean Journal of Rehabilitation Nursing. 2018;21(1):22-32. https://doi.org/10.7587/kjrehn.2018.22
  3. Iqbal MM, Rahman N, Alam M, Deb Nath PK, Waheed S, Islam K, et al. Quality of life is improved in renal transplant recipients versus that shown in patients with chronic kidney disease with or without dialysis. Experimental and Clinical Transplantation. 2020;18(Suppl 1):64-67.  https://doi.org/10.6002/ect.TOND-TDTD2019.P11
  4. National Institute of Organ, Tissue and Blood Management. Annual report of the transplant 2021 [Internet]. National Institute of Organ, Tissue and Blood Management; c2022 [cited 2023 Jun 31]. Available from: https://www.konos.go.kr/ board/boardListPage.do?page=sub4_2_1&boardId=30.
  5. Ahn JS, Park KS, Park J, Chung HC, Park H, Park SJ, et al. Clinical outcomes and contributors in contemporary kidney transplantation: Single center experience. Journal of the Korean Society for Transplantation. 2017;31(4):182-192.  https://doi.org/10.4285/jkstn.2017.31.4.182
  6. Kim SJ. A study on the occurrence of donor specific antibodies after solid organ transplantation in Koreans [dissertation]. Ulsan: University of Ulsan; 2018. p. 1-97.
  7. Gill P, Lowes L. The kidney transplant failure experience: A longitudinal case study. Progress in Transplantation. 2009; 19(2):114-121. https://doi.org/10.1177/152692480901900204
  8. Jeon MK, Kim KS. Experiences of patients on the waiting list for deceased donor kidney retransplantation. Journal of Korean Critical Care Nursing. 2015;8(1):11-24.
  9. Lee NI. Phenomenology and qualitative research. Hangilsa; 2014. p. 1-415.
  10. Lee MS, Go MH, Son HM, Kim JH, Kang SL, Oh SE, et al. Qualitative research. Soomoonsa; 2018. p. 1-340.
  11. Colaizzi PF. Psychological research as the phenomenologist views it. In: Valle RS, King M, editors. Existential-Phenomenological Alternatives for Psychology. Oxford University Press; 1978. p. 48-71.
  12. Guba EG, Lincoln YS. Effective evaluation: Improving the usefulness of evaluation results through responsive and naturalistic approaches. Jossey-Bass; 1981. p. 1-423.
  13. Tong A, Sainsbury P, Craig J. Consolidated Criteria For Reporting Qualitative Research (COREQ): A 32-item checklist for interviews and focus groups. International Journal for Quality in Health Care. 2007;19(6):349-357.  https://doi.org/10.1093/intqhc/mzm042
  14. Lee HN, Sim JH. The impact of symptom experience and self-care agency on quality of life in patients with hemodialysis. Journal of Korean Clinical Nursing Research. 2023;29(1):135-145. https://doi.org/10.22650/JKCNR.2023.29.1.135
  15. Kim B, Kim H, Lee J. A concept analysis of stress in hemodialysis patients. Korean Journal of Adult Nursing. 2021;33(6):601-615. https://doi.org/10.7475/kjan.2021.33.6.601
  16. Pinter J, Hanson CS, Craig JC, Chapman JR, Budde K, Halleck F, et al. 'I feel stronger and younger all the time'-perspectives of elderly kidney transplant recipients: Thematic synthesis of qualitative research. Nephrology Dialysis Transplantation. 2016;31(9):1531-1540.  https://doi.org/10.1093/ndt/gfv463
  17. Boucquemont J, Pai ALH, Dharnidharka VR, Hebert D, Zelikovsky N, Amaral S, et al. Association between day of the week and medication adherence among adolescent and young adult kidney transplant recipients. American Journal of Transplantation. 2020;20(1):274-281.  https://doi.org/10.1111/ajt.15590
  18. Hariharan S, Israni AK, Danovitch G. Long-term survival after kidney transplantation. The New England Journal of Medicine. 2021;385(8):729-743.  https://doi.org/10.1056/NEJMra2014530
  19. Ng CZ, Tang SC, Chan M, Tran BX, Ho CS, Tam WW, et al. A systematic review and meta-analysis of randomized controlled trials of cognitive behavioral therapy for hemodialysis patients with depression. Journal of Psychosomatic Research. 2019;126:109834.  https://doi.org/10.1016/j.jpsychores.2019.109834
  20. Goh ZS, Griva K. Anxiety and depression in patients with end-stage renal disease: Impact and management challenges - a narrative review. International Journal of Nephrology and Renovascular Disease. 2018;11:93-102.  https://doi.org/10.2147/IJNRD.S126615
  21. El-Mahalawy N, Saad A, Rabei S, Elrassas H, Abdelgawad A, Elmissiry M, et al. Depression and suicidality among Egyptian renal transplant recipients. Middle East Current Psychiatry. 2020;27:41. https://doi.org/10.1186/s43045-020-00045-w
  22. Kim MG. Immunological characteristics and management of kidney transplantation. Korean Journal of Medicine. 2020;95(1):18-26. https://doi.org/10.3904/kjm.2020.95.1.18
  23. Rhu J. History of organ transplantation and the development of key immunosuppressants. Journal of the Korean Medical Association. 2020;63(5):241-250.  https://doi.org/10.5124/jkma.2020.63.5.241
  24. Legendre C, Canaud G, Martinez F. Factors influencing long-term outcome after kidney transplantation. Transplant International. 2014;27(1):19-27.  https://doi.org/10.1111/tri.12217
  25. Yang JS, Koo TY. Development of Korean estimated post-transplant survival score and new deceased donor allocation rule based on K-KDPI. Public Health Weekly Report. 2020;13(37):2761-2770.
  26. Lee JA, Kim AY, Chung HI. Factors affecting treatment adherence of kidney transplantation recipients. Journal of the Korea Contents Association. 2019;19(2):619-628.  https://doi.org/10.5392/JKCA.2019.19.02.619
  27. Kalantar-Zadeh K, Li PK, Tantisattamo E, Kumaraswami L, Liakopoulos V, Lui SF, et al. Living well with kidney disease by patient and care-partner empowerment: Kidney health for everyone everywhere. American Journal of Hypertension. 2021;34(2):220-225. https://doi.org/10.1093/ajh/hpaa213
  28. Makaroff KL. Experiences of kidney failure: A qualitative meta-synthesis. Nephrology Nursing Journal. 2012;39(1):21-29, 80; quiz 30.
  29. Hamasaki Y, Hashimoto J, Aoki Y, Kubota M, Muramatsu M, Kawamura T, et al. Long-term social outcome after pediatric kidney transplantation: A single-center experience. Clinical and Experimental Nephrology. 2022;26(4):368-375.  https://doi.org/10.1007/s10157-021-02158-w
  30. Oki R, Unagami K, Kakogawa J, Beppu H, Banno T, Yagisawa T, et al. Pregnancy complications and impact on kidney allograft after kidney transplantation in IgA nephropathy. Transplant International. 2023;36:11220.  https://doi.org/10.3389/ti.2023.11220