Existential values transformation in all organ transplantation: A qualitative prospective study.

Details

Serval ID
serval:BIB_4010E616EDBC
Type
Inproceedings: an article in a conference proceedings.
Publication sub-type
Poster: Summary – with images – on one page of the results of a researche project. The summaries of the poster must be entered in "Abstract" and not "Poster".
Collection
Publications
Institution
Title
Existential values transformation in all organ transplantation: A qualitative prospective study.
Title of the conference
8th American Transplant Congress
Author(s)
Piot-Ziegler Chantal, Ruffiner-Boner Nadja, Cuttelod Therese, Fonjallaz Floriane, Pilon Nathalie, Pascual Manuel
Address
Toronto, Canada, May 31-June 4, 2008
ISBN
1600-6135
Publication state
Published
Issued date
2008
Peer-reviewed
Oui
Volume
8
Series
American Journal of Transplantation
Pages
400
Language
english
Notes
Publication type : Meeting Abstract
Abstract
Organ transplantation offers a treatment of choice for patients suffering from end stage
illnesses. The aim of this IRB approved prospective qualitative study was to analyze
patients’ psychological concerns from their inclusion on the waiting list for first organ
transplantation (TX) (T1; N=71; kidney, K=30; liver, Li=11; lung, Lu=15; heart, H=15)
and six months after TX (T2; N=49; K=15; Li=10; Lu=14; H=10). Semi-structured interviews were conducted at home or in a place selected by patients. Qualitative pattern analysis (QUAPA) of the verbatim transcriptions was applied.
T1
(K) Patients maintained an apparent normality (87%), building emotional protection
(23%), and developing a fatalist attitude towards life (43%).
(Li) Physical limits were set to spare energy until TX (73%). Illness led to reevaluation
of life values (66%).
(Lu) Physical and psychological self-protection was prioritized when health declined
(67%). Modified life values, fatalism (33%) and spirituality (27 %) were mentioned.
(H) Patients husbanded physical (80%) and psychological (67%) resources and self-protection. Modified life values and fatalist attitude towards life were reported (40%).
T2
(K) New perspective on life was described, with increase of empathy towards others (20%).
(Li) Positive identity and life values modifications (60%), greater openness towards others, closeness to significant ones (30%) and a more self-centered attitude (30%) prioritizing the essential (20%) were reported. Lack of respect of life values generated anger (40%).
(Lu) Setting existential priorities and increase in spirituality (64%), along with the
development of new life values, greater openness to others (57%) and closeness to significant ones (21%) were underlined. Lack of respect of human values induced negative feelings (36%). Self-centered attitudes, setting limits to other people were mentioned (29%).
(H) Change in life values with setting life priorities was reported (70%) with increase in spirituality, and the lack of respect of life values generated anger (50%). Self-centered attitudes were reported (60%).
TX not only comes with positive physical benefits, but also with positive existential values and psychological transformation, and the development of a more altruistic attitude and humanistic values.
Keywords
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Web of science
Create date
21/10/2009 13:39
Last modification date
20/08/2019 14:37
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