Psychological transformations in kidney transplantation: A prospective qualitative study
Details
Serval ID
serval:BIB_6D55D4AB9F21
Type
Inproceedings: an article in a conference proceedings.
Publication sub-type
Abstract (Abstract): shot summary in a article that contain essentials elements presented during a scientific conference, lecture or from a poster.
Collection
Publications
Institution
Title
Psychological transformations in kidney transplantation: A prospective qualitative study
Title of the conference
13th Congress of the European Society for Organ Transplantation and the 15th Congress of the European Transplant Coordinators Organization
Address
Prague, Czech Republic, September 29-October 3, 2007
ISBN
0934-0874
Publication state
Published
Issued date
2007
Peer-reviewed
Oui
Volume
20
Series
Transplant International
Pages
181
Language
english
Notes
Publication type : Meeting Abstract
Abstract
The aim of this IRB-approved study was to prospectively analyze psychological
transformations in ESRD patients before and after transplantation (KT).
Semi-structured interviews were conducted in 30 patients (mean age = 53±10)
after their inclusion on the waiting-list (Gr. A). Follow-up interviews were performed
6 months later in 15 patients still awaiting KT (Gr. B6), and in 15 patients
6 months (Gr. C6) and 12 months (Gr. C12) after KT. Qualitative analysis
was performed.
Gr: A:All patients underlined loss of freedom, 87% devoted much energy to
maintain normality, 57% modified medical directives. All reported emotional
fragility related to dialysis and loss of quality of life (QOL), negative (43%) or
suicidal thoughts (20%). Professional stigma was underlined (26%).
Gr: B6:40% reported no change, 60% mentioned increase of illness intrusiveness,
46% dialysis side-effects, 40% communication problems, 33% tension
with medical staff and waiting list handling. Fear of emotional breakdown
(40%), couple problems (47%) and worsened professional difficulties (20%)
were reported.
Gr: C6:All patients mentioned improved QOL and freedom recovery (87%).
All expressed concerns about possible acute rejection, 73% were anxious
about laboratory results, 93% experienced dependence to immunosuppressants,
47% reported difficulties in handling medication, 21% feared to forget
them, 47% were concerned about side-effects, 67% had resumed work but
medical constraints led to professional tension (40%).
Gr: C12:All mentioned recovered QOL. Medical controls were accepted as a
routine (87%) and adherence to medication was mandatory (100%). All mentioned
the limited long-term graft survival and 47% were anxious about possible
return to dialysis, especially younger patients (27%). Positive identity and
existential changes were reported (60%).
This prospective qualitative study identifies psychological modifications in the
course of KT. It provides a basis to adequately address concerns, but it shows
also that KT is clearly associated with positive psychological transformations.
transformations in ESRD patients before and after transplantation (KT).
Semi-structured interviews were conducted in 30 patients (mean age = 53±10)
after their inclusion on the waiting-list (Gr. A). Follow-up interviews were performed
6 months later in 15 patients still awaiting KT (Gr. B6), and in 15 patients
6 months (Gr. C6) and 12 months (Gr. C12) after KT. Qualitative analysis
was performed.
Gr: A:All patients underlined loss of freedom, 87% devoted much energy to
maintain normality, 57% modified medical directives. All reported emotional
fragility related to dialysis and loss of quality of life (QOL), negative (43%) or
suicidal thoughts (20%). Professional stigma was underlined (26%).
Gr: B6:40% reported no change, 60% mentioned increase of illness intrusiveness,
46% dialysis side-effects, 40% communication problems, 33% tension
with medical staff and waiting list handling. Fear of emotional breakdown
(40%), couple problems (47%) and worsened professional difficulties (20%)
were reported.
Gr: C6:All patients mentioned improved QOL and freedom recovery (87%).
All expressed concerns about possible acute rejection, 73% were anxious
about laboratory results, 93% experienced dependence to immunosuppressants,
47% reported difficulties in handling medication, 21% feared to forget
them, 47% were concerned about side-effects, 67% had resumed work but
medical constraints led to professional tension (40%).
Gr: C12:All mentioned recovered QOL. Medical controls were accepted as a
routine (87%) and adherence to medication was mandatory (100%). All mentioned
the limited long-term graft survival and 47% were anxious about possible
return to dialysis, especially younger patients (27%). Positive identity and
existential changes were reported (60%).
This prospective qualitative study identifies psychological modifications in the
course of KT. It provides a basis to adequately address concerns, but it shows
also that KT is clearly associated with positive psychological transformations.
Keywords
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Web of science
Create date
29/12/2010 13:28
Last modification date
20/08/2019 15:26
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