Developing a Grounded Theory on Adaptation After Lung Transplantation From Intermediate-Term Patient Experiences

Area of Science:

• Medical Sciences
• Transplantation Medicine
• Health Psychology

Background:

• Limited understanding of long-term health evolution post-lung transplant.
• Previous research indicated possible health status at 1 year, but not full recovery.
• Need for in-depth, longitudinal perspective on health transition.

Purpose of the Study:

• To develop a grounded theory of health transition in lung recipients.
• To explore the process of change from 1 to 3 years after lung transplantation.
• To understand the adaptation strategies employed by lung transplant recipients.

Main Methods:

• Grounded theory methodology.
• Prospective analysis of narratives from 14 adult lung recipients.
• Data collection at 1-year follow-up and a subsequent 2-year reinterview.

Main Results:

• Identified adaptation to a 'new normality' as the primary concern 3 years post-transplant.
• Described three key adaptation strategies: compare, accept, and adjust.
• Linked successful adaptation to health and well-being, while difficulties arose from persistent symptoms and limitations.

Conclusions:

• Lung recipients can achieve health despite symptoms by adapting to a new normality.
• This adaptation is an individual, ongoing process starting post-transplant.
• Successful adaptation is key to experiencing health and well-being after lung transplantation.