Adjustment to a New Heart: Concept Analysis Using a Hybrid Model.

Area of Science:

• Cardiology
• Transplantation Medicine
• Psychology

Background:

• Limited research exists on the complex phenomenon of adjustment to a new heart in transplant recipients.
• A clear definition of this concept is currently lacking.

Purpose of the Study:

• To define and describe the concept of adjustment to a new heart in heart transplant recipients.

Main Methods:

• A hybrid concept analysis was employed, integrating theoretical and fieldwork phases.
• Data were collected through purposive sampling of 13 heart transplant recipients in Iran.
• Qualitative content analysis of 20 in-depth interviews was conducted.

Main Results:

• Adjustment to a new heart is a unique, multiphase process.
• Antecedents include transplantation timing, physical status, social/family support, relationships, and spiritual beliefs.
• Desirable outcomes include a new life and inner peace; undesirable outcomes involve psychological distress and emotional stagnation.

Conclusions:

• Healthcare teams must view heart transplant recipients as unique individuals.
• Discussions addressing physical, sexual, and emotional adjustment are vital before and after transplantation.