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Related Concept Videos

Kidney Transplant I: Introduction01:28

Kidney Transplant I: Introduction

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A kidney transplant is a surgical approach that involves replacing a non-functioning kidney with a healthy one from a donor. This procedure is often a treatment option for end-stage renal disease (ESRD) patients. The method requires careful recipient selection, including evaluating various medical and psychosocial factors. These criteria vary between transplant centers but generally include assessments of the patient's overall health, adherence to medical recommendations, and lifestyle...
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Tissue Transplantation01:24

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Tissue transplantation is a significant medical procedure involving the transfer of cells, tissues, or organs from a donor to a recipient, with the primary aim of restoring lost functions. This procedure is crucial in treating a broad spectrum of diseases, including kidney diseases, liver failure, heart disease, and certain types of cancers.
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Kidney Transplant II: Surgical Procedure01:26

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Preoperative ManagementThe primary goals of preoperative management in kidney transplantation are to optimize the patient’s metabolic state and prepare them for surgery through diet adjustments, necessary dialysis, and tailored medical treatment. This phase also involves comprehensive infection screening and patient education about the surgical procedure and postoperative care to improve outcomes and adherence.Medical ManagementA comprehensive evaluation is required for both the living...
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Bone Marrow Sampling and Transplants01:22

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Bone marrow transplant is a potential cure for several diseases, including cancer and specific genetic disorders. Notably, this procedure is applicable for patients suffering from aplastic anemia, certain types of leukemia, severe combined immunodeficiency disease (SCID), Hodgkin's disease, non-Hodgkin's lymphoma, multiple myeloma, thalassemia, sickle-cell disease, and certain cancers.
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Porcine Liver Transplantation Without Veno-Venous Bypass As an Extended Criteria Donor Model
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Exploration Into Donor-Recipient Relationship After Living-Donor Liver Transplantation Using Gift-Exchange Theory.

Yaprak Sarıgöl Ordin1, Özgül Karayurt2, Gülay Aksu Kul2

  • 1Department of Surgical Nursing, Dokuz Eylül University, Faculty of Nursing, İzmir, Turkey.

Florence Nightingale Journal of Nursing
|July 15, 2021
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Summary

Living-donor liver transplantation recipients experienced complex emotions, including gratitude and indebtedness, leading to relationship changes with their donors. Some donors, especially married women, faced negative personal consequences post-donation.

Keywords:
Donor-recipient relationshipgift exchange theoryliver transplantationliving donorqualitative research

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Area of Science:

  • Transplantation Medicine
  • Psychosocial Health
  • Sociology of Health

Background:

  • Living-donor liver transplantation (LDLT) involves significant physical and emotional commitment from both donors and recipients.
  • Understanding the evolving dynamics of donor-recipient relationships post-transplantation is crucial for long-term psychosocial well-being.

Purpose of the Study:

  • To qualitatively explore the complex donor-recipient relationships following living-donor liver transplantation.
  • To identify the emotional and relational shifts experienced by both parties post-transplant.

Main Methods:

  • A qualitative, cross-sectional study involving semi-structured interviews with 17 liver transplant recipients and 11 living liver donors.
  • Verbatim transcription and thematic content analysis of interview data.

Main Results:

  • Two overarching themes emerged: recipients becoming care providers and differentiation in relationships post-transplantation.
  • Sub-themes included recipients experiencing guilt and indebtedness, leading to both increased closeness and purposeful distancing from donors.
  • Donors generally understood recipients' feelings but desired a return to pre-donation relationship norms; married female donors reported more negative marital outcomes.

Conclusions:

  • The study highlights the reciprocation stage in gift-exchange theory, where recipients navigate gratitude alongside guilt and indebtedness.
  • Relationship dynamics shift post-transplantation, with recipients seeking to balance appreciation with autonomy.
  • The psychosocial impact on living donors, particularly married women, warrants further attention and support.