Young Adult Donor's Experiences of Living Donor Liver Transplantation

Bang, Miseon; Shin, Haeyun; Ryu, Min Hee; Kwon, Suhye

doi:10.4040/jkan.20235

Cited by 5 publications

(8 citation statements)

References 18 publications

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“…Conversely, the general population encompassed individuals aged 18-79 years, with a higher representation in the 50-60 age group. Such findings suggest that young adults, grappling with the uncertainties inherent in early adulthood and associated developmental milestones like employment and marriage, may be predisposed to heightened levels of anxiety, potentially exacerbated by the postponement or disruption of these life pursuits owing to organ donation [43]. Moreover, our study revealed that postoperative complications exerted a discernible impact on LLD's anxiety levels.…”

Section: Discussionmentioning

confidence: 61%

“…Concerns over unforeseen medical expenses stemming from complications may further exacerbate anxiety levels [14]. Consequently, implementing policies that offer financial support for both donors and recipients may be a salient intervention strategy [43].…”

Section: Discussionmentioning

confidence: 99%

“…To provide family-centered care, the first step is to strengthen the relationship between the donor and recipient. Although LLDs may experience both physical and psychological discomfort after donation, they often hesitate to express their struggles for fear of burdening or worrying the recipient, leading them to endure their feelings alone [43,51]. Recipients may feel infinite gratitude towards the donor but may also experience feelings of guilt and hesitation in expressing these openly [51,52].…”

Section: Discussionmentioning

confidence: 99%

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Post-Donation Regret and Anxiety Among Family Living Liver Donors: The Mediating Roles of Family Relationships and Sense of Mastery

Lee,

Koh,

2024

Ann Transplant

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Background:Post-donation regret in family living liver donors can impact their mental well-being. This study examined whether the relationship between post-donation regret and anxiety is mediated by family relationships and a sense of mastery. Material/Methods:We conducted a secondary analysis of de-identified cross-sectional data from a prior study that included 124 living liver donors. These donors underwent partial hepatectomy between January 2011 and March 2021 at a tertiary hospital in Seoul, South Korea. The data included demographic and clinical characteristics, along with the results from administering the following measures: the Post-Donation Regret Scale, Family Relationships Index, Pearlin Mastery Scale, and the Generalized Anxiety Disorder-2 scale. Results:Among family living liver donors, 5.6% had anxiety after donation. The total effect of post-donation regret on anxiety was significant (B=0.41, p<0.05). However, the direct effect of regret on anxiety was not significant (B=-0.05, p=0.733). Post-donation regret had indirect effects on anxiety, solely through family relationships (B=0.329, 95% CI=0.130, 0.563) and sequentially through family relationships and mastery (B=0.088, 95% CI=0.008, 0.232), even after controlling for sex, age, postoperative complications, years since donation, and recipient's death. In addition, postoperative complication was a predictor of anxiety (B=0.64, p<0.05). Conclusions:Providing family-centered and mastery-enhancing interventions may help alleviate the anxiety of family living liver donors.

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Section: Discussionmentioning

confidence: 61%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

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Post-Donation Regret and Anxiety Among Family Living Liver Donors: The Mediating Roles of Family Relationships and Sense of Mastery

Lee,

Koh,

2024

Ann Transplant

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“…QoL of LLDs is generally investigated using a generic QoL instrument, such as the Medical Outcome Study Short form 36 (SF‐36), which focuses on donors' physical and psychological well‐being, but does not address the nature of the impact of donation surgery on parental donors (DiMartini et al, 2017). Donation‐related parameters, such as graft type, donor age, post‐operative complications of the donor, and the relationship between donor and recipient could interfere with post‐donation outcomes of donors and affect their QoL (Bang et al, 2021; Xu et al, 2015). The post‐operative QoL of donors is an important factor in their achievement of outcomes, and the transplant team should follow up with each donor's self‐reported outcome to provide post‐donation care and improve the LDLT process to safeguard the donor's life.…”

Section: Introductionmentioning

confidence: 99%

Living well or not? Quality of life of parental living liver donors: A cross‐sectional study

Chen

Fan

et al. 2023

Journal of Clinical Nursing

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Aim:The aim of this study was to gain comprehensive insight into the quality of life of parental living liver donors after liver donation.Background: Several studies reported good quality of life of living liver donors with the SF-36 scale. Care demand from the recipient and responsibility of being parent might make a difference in parental donors' personal experienced quality of life after transplantation surgery. Methods: It is a cross-sectional study. The parental donors' demographics, clinical data and post-donation complications were obtained. Quality of life was assessed using the Medical Outcomes Study SF-36 and the Quality of Life Scale of Living Organ Donors-Common Module. Patient or Public Contribution:The enrolled participants were contacted by electronic questionnaires and telephonic interview.Results: A total of 345 parental donors were included, with recruited period ranging from 3 to 85 months post-donation. 8.1% of donors had post-operative complications, mostly classified as Clavien grade II. Donors' general quality of life was higher than the Chinese general norm. Issues related to surgical incision, fatigue, worries about income and personal health, effects on work capability, increased medical expenses and difficult reimbursement and suspected donation decision were the prominent problems among donors. Mother-son relationship (OR = 1.87) and equal or less than 2 years after donation (OR = 3.08) were the influencing factors for poor physical quality of life, while unmarried status (e.g. divorced or widowed) was found negatively associated with mental quality of life (adjusted OR = 3.61).Conclusions: General health among parental donors is good but those female, unmarried and near post-donation might in low life quality. Incision, fatigue, finance, reimbursement and donation decision are prominent problems.Relevance to Clinical Practice: Post-donation care of living donors should cover social and financial domain besides physical and mental dimension. Providing follow-up care and counselling is necessary to ensure their life quality.

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“…In most previous studies on living liver donors, investigators chose a quantitative approach concerning donors’ QoL (Ladner et al, 2015; Park et al, 2016; Xu et al, 2015), transplant‐related complications (Samstein et al, 2013; Yang & Yu, 2017), and factors affecting postoperative pain and hospital stay (Jung & Bang, 2018). In other qualitative studies, researchers assessed the life experiences of living liver donors (Bang et al, 2021; Cabello & Smolowitz, 2008; Lin et al, 2020) and their decision‐making process to donate (Al Breizat et al, 2020; Papachristou et al, 2004).…”

Section: Introductionmentioning

confidence: 99%

The life experiences of living liver donors: A qualitative meta‐synthesis

Jang

Nam

2022

Research in Nursing & Health

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As living liver transplantation has become a standard treatment method with a high success rate, many studies have investigated the experiences of living liver donors; however, their results have not been integrated. This qualitative meta‐synthesis aimed to explore the life experiences of living liver donors to provide an in‐depth understanding of meaningful common experiences. A comprehensive search on qualitative studies published in English or Korean was conducted in October 2021. The PRISMA statement was used for reporting each phase of the literature search, and MAXQDA2020 software was used for data analysis. Data synthesis was conducted using the three‐step thematic synthesis method suggested by Thomas and Harden. Ten articles met the inclusion criteria. The analysis revealed five main themes: “Becoming an earnest donor,” “Transitioning from a potential donor to an actual donor,” “Difficulties in returning to normal life,” “Re‐examining the meaning of donation,” and “Wishes for prospective donors.” The study emphasizes that living liver donors need medical attention and intervention from multilateral perspectives as well as the need for systematic change in the society to enhance support for donors. This review provides comprehensive insights on how individuals became the living liver donor and the important aspects of living donation and other considerations in an integrated manner. Transplant teams, including nurses and coordinators, should have a comprehensive understanding of physical, psychological, and social experiences of donors ranging from decision‐making to post donation health management.

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Young Adult Donor's Experiences of Living Donor Liver Transplantation

Cited by 5 publications

References 18 publications

Post-Donation Regret and Anxiety Among Family Living Liver Donors: The Mediating Roles of Family Relationships and Sense of Mastery

Post-Donation Regret and Anxiety Among Family Living Liver Donors: The Mediating Roles of Family Relationships and Sense of Mastery

Living well or not? Quality of life of parental living liver donors: A cross‐sectional study

The life experiences of living liver donors: A qualitative meta‐synthesis

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