Journal List > J Korean Acad Nurs > v.46(2) > 1003155

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Kang and Yang: Adaptation Experience of Living Kidney Donors after Donation
Original Article

Journal of Korean Academy of Nursing 2016; 46(2): 271-282.

Published online: 29 April 2016

DOI: https://doi.org/10.4040/jkan.2016.46.2.271

Adaptation Experience of Living Kidney Donors after Donation

Da-Hai-Som Kang1, Jinhyang Yang2

1Department of Nursing, Kaya University, Gimhae, Korea.

2Department of Nursing·Institute of Health Science, Inje University, Busan, Korea.

Address reprint requests to: Yang, Jinhyang. Department of Nursing·Institute of Health Science, Inje University, 75 Bokji-ro, Busanjin-gu, Busan 47392, Korea. Tel: +82-51-890-6839, Fax: +82-51-896-9840, jhyang@inje.ac.kr

Received 17 August 2015       Revised 27 August 2015       Accepted 17 December 2015

© 2016 Korean Society of Nursing Science

(open-access):

This is an Open Access article distributed under the terms of the Creative Commons Attribution NoDerivs License. (http://creativecommons.org/licenses/by-nd/4.0/) If the original work is properly cited and retained without any modification or reproduction, it can be used and re-distributed in any format and medium.

Abstract

Purpose

This study was done to explore adaptation experience of living kidney donors after donation. Specific aims were to identify challenges donors face in the process of adaptation following surgery and how they interact with recipients and other people.

Methods

Grounded theory methodology was utilized. Participants were 13 living kidney donors at six months or more after donation. Data were collected by in-depth interviews with individual participants. Data were analyzed using constants comparative method with theoretical saturation.

Results

A core category emerged as 'keeping the fences of my family in spite of vulnerability'. The adaptation process after donation was manifested in four phases: exploration, balance, maintenance, and acclimatization. Phenomenon was perception of vulnerability. Strategies to manage the vulnerability were assessing changes of body awareness, tailoring regimen to one's own body condition, coping with health problems, keeping restoration of health, and ruminating on the meaning of one's kidney donation. Consequences were reestablishing family well-being, realizing the values of one's kidney donation, and living with uncertainty.

Conclusion

Findings of the study indicate that there is a need for health professionals to understand the vulnerability of living kidney donors and help their family system maintain a healthy and productive life. The results of this study can be used to develop phase-specific, patient-centered, and tailored interventions for living kidney donors.

Keywords: Organ transplantation, Living donors, Family, Adaptation, Qualitative research

Figures and Tables

Figure 1

Adaptation experience of living kidney donors after donation.

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Table 1

Paradigm and Categorization of the Data

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Notes

This manuscript is based on a part of the first author's doctoral dissertation from Inje University.

CONFLICTS OF INTEREST The authors declared no conflict of interest.

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