肝臟移植活體捐贈者之生活經驗

本研究以現象學究法探討活體肝臟移植捐贈者之生活經驗。研究者於南部某移植醫學中心，採立意取樣，以仍住加護病房中，接受肝臟移植捐贈手術後欲轉普通病房的捐贈者，共收集個案八人，以一對一進行深度訪談與錄音，訪談結束即將錄音之訪談內容轉為逐字稿，並以Colaizzi (1978)做為分析訪談資料的方法，直到無新的主題發現停止收案，經歸納整理出活體肝臟移植捐贈者之生活經驗。研究結果中發現生活經驗呈現：自己所建構的行為意義、擺盪與決擇信念的過程、手術的適應過程、手術後身體感受、捐贈身體的得失等五部分。透過本研究，探究捐贈者捐贈經驗的生命歷程，除了呈現捐贈者其親身經歷，對活體肝臟移植的過程有更貼近及深刻的體會外，研究結果能提供在照護捐贈者之生理安全外，期望照護其心理的安適，更期待能進而瞭解其相關因素，有助於提升照護品質，達到全人照護的護理目標是值得探討的。關鍵字：活體肝臟移植、活體肝臟移植捐贈者、生活經驗

關鍵字

活體肝臟移植；活體肝臟移植捐贈者；生活經驗

並列摘要

This study aimed to investigate the lived experiences of living liver transplant donors. A total of 8 participations, who had been in an intensive care unit post-op from donating partial livers and transferred to a step down unit, participated in this study in a medical transplant center located in Southern Taiwan. This study was conducted with the phenomenological method. Data were collected through observations and interviews. The in-depth interview was used to collect data, with recording, was performed with purposive sampling and using. The researcher then transcribed the recorded contents verbatim and utilized the Colaizzi (1978) phenomenological analytical method. The information collected was then inducted and systematically sorted of the life experiences of living liver transplant donors. Which is manifested in five parts: self constructed meanings of liver transplant behaviors, conflicts of their beliefs and choices, the adaptive processes of the operation, physical sensations after surgery, and the gains and losses of the physical donor body. Through this study, the researchers discovered the lived experiences and the process of the living liver transplant donors. Not only does this study show the donors' personal in-depth and close experiences towards the processes of liver transplantation, the results of this study could provide insight of caring for donors' physical safety and their psychological comforts. Furthermore, this study could improve the quality of nursing care and provide holistic care of liver transplantation donor. Key words: Living Donor Liver Transplantation, living donor for liver transplantation, life experiences