活體腎臟移植捐贈者之決策過程與術後生活經驗： 以南部某醫學中心女性配偶捐贈者為例

The decision-making processes and experiences after donation for living kidney donors： The experiences of female spouses from a Medical Center in Southern Taiwan

陳靜瑩(Ching-Ying Chen)

指導教授 ： 林壽惠

長榮大學/健康科學學院/護理學研究所/碩士(2009年)

https://doi.org/10.6833/CJCU.2009.00153

摘要

本研究係以質性研究法來探討活體腎臟移植捐贈者之決策過程與術後生活經驗。採用立意取樣，於南部某醫學中心移植資料庫中，選取捐贈關係中最多數的女性配偶捐贈者為研究對象，採用半結構式訪談指引進行訪談，於2008年9月至12月進行資料的收集，至資料飽和為止共收案4位。訪談資料是以內容分析法進行資料的分析，歸納整理出活體腎臟移植之女性配偶捐贈者的決策過程，與主觀的術後生活經驗脈絡。研究結果中，決策過程共呈現「萌生念頭」、「猶疑思慮」、「婦女的抉擇」、「回到最初的心」及「不會動搖的決心」等五個類別；術後生活經驗共呈現「難忘的辛苦過渡時期」、「重新回復的新生活」與「對捐贈的體認」等三個類別。透過本研究，能瞭解女性配偶捐贈者的決策過程及術後生活經驗，及在此期間所面臨的困境與問題，期望藉此研究、文獻的整理與臨床照護之經驗，能喚起醫療團隊及家屬，發現並瞭解活體腎臟移植捐贈者在術前的決策過程，與術後可能面臨之身、心、靈及社會全面性的健康問題，並能給予完整、持續性的評估與照護，提供醫護人員在照護此類病患時之參考，同時也能提供未來預捐贈者之參考依據。

關鍵字

活體腎臟移植捐贈者 ； 女性配偶 ； 決策過程 ； 術後生活經驗

並列摘要

This research is to describe female spouses’ experiences and decision-making processes of donating a kidney to their husbands. We conducted a qualitative research study using purposive sampling approach, and interviewed with 4 female spouses who were recruited from a medical center in Southern Taiwan. In-depth imterviews were conducted between September and December, 2008. Semi-structured question guides were used to facilitate the interview. The participants’ responses were tape-recorded, verbatim transcribed, and analyzed by content analysis method. The results showed that decision-making processes of the female living donors included “idea inception”, “hesitation”, ”the decision of females”, ”returning to the beginning”, and “resolution”. Post-operation living experiences included “unforgettable painful transitional period”,”recovery”, and “perception about kidney donation”. The study provided descriptive information about female living donors’ experiences and decision-making processes. Through the findings of this study, coupled with literature review and clinical nursing experiences, we hope that healthcare providers can better understand the living donors’ experiences and decision-making processes, provide comprehensive and continuous care and evaluation, and help them resolve physical, psychological, and social problems. Special assistance and appropriate intervention can also be provided to future potential living donors.

並列關鍵字

living kidney donor ； female spouse ； decision-making process ； experience after dontion

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