儿童肝移植供肝者心理体验的质性研究

A qualitative study on psychological experience of pediatric living donor liver transplantation donors

目的了解父母作为儿童肝移植供肝者的心理体验,明确父母供者面对供肝时所存在的问题及收获,帮助供者解决问题以促进供者与患儿的早期康复.方法采用质性研究中现象学方法,用Colaizzi 7步资料分析方法对访谈录音资料进行分析.结果共总结4个主题:(1)术前心理路径:激动、急躁、焦灼;(2)术后成长:感恩、重拾希望、努力向上、积极进取;(3)术后负性情绪的滋生:畏惧与愧疚;(4)家庭与社会支持的需求.结论医护人员应加强心理护理与健康宣教,运用叙事护理等方法调动供者积极心理体验,同时提供围手术期的优质护理,减轻供者术后疼痛感,加强社会与家庭支持,帮助供者恢复身心健康.

Objective To understand the psychological experience of the pediatric living donor liver transplantation who is the child`s parent,identify the problems and gains that donors face in the event of donor liver,help donors to solve their difficulties to promote early recovery of donors and children,and help potential donors better understand the surgical.Methods The phenomenological methodology in qualitative research was used in the study,and the Colaizzi 7-step data analysis method was used for analysis the interview recording.Results Total of four themes are summarized.Preoperative psychological path:excitement,impatience,anxiety.Postperative growth:grateful,regain hope,hard work and proactive.Postnatal negative emotions:fear and jealousy.Family and social support.Conclusion Medical staff should strengthen psychological care and health education,use narrative care and other methods to mobilize the donor′s positive psychological experience,while providing perioperative quality care,strengthen social and family support,and help donors to restore physical and mental health.