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http://dx.doi.org/10.4040/jkan.2017.47.1.110

The Lived Experience of Patients with Heart Transplantation: A Phenomenological Study  

Hwang, Younghui (Nursing Department, Yeoju Institute of Technology)
Yi, Myungsun (College of Nursing, Seoul National University)
Publication Information
Journal of Korean Academy of Nursing / v.47, no.1, 2017 , pp. 110-120 More about this Journal
Abstract
Purpose: The purpose of this study was to describe the lived experience of patients with heart transplantation in Korea. Methods: Individual indepth interviews and a focus group interview were used to collect the data from nine patients who had heart transplantations in 2015. All interviews were audio-taped and verbatim transcripts were made for the analysis. Data were analyzed using Colaizzi's phenomenological method. Results: Among the nine participants, eight were men. Mean age was 57.30 years. Six theme clusters emerged from the analysis. 'Joy of rebirth obtained by good luck' describes the pleasure and expectation of new life after narrow survival. 'Suffering from adverse drug effects' illustrates various psychosocial difficulties, such as low self-esteem, helplessness, alienation, and burnout, arising from the side effects of medications. 'Body and mind of being bewildered' illustrates disintegrated health and haunting fear of death. 'Alienation disconnected with society' describes isolated feeling of existence due to misunderstandings from society. 'Suffering overcome with gratitude and responsibility' includes overcoming experience through various social supports and suitable jobs. Finally, 'acceptance of suffering accompanied with new heart' illustrate changed perspective of life itself. Conclusion: The findings in this study provide deep understanding and insights of the lived experience of heart related illness for these patients and should help in the development of tailored-interventions for patients with heart transplantation.
Keywords
Heart transplantation; Organ transplantation; Life change event; Qualitative research;
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1 Grady KL, Wang E, White-Williams C, Naftel DC, Myers S, Kirklin JK, et al. Factors associated with stress and coping at 5 and 10 years after heart transplantation. The Journal of Heart and Lung Transplantation. 2013;32(4):437-446. http://dx.doi.org/10.1016/j.healun.2012.12.012   DOI
2 Lee NI. Phenomenology and qualitative research. Paju: Hangilsa Corp.; 2014. p. 1-415.
3 Cho SN, Lee HJ, Joo YJ, Kim NY. Qualitative research design & practice. Seoul: Greenpress; 2011. p. 1-313.
4 Krueger RA. Focus groups: A practical guide for applied research. 2nd ed. Thousand Oaks, CA: Sage; 1994. p. 1-255.
5 Colaizzi PF. Psychological research as the phenomenologist views it. In: Valle RS, King M, editors. Existential phenomenological alternatives for psychology. New York, NY: Oxford University Press; 1978. p. 48-71.
6 Sandelowski M. The problem of rigor in qualitative research. ANS Advances in Nursing Science. 1986;8(3):27-37.   DOI
7 Guba EG, Lincoln YS. Effective evaluation. San Francisco, CA: Jossey-Bass; 1981. p. 1-423.
8 Sadala ML, Stolf NA. Heart transplantation experiences: A phenomenological approach. Journal of Clinical Nursing. 2008;17(7b):217-225. http://dx.doi.org/10.1111/j.1365-2702.2007.02206.x   DOI
9 Kim YJ, Song H, Oh SS, Lee CH, Park KH, Jun TG, et al. Cardiac surgery. Seoul: Korea Medical Book Publishing Company; 2011. p. 1055-1077.
10 Czyz ewski L, Torba K, Jasi ka M, Religa G. Comparative analysis of the quality of life for patients prior to and after heart transplantation. Annals of Transplantation. 2014;19:288-294. http://dx.doi.org/10.12659/aot.890190   DOI
11 Lee ES, Lee M. The phenomenological study on heart transplantation recipient's experiences. Nursing Science & Research. 1997;1(1):31-48.
12 Korean Network for Organ Sharing (KONOS). 2013 KONOS annual report [Internet]. Seoul: Ministry of Health and Welfare, Korean Network for Organ Sharing; 2014 [cited 2016 July 15]. Available from: https://www.konos.go.kr/konosis/index.jsp.
13 Song Y. The life of patients with a heart transplant. Journal of Korean Academy of Nursing. 2007;37(1):64-71.   DOI
14 Squires RW, Rodeheffer RJ. Cardiac transplant. In: Durstine JL, Moore G, LaMonte M, Franklin BA, editors. Pollock's textbook of cardiovascular disease and rehabilitation. Champaign, IL: Human Kinetics; 2008. p. 327-337.
15 Pinson CW, Feurer ID, Payne JL, Wise PE, Shockley S, Speroff T. Health-related quality of life after different types of solid organ transplantation. Annals of Surgery. 2000;232(4):597-607. http://dx.doi.org/10.1097/00000658-200010000-00015   DOI
16 Kaba E, Thompson DR, Burnard P, Edwards D, Theodosopoulou E. Somebody else's heart inside me: A descriptive study of psychological problems after a heart transplantation. Issues in Mental Health Nursing. 2005;26(6):611-625. http://dx.doi.org/10.1080/01612840590959452   DOI
17 Monemian S, Abedi H, Naji SA. Life experiences in heart transplant recipients. Journal of Education and Health Promotion. 2015;4:18. http://dx.doi.org/10.4103/2277-9531.154037   DOI
18 Poole J, Ward J, DeLuca E, Shildrick M, Abbey S, Mauthner O, et al. Grief and loss for patients before and after heart transplant. Heart and Lung. 2016;45(3):193-198. http://dx.doi.org/10.1016/j.hrtlng.2016.01.006   DOI
19 Lin CS, Wang SS, Chang CL, Shih FJ. Dark-recovery experiences, coping strategies, and needs of adult heart transplant recipients in Taiwan. Transplantation Proceedings. 2010;42(3):940-942. http://dx.doi.org/10.1016/j.transproceed.2010.03.021   DOI
20 O'Connor KP, Janelle C, Coutu MF, Rouleau A, Lessard MJ, Kirouac C, et al. 'I'm cured but....': Perceptions of illness following treatment. Journal of Health Psychology. 2009;14(2):278-287. http://dx.doi.org/10.1177/1359105308100212   DOI
21 Mauthner O, De Luca E, Poole J, Gewarges M, Abbey SE, Shildrick M, et al. Preparation and support of patients through the transplant process: Understanding the recipients' perspectives. Nursing Research and Practice. 2012;2012:547312. http://dx.doi.org/10.1155/2012/547312   DOI
22 Jeon DS. Textbook of cardiology for medical students. Seoul: Medbook Co., Ltd.; 2014. p. 332-333.
23 National Health Insurance Service. Benefits by classification of 298 disease categories by age (Total) [Internet]. Seoul: Author; 2016 [cited 2016 May 10]. Available from: http://kosis.kr/statHtml/statHtml.do?orgId=350&tblId=TX_35001_A061&conn_path=I2
24 Ha HS, Jeong JS, Chae YR, Hong JJ, Kim IO, Yi M, et al. Psychosocial adjustment of the organ transplantation recipients in Korea. The Journal of the Korean Society for Transplantation. 2007;21(2):269-281.
25 Grady KL, Jalowiec A, White-Williams C. Preoperative psychosocial predictors of hospital length of stay after heart transplantation. The Journal of Cardiovascular Nursing. 1999;14(1):12-26. http://dx.doi.org/10.1097/00005082-199910000-00003   DOI
26 Jalowiec A, Grady KL, White-Williams C. Gender and age differences in symptom distress and functional disability one year after heart transplant surgery. Heart and Lung. 2011;40(1):21-30. http://dx.doi.org/10.1016/j.hrtlng.2010.02.004   DOI
27 Evangelista LS, Doering LV, Dracup K, Vassilakis ME, Kobashigawa J. Hope, mood states and quality of life in female heart transplant recipients. The Journal of Heart and Lung Transplantation. 2003;22(6):681-686. http://dx.doi.org/10.1016/S1053-2498(02)00652-6   DOI
28 Kim HW, Yoon TR, Cho YJ. Total hip arthroplasty for osteonecrosis of the femoral head following cardiac transplantation: A case report. The Journal of the Korean Hip Society. 2010;22(2):166-170. http://dx.doi.org/10.5371/jkhs.2010.22.2.166   DOI