A qualitative study of post-discharge transition experience in heart transplant recipients
10.3760/cma.j.cn115682-20211022-04775
- VernacularTitle:心脏移植受者出院后过渡期体验的质性研究
- Author:
Bingyu XING
1
;
Qunfang MIAO
;
Jiehui FENG
;
Chunhua GAO
;
Wan SHU
Author Information
1. 杭州师范大学护理学院，杭州 311121
- Keywords:
Heart transplantation;
Transition;
Meleis'transition theory;
Qualitative research
- From:
Chinese Journal of Modern Nursing
2022;28(16):2178-2182
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To explore the transition from hospital discharge to home care in heart transplant recipients based on the Meleis' transition theory, so as to provide a basis for improving the quality of life of recipients.Methods:In July 2021, purposeful sampling was used to select heart transplant recipients from the First Affiliated Hospital of Zhejiang University School of Medicine as the research subject. A total of 12 recipients of one year after heart transplantation were selected for semi-structured interviews by snowballing. The interview data were analyzed using the Colaizzi 7-step method.Results:Through reading, analysis, sorting and summarizing, 4 themes and 11 sub-themes were extracted, namely, relatively stable recovery of physical condition, lack of medication and emotional management (unmet needs for medication cognition and management, good physical condition, early emotional experience of vulnerability) , the support of family and social resources affected the transition (the communication and support of patients promoted the transition, the support of the family promoted the transition, the lack of community resources hindered the transition, and the reimbursement policy affected the transition) , a positive experience in the transition (confidence to deal with future life, return to society and self-realization) , and expecting to obtain comprehensive and continuous management of body and mind (the needs of nursing care centered on mental health, the needs of professional management teams and the communication platform among doctors, nurses and patients) .Conclusions:The experience of home self-care after discharge has many physical and psychological impacts on heart transplant recipients. It is necessary to pay attention to the recipients in the transition period, and to build a whole-of-society support system to give help to heart transplant recipients.
