Caregiving, creating a situation of vulnerability, can result in increased mortality and morbidity for illness and emotional stress. This study using secondary analysis focused on spousal involvement in the lung transplant process and vulnerability for caregiver strain. In the original studies, taped telephone interviews were conducted with 24 spouses of transplant candidates or recipients using a cross-sectional design. Transcripts were recoded for significant statements related to caregiver role strain. Spouses during organ-waiting periods had higher numbers of statements reflecting caregiver role strain. For posttransplant spouses, caregiver strain was greatest at the time of transplant and early recovery period. Caregiver strain was evident with new crises of infection or rejection. Individual spouses with the most evidence of caregiver strain were those balancing multiple roles and tasks. Health care providers should assess entire transplant families throughout the transplant process for vulnerability related to caregiver strain and assist members to activate coping strategies.
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