Heart transplantation is a relatively new medical treatment for end-stage heart failure. Many studies have addressed the outcomes and the complications and technical problems associated with heart transplants, but few have explored the whole clinical experience of being a heart transplant recipient.
Purpose
To understand and gain deeper insight into the lived experience of Iranian heart transplant recipients.
Methods
Interviews of 11 heart transplant recipients were analyzed according to phenomenological guidelines set forth by Diekelmann.
Results
Six major themes emerged from 29 subthemes, depicting the meaning of living with a transplanted heart. These themes include having a new life, living with new concerns, living with vigilance, paradoxical emotions, bearing others' behaviors, and the prominent role of God in life.
Conclusion
Heart transplant recipients in Iran experience a new life in which their faith in God helps them go through hardships and difficulties.
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References
1.
ErbasanOKemaloluCBayezidÖ. Heart transplantation. Anadolu Kardiyol Derg.2008;8(suppl 2):131–147.
2.
MandegarMHBagheriJChitsazS. Heart transplantation in Iran: A comprehensive single-center review of 15-year performance. Arch Iran Med.2009;12(2):111–115.
3.
TanKMorrisseyP. Solid organ transplantation-overview. Med Health R I.2007;90(3):72–75.
4.
MackenzieKM. Philosophical and ethical issues in human organ transplantation. Br J Nurs.2001;10(7):443–447.
5.
JonasonAM. The Meaning of Life in Organ Transplant Recipients.Augusta, GA: Medical college of Georgia; 1993.
6.
TongAMortonRHowardKCraigJC. Adolescent experiences following organ transplantation: A systematic review of qualitative studies. J Pediatr.2009;155(4):542–549.
7.
BaumannLJYoungCJEganJJ. Living with a heart transplant: Long-term adjustment. Transpl Int.1992;5(1):1–8.
8.
Almenar-PertejoMAlmenarLMartínez-DolzL. Study on health-related quality of life in patients with advanced heart failure before and after transplantation. Transplant Proc.2006;38(8):2524–2526.
9.
JonesBMChangVPEsmoreD. Psychological adjustment after cardiac transplantation. Med J Aust.1988;149(3):118–122.
10.
ShapiroPAKornfeldDS. Psychiatric outcome of heart transplantation. Gen Hosp Psychiatry.1989;11(5):352–357.
11.
EvangelistaLSDoeringLDracupK. Meaning and life purpose: The perspectives of post –transplant women. Heart Lung.2003;32(4):250–257.
12.
SadalaMLStolfNA. Heart transplantation experiences: A phenomenological approach. J Clin Nurs.2008;17(7b):217–225.
13.
GillPLowesL. Gift exchange and organ donation: Donor and recipient experiences of live related kidney transplantation. Int J Nurs Stud.2008;45(11):1607–1617.
14.
AslaniJKhedmatHAssariS. Transplantation research in Iran: A bibliometric study. Transplant Proc.2007;39(4):788–789.
15.
Mahdavi-MazdehMRouchiAHRajolaniHNorouziSAghighiMAhrabiS. Transplantation registry in Iran. Transplant Proc.2008;40(1):126–128.
16.
BroumandB. Transplantation activities in Iran. Exp Clin Transplant.2005;3(1):333–337.
17.
GhodsAJMahdaviM. Organ transplantation in Iran. Saudi J Kidney Dis Transpl.2007;18(4):648–655.
GradyKLJalowiecAWhite-WilliamsC. Quality of life 6 months after heart transplantation compared with indicators of illness severity before transplantation. Am J Crit Care.1998;7(2):106–116.
20.
HollowayI.WheelerS. Qualitative Research in Nursing.2nd ed.Hoboken, NJ: John Whiley and Sons; 2002.
PolitDFBeckCT. Essentials of Nursing Research: Methods, Appraisal, and Utilization.7th edPhiladelphia, PA: Lippincott Williams &Wilkins; 2010.
23.
StreubertHJCarpenterDR. Qualitative Research in Nursing: Advancing the Humanistic Imperative.5th ed.Philadelphia, PA: Lippincott Williams &Wilkins; 2011.
24.
VidnesTKWahlAKAndersenMH. Patient experiences following liver transplantation due to liver metastases from colorectal cancer. Eur J Oncol Nurs.2013;17(3):269–274.
25.
SargentSWainwrightSP. A qualitative study exploring patients perceived quality of life following an emergency liver transplant for acute liver failure. Intensive Crit Care Nurs.2007;23(5):272–280.
26.
TsengPHWangSSChangCLShihFJ. Job resumption status, hindering factors, and interpersonal relationship within post–heart transplant 1 to 4 years as perceived by heart transplant recipients in Taiwan: A between-method triangulation study. Transplant Proc.2010;42(10):4247–4250.
27.
OnoVCRamalhoFSRochaJN. Communication between organ donor families and recipients: A definitely controversial subject. Transplant Proc.2008;40(3):663–664.
28.
LinCSWangSSChangCLShihFJ. Dark-recovery experiences, coping strategies, and needs of adult heart transplant recipients in Taiwan. Transplant Proc.2010;42(3):940–942.
29.
MarinoBSTomlinsonRSDrotarD. Quality-of-life concerns differ among patients, parents, and medical providers in children and adolescents with congenital and acquired heart disease. Pediatrics.2009;123(4):e708–e715.
30.
ForsbergABackmanLMollerA. Experiencing liver transplantation: A phenomenological approach. J Adv Nurs.2000;32(2):327–334.
OlaussonBUtbultYHanssonS. Transplanted children's experiences of daily living: Children's narratives about their lives following transplantation. Pediatr Transplant.2006;10(5):575–585.
33.
ThomasCW. The Lives of Liver Recipients in the Long-term: A Descriptive-Explanatory Study.University of Colorado Health Sciences Center; 2008. http://gradworks.umi.com/33/25/3325843.html. Accessed June 30, 2014.
34.
KabaEShanleyE. Identification of coping strategies used by heart transplant recipients. Br J Nurs.1997;6(15):858–862.
