A model of donors' decision-making in adult-to-adult living donor liver transplantation in Japan: Having no choice
A model of donors' decision-making in adult-to-adult living donor liver transplantation in Japan: Having no choice
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DOI：
10.1002/lt.20689
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发表时间：
2006-05-01
影响因子：
4.6
通讯作者：
Tanaka, Koichi
中科院分区：
文献类型：
--
作者：
Fujita, Misao;Akabayashi, Akira;Tanaka, Koichi
本研究旨在探讨成人间活体肝移植供体的决策过程。22捐助者进行了采访，使用半结构化的格式。访谈内容逐字转录，并使用扎根理论进行定性分析。建立了一个决策模型，包括5个阶段：（1）识别，（2）消化，（3）决策，（4）强化，（5）解决。第二和第三阶段描述了供者“做出决定”的经历;第四和第五阶段描述了“面对移植”的经历。该模式的核心主题是“别无选择”，由4个代码组成：（1）生命优先，（2）只有LDLT，（3）家庭，（4）只有我。总之，该模式可以帮助医疗保健专业人员了解捐赠者的经验，并在此基础上为捐赠者提供足够的支持。
This study examined the decision-making processes of donors in adult-to-adult living donor liver transplantation. Twenty-two donors were interviewed using a semi-structured format. Interview contents were transcribed verbatim and analyzed qualitatively using grounded theory. A decision-making model was developed consisting of 5 stages: (1) recognition, (2) digestion, (3) decision-making, (4) reinforcement, and (5) resolution. The second and the third stages described donors' experiences of "reaching a decision"; the fourth and fifth stages described those of "facing transplantation." The central theme of this model was "having no choice," which consisted of 4 codes: (1) priority of life, (2) only LDLT, (3) for family, and (4) only me. In conclusion, this model can help health care professionals to understand the donor experience and, based on that understanding, to provide sufficient support to the donor.