ABSTRACT
This prospective, descriptive research study sought to identify factors that influence the pursuit of kidney transplant by persons with end stage renal disease (ESRD). Four research questions explored various areas about kidney transplants, including overall knowledge, reasons for wanting/not wanting a kidney transplant, sources of information, views of how one's life could change, and interest in receiving a transplant. A prospective, descriptive study was designed that used both quantitative and qualitative methods of data collection. A random sample of 115 persons from a total population of 450 individuals, currently undergoing treatment in 1 of 3 dialysis facilities in a mid-Atlantic state. was obtained. Two nurse interviewers used four instruments during a 1-hour, structured interview completed at the facility. The results show that: (a) two-thirds of the sample population underestimated the current success rate of transplantation; and (b) over half never discussed transplants with family members. Implications for health care providers are discussed in this article.
Subject(s)
Attitude to Health , Health Knowledge, Attitudes, Practice , Kidney Failure, Chronic/psychology , Kidney Transplantation/psychology , Adaptation, Psychological , Adult , Aged , Female , Humans , Kidney Failure, Chronic/surgery , Male , Middle Aged , Patient Satisfaction , Prospective Studies , Surveys and QuestionnairesABSTRACT
There is a shortage of information about the psychosocial influences that impact family decision making for a living related donor kidney transplant. This article reviews research findings related to the psychosocial meanings of donation. potential recipient's decisions about the kidney donor, and families' roles and expectations. The social meaning of organ donation as a "gift" and family dynamics involved in decision making are addressed. The findings show that families make decisions about kidney donation in different ways. Emotional responses of potential kidney recipients include ambivalence, passivity, and denial of the severity of their illness. Emotional responses of potential family donors range from unrestrained willingness to ambivalence and concerns of coercion. Improved accuracy of health assessment and awareness of the importance of psychosocial perspectives is needed. Assessment questions addressing the fears and concerns of potential recipient and donor are suggested.
