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Waiting for a kidney transplant: the experience of patients with end‐stage renal disease in S outh K orea
Author(s) -
Chong Hye Jin,
Kim Hyun Kyung,
Kim Sung Reul,
Lee Sik
Publication year - 2016
Publication title -
journal of clinical nursing
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.94
H-Index - 102
eISSN - 1365-2702
pISSN - 0962-1067
DOI - 10.1111/jocn.13107
Subject(s) - psychosocial , transplantation , medicine , kidney transplantation , end stage renal disease , kidney disease , health care , intensive care medicine , disease , family medicine , nursing , psychiatry , economics , economic growth
Aims and objectives To explore the experiences of Korean patients with end‐stage renal disease awaiting kidney transplantation. Background The need for kidney transplantation has increased worldwide, while the number of kidney donors has not increased commensurately. This mismatch is a serious issue in South Korea. Prolonged waits for transplantation may cause physical and psychosocial issues and lead to poor outcomes. Nevertheless, the experience of waiting for kidney transplantation in South Korea has never been explored in depth. Design A qualitative descriptive design was used. Methods The participants were eight patients diagnosed with end‐stage renal disease on the waiting list for kidney transplantation in South Korea. Data were collected through individual in‐depth interviews. All conversations during interviews were recorded and transcribed verbatim. Transcribed data were analysed using conventional content analysis. Results The experience of waiting for kidney transplantation consisted of six categories: (1) the light at the end of the tunnel, (2) being on call without any promise, (3) a tough tug of war between excitement and frustration, (4) doubts in the complexity, (5) A companion on the hard journey and (6) getting ready for D‐day. Conclusions Kidney transplantation candidates experience psychosocial difficulties and concerns while waiting for long periods of time without any assurance of resolution. Systematic education and psychosocial support from health care professionals and family members help patients get through what they describe as a difficult journey. Comprehensive management programs for kidney transplantation candidates are needed. Relevance to clinical practice Health care professionals need to recognise the psychosocial concerns of patients awaiting kidney transplantation. Clinicians should provide patients with information and support throughout the waiting period.