The experiences of adult heart, lung, and heart-lung transplantation recipients: A systematic review of qualitative research evidence.
Journal
PloS one
ISSN: 1932-6203
Titre abrégé: PLoS One
Pays: United States
ID NLM: 101285081
Informations de publication
Date de publication:
2020
2020
Historique:
received:
02
02
2020
accepted:
18
10
2020
entrez:
11
11
2020
pubmed:
12
11
2020
medline:
29
12
2020
Statut:
epublish
Résumé
To review evidence about the experience of being the recipient of a donated heart, lungs, or heart and lungs. A systematic review (registered with PROSPERO: CRD42017067218), in accordance with PRISMA guidelines. Seven databases and Google Scholar were searched in May 2017 and July 2019 for papers reporting English-language research that had used qualitative methods to investigate experiences of adult recipients. Quality was assessed and results were analysed thematically. 24 papers (reporting 20 studies) were eligible and included. Their results were organised into three chronological periods: pre-transplant (encompassing the themes of 'dynamic psychosocial impact', 'resources and support'), transplant ('The Call', 'intensive care unit'), and post-transplant ('dynamic psychosocial impact', 'management', 'rejection'). Sub-themes were also identified. It was evident that contemplating and accepting listing for transplantation entailed or amplified realisation of the precipitating illness's existential threat. The period surrounding transplantation surgery was marked by profound, often surreal, experiences. Thereafter, although life usually improved, it incorporated unforeseen challenges. The transplantation clinic remained important to the recipient. The meaning of the clinic and its staff could be both reassuring (providing care and support) and threatening (representing onerous medical requirements and potential organ rejection). This review has implications for the psychosocial care of transplant recipients and indicates the need for further research to gain insight into the experience of receiving a donated heart and/or lung. Medical consequences of heart and lung transplantation are well documented; this is the first systematic review of research using qualitative methods to investigate the experience of heart, lung, and heart-and-lung transplantation. The psychosocial impact of transplantation was found to be dynamic and complex, with notable features evident before, during, and after transplantation. Clinic staff remained significant to recipients. It is clear that recipients need continuing psychosocial as well as medical support.
Identifiants
pubmed: 33175900
doi: 10.1371/journal.pone.0241570
pii: PONE-D-20-03070
pmc: PMC7657484
doi:
Types de publication
Journal Article
Research Support, Non-U.S. Gov't
Systematic Review
Langues
eng
Sous-ensembles de citation
IM
Pagination
e0241570Déclaration de conflit d'intérêts
The authors have declared that no competing interests exist.
Références
Curr Opin Organ Transplant. 2014 Dec;19(6):583-90
pubmed: 25260152
Eur J Cardiovasc Nurs. 2017 Feb;16(2):167-174
pubmed: 27146379
J Clin Nurs. 2009 Dec;18(24):3472-9
pubmed: 19686323
Heart Lung. 2003 Jul-Aug;32(4):250-7
pubmed: 12891165
J Heart Lung Transplant. 2018 Oct;37(10):1169-1183
pubmed: 30293613
J Hosp Palliat Nurs. 2007 Sep;9(5):264-269
pubmed: 19183701
J Heart Lung Transplant. 2013 Nov;32(11):1049-51
pubmed: 24135038
J Heart Lung Transplant. 2016 Feb;35(2):195-202
pubmed: 26403492
Prog Transplant. 2003 Mar;13(1):47-60
pubmed: 12688650
Thorac Surg Clin. 2012 Nov;22(4):517-29
pubmed: 23084615
Issues Ment Health Nurs. 2005 Jul;26(6):611-25
pubmed: 16020073
Int J Nurs Stud. 2002 May;39(4):429-40
pubmed: 11909619
Prog Transplant. 2010 Mar;20(1):81-7
pubmed: 20397351
J Clin Nurs. 2013 Jun;22(11-12):1620-8
pubmed: 23039262
Disabil Rehabil. 2017 Sep;39(19):1976-1982
pubmed: 27667639
Clin Transplant. 2017 Mar;31(3):
pubmed: 28039882
J Thorac Dis. 2014 Aug;6(8):1018-23
pubmed: 25132968
Eur Respir J. 2014 Dec;44(6):1479-503
pubmed: 25359357
Soc Sci Med. 2004 Oct;59(7):1473-84
pubmed: 15246175
Heart Lung. 2016 May-Jun;45(3):193-8
pubmed: 26897722
Prog Transplant. 2014 Sep;24(3):234-41
pubmed: 25193723
Clin Transplant. 2012 Mar-Apr;26(2):275-83
pubmed: 21585548
PLoS Med. 2009 Jul 21;6(7):e1000097
pubmed: 19621072
Behav Med. 1994 Winter;19(4):145-54
pubmed: 8032117
Nephrol Dial Transplant. 2002 Dec;17(12):2204-11
pubmed: 12454234
J Clin Nurs. 2017 Oct;26(19-20):3007-3017
pubmed: 27865026
Eur J Cardiovasc Nurs. 2019 Jan;18(1):48-56
pubmed: 29923416
Circulation. 2004 Dec 14;110(24):3734-40
pubmed: 15596559
J Adv Nurs. 2000 Oct;32(4):930-6
pubmed: 11095232
Eur J Intern Med. 2014 Jun;25(5):422-9
pubmed: 24641806
Clin Transplant. 2006 May-Jun;20(3):301-6
pubmed: 16824145
Soc Work Health Care. 2000;31(2):65-88
pubmed: 11081855
Heart Lung. 2013 Nov-Dec;42(6):449-55
pubmed: 24035493
Prog Transplant. 2008 Mar;18(1):50-4
pubmed: 18429582
Health (London). 2015 Nov;19(6):578-94
pubmed: 25445153
J Clin Nurs. 2008 Apr;17(7B):217-25
pubmed: 18578797
J Adv Nurs. 2016 Dec;72(12):3113-3124
pubmed: 27346667
Br J Nurs. 2006 May 25-Jun 7;15(10):566-72
pubmed: 16835554
Proc Am Thorac Soc. 2009 Jan 15;6(1):47-53
pubmed: 19131530
Prog Transplant. 2007 Sep;17(3):183-92
pubmed: 17944157
Gen Hosp Psychiatry. 2015 Sep-Oct;37(5):387-98
pubmed: 26073159
J Heart Lung Transplant. 2018 Oct;37(10):1155-1168
pubmed: 30293612
Eur J Cardiovasc Nurs. 2013 Aug;12(4):400-6
pubmed: 23185079
Int J Psychoanal. 2012 Feb;93(1):117-37
pubmed: 22320138
Bone Marrow Transplant. 2014 Feb;49(2):299-303
pubmed: 24121210
J Pediatr. 2009 Oct;155(4):542-9
pubmed: 19555971
Qual Health Res. 2014 Dec;24(12):1635-47
pubmed: 25192762
Clin Transplant. 2003 Aug;17(4):391-400
pubmed: 12868998
Health (London). 2014 Jul;18(4):352-68
pubmed: 24026357
Tex Heart Inst J. 2013;40(4):395-9
pubmed: 24082367
J Clin Nurs. 2008 Sep;17(18):2408-17
pubmed: 18705720