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Research Paper
- The Caring Experience of Family Caregivers for Patients of Living Donor Liver Transplantation from the Family Members
- Bang, Miseon , Kwon, Suhye
- J Korean Acad Nurs 2022;52(4):435-450. Published online August 31, 2022
- DOI: https://doi.org/10.4040/jkan.22043
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Abstract
PDF - Purpose
The purpose of the study was to understand the care experiences of the family of living donor liver transplantation (LDLT) patients where the donation had occurred within the family.
Methods
Participants were eight family caregivers who cared for recipients and donors of LDLT. Data were collected through individual in-depth interviews from November, 2020 to April, 2021. Data analysis was performed through a cyclical process of data collection and analysis by applying Giorgi’s phenomenological research method.
Results
The five main components extracted from the experiences of the family caregivers were: "A double-edged choice to save the family", "The harsh daily life of liver transplantation care", "The yoke of double care on both shoulders", "The power to withstand the adversity of caring", and "The recovery and growth of life pursued by trusting each other".
Conclusion
The participants tried to do their best in their daily lives, while providing reassurance and care to the LDLT patients in the family; however, they expressed some worry and hardship while doing so. The results of this study provide a deeper understanding of the caring experience of the family caregivers, which may contribute to the development of nursing interventions that will aid these caregivers in providing care to their LDLT family members. Furthermore, the development and application of an integrated management program for LDLT patients in the family is required.
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Original Article
- Nutritional Status of Liver Transplantation Recipients and Factors Influencing Nutritional Status
- SinYoung Hwang, Smi Choi-Kwon
- J Korean Acad Nurs 2019;49(3):340-348. Published online January 15, 2019
- DOI: https://doi.org/10.4040/jkan.2019.49.3.340
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Abstract
PDF
Abstract Purpose This study aimed to investigate the nutritional status of liver transplantation (LT) recipients and explore certain factors that influence nutritional status, including dietary patterns and physical activities.
Methods This was a cross-sectional, descriptive study. The subjects included 211 LT recipients at a medical center outpatient clinic located in Seoul, Korea. The nutritional status, dietary patterns, and physical activities of each subject were measured using the body mass index (BMI), Mini Dietary Assessment (MDA), and Global Physical Activity Questionnaire. Independent t-test, one-way analysis of variance, and multiple linear regression analysis were used to analyze the data.
Results The percentages of living and deceased donor LTs were 81.0% and 19.0%, respectively. The mean BMIs pre- and post-LT were 23.88 and 23.16 kg/m2, respectively, and the average MDA score was 36.55. More than 60.0% of the subjects had a moderate or high level of physical activity. In multivariate analysis, a higher BMI before LT (β=.72,
p <.001), a lower Model for End-stage Liver Disease (MELD) score (β=-.18,p <.001), and being male (β=-.10,p =.024) contributed to better nutritional status post-LT. Patients within six months of LT were less engaged in muscle exercises than those post six months of LT (p =.020).Conclusion LT recipients in Korea have good nutritional status and a good level of physical activity. To improve recipients’ post-LT nutritional status, the pre-LT nutritional status should be considered, particularly in those with a higher MELD score. In addition, physical activity including muscle-strengthening exercises should be encouraged from an earlier stage.
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