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En andra chans till livet: En litteraturöversikt över patientens upplevelse av att leva med ett transplanterat organ.
Ersta Sköndal University College, Department of Health Care Sciences.
Ersta Sköndal University College, Department of Health Care Sciences.
2015 (Swedish)Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesisAlternative title
A second chance at life : A literature review over patients experiences living with a transplanted organ. (English)
Abstract [sv]

Bakgrund: Antalet individer som lever med ett transplanterat organ ökar. Transplantation innebär att ersätta ett sviktande organ med ett friskt fungerande organ från en donator. En transplantation innebär en förändring av livet. Sjuksköterskan har ansvar för undervisning och stöd för patienten samt etablering av en fortsatt vårdkontakt.

Syfte: Syftet var att beskriva patientens upplevelse av att leva med ett transplanterat organ.

Metod: En litteraturöversikt har genomförts och grundats på tio kvalitativa artiklar från olika databaser som besvarar syftet. Analysen av artiklarna ledde till subteman och teman som presenteras i litteraturöversiktens resultatdel. Litteraturöversikten har begränsats till att enbart innefatta transplantation av organen hjärta, lungor, lever och njurar.

Resultat: Resultatet presenteras i fyra teman och fem subteman. De fyra teman är En förändrad kropp, Leva med konsekvenserna av medicinering, En emotionell berg- och dalbana och Att leva vidare. Patienterna upplevde en kroppslig förändring samt paradoxala känslor kring transplantationen. Hinder och möjligheter upplevde de transplanterade i återhämtningsprocessen samt konsekvenser som de var tvungna att leva med. I resultatet framkom vilken betydande roll sjuksköterskan, sjukvården och närstående har för patienten. Att genomgå en transplantation innebär en anpassning till en ny situation med livsstilsförändringar.

Diskussion: I resultatdiskussionen används Husserls livsvärldsteori som teoretisk referensram. Patienterna upplevde en förändrad livsvärld och ett behov av att anpassa sig till det nya livet som ett transplanterat organ medförde.

Abstract [en]

Background: The number of individuals living with a transplanted organ is increasing. A transplant involves replacing a failing organ with a healthy functioning organ from a donor. A transplant involves a change of life. The nurse is responsible to educate and to support the patient and the establishment of a continuing care contact.

Aim: The aim was to describe the patient´s experience of living with a transplanted organ.

Method: A literature review has been conducted based on ten articles from different databases that will give answers the aim of the essay. The analysis of the articles led to subthemes and themes which are presented in this literature review result section. This literature review has been limited to only include the transplantation of organs heart, lungs, liver and kidneys.

Results: The result are presented in four teams and five subthemes. The four themes are A changed body, Live with the consequences of medication, An emotional roller coaster and Live on. Patients experienced a bodily change and also paradoxical emotions related to the transplantation. The patients experienced obstacles and opportunities during the recovery process and also had to live with other consequences of the transplant. The results showed that the nurse, the health care received and close relatives played a significant role for the patient. A transplantation is an adaption to a new situation with lifestyle changes.

Discussion: In the result discussion Husserl’s life-theory is used as a theoretical framework. Patient experienced a great change and needed to adapt to a new life, which the transplanted organ caused.

Place, publisher, year, edition, pages
2015. , p. 33
Keywords [en]
Organ transplant, Experience, Life after, Patient perspective, Life-world
Keywords [sv]
Organtransplantation, Upplevelse, Livet efter, Patientperspektiv, Livsvärld
National Category
Nursing
Identifiers
URN: urn:nbn:se:esh:diva-4998OAI: oai:DiVA.org:esh-4998DiVA, id: diva2:895071
Educational program
Bachelor of Science in Nursing
Uppsok
Medicine
Supervisors
Examiners
Available from: 2016-01-18 Created: 2016-01-18 Last updated: 2016-01-18Bibliographically approved

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