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Feelings of Living Donors About Adult‐to‐Adult Living Donor Liver Transplantation

Kusakabe, Tomoko MS, RN, PHN; Irie, Shinji MS, RN, PHN; Ito, Naomi PhD, RN, PHN; Kazuma, Keiko PhD, RN, PHN

doi: 10.1097/01.SGA.0000334032.48629.c0
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This study investigated the feelings of living donors about adult-to-adult liver transplantation. We interviewed 18 donors about their feelings before and after transplantation using semistructured interviews and then conducted a content analysis of their responses. Before transplantation, many donors reported that they wanted recipients to live for the donor or his or her family, and there was no one else to donate. Many donors were not anxious, did not feel coerced, and did not consider donation dangerous. Some reported being excited at facing a new experience. Some said they would not mind whatever happens. Others were anxious or unsure about the operation. Diagnostic testing and preoperative blood banking were painful. Donors experienced increasing stress just before the operation. After transplantation, some donors verbalized feeling more grateful to others and that they gained maturity. Throughout the process, donors were concerned about their recipients. Our results suggest that donors might act for themselves or their family. It is important to recognize the varied responses of donors' feelings toward liver transplant recipients.

Tomoko Kusakabe, MS, RN, PHN, Department of Adult Nursing/Palliative Care Nursing, Division of Health, The University of Tokyo, Tokyo, Japan.

Shinji Irie, MS, RN, PHN, is Lecturer, School of Nursing & Rehabilitation Science, Showa University, Kanagawa, Japan.

Naomi Ito, PhD, RN, PHN, is Assistant Professor, Department of Adult Nursing/Palliative Care Nursing, Division of Health, The University of Tokyo, Tokyo, Japan.

Keiko Kazuma, PhD, RN, PHN, is Professor, Department of Adult Nursing/Palliative Care Nursing, Division of Health, The University of Tokyo, Tokyo, Japan.

Correspondence to: Tomoko Kusakabe, MS, RN, PHN, Department of Adult Nursing/Palliative Care Nursing, Division of Health, Faculty of Medicine, The University of Tokyo, Bldg. 5.213. 7-3-1, Hongo, Bunkyo-ku, Tokyo, 113-0033, Japan (e-mail: tkusakabe-tky@umin.ac.jp).

Received May 12, 2007; accepted September 14, 2007.

© The Society of Gastroenterology Nurses & Associates 2008. All Rights Reserved.