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The real experience of patients after liver transplantation in intensive care unit
Authors:XR Shi  XY Yang  J. Zhong  WX Luo  JM Yao  RL Lian  WQ Chen
Affiliation:aCritical Care Medicine Department;bNursing Department;cGastrointestinal Surgery Department;dPsychiatry Department;eEmergency Medicine Department, The Fifth Affiliated Hospital of Sun Yat-Sen University, Zhuhai, China.
Abstract:We aimed to explore the real experience of patients after liver transplantation in the intensive care unit (ICU).Objective sampling method was used to select patients transferred to the ICU in 10 hospitals in Zhuhai from May 2018 to August 2020. Patients need liver transplantation due to advanced liver cancer and decompensated cirrhosis. The eligibility criteria of patients mainly included liver transplant patients who were clear-minded and willing to participate in the study and had stayed in ICU. Phenomenological research methods and in-depth interviews were used in this qualitative study.The results showed that the true experience of patients after liver transplantation during ICU stay was summarized into four themes. The strengths of our qualitative research are that we can find the trend from a phenomenon through interviews and other methods to provide a directional foundation for future quantitative research. Its limitations are that it requires a lot of manpower and time, and its objectivity and universality are limited.Hospitalization experience in the ICU may lead to many negative experiences for liver transplant patients. Nurses should fully understand and pay attention to the psychological changes in patients. Nurses should take effective targeted measures to reduce or eliminate patients’ fear of ICU stay and promote rehabilitation.
Keywords:ICU   liver transplantation   psychological process   qualitative research
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