Abstract：
AIM:To investigate perceptions of graft rejection and different methods to obtain knowledge about graft rejection among adult organ transplant recipients. BACKGROUND:Rejection is the most common cause of graft loss and graft dysfunction in clinical transplantation. Little is known about the recipients' own explanation models related to graft rejection. DESIGN:Phenomenography. METHOD:A strategic selection included patients who had undergone a kidney, liver, heart or lung transplant. Sixteen patients, six males and 10 females, aged 21-63 years with a follow-up time of between three months and 10 years were interviewed. RESULTS:The result comprised five domains of variations in perceptions of graft rejection: the abstract threat to life; the concrete threat to health; trust in the body; striving to control the threat; and one's identity. The inner perspective and personal explanation models involved threat, fear, trust, control and identity adjustment. Different approaches had the same purpose; 'striving to control the uncontrollable'. CONCLUSION:Learning about graft rejection revealed security, lack of security and uncertainty. RELEVANCE TO CLINICAL PRACTICE:The inner perspective of graft rejection in this result leads to several clinical implications in terms of patient education and recipients' differing ways of obtaining knowledge about graft rejection. We suggest that patient's education should be tailored in a different way, offering support and advice in line with their personal models of explanation of graft rejection as a complement to the explanation from the biomedical model of disease.
journal_name
J Clin Nursjournal_title
Journal of clinical nursingauthors
Nilsson M,Persson LO,Forsberg Adoi
10.1111/j.1365-2702.2008.02364.xsubject
Has Abstractpub_date
2008-09-01 00:00:00pages
2408-17issue
18eissn
0962-1067issn
1365-2702pii
JCN2364journal_volume
17pub_type
杂志文章abstract：AIM:To examine changes in quality of life among patients with breast cancer and factors related to it, during the first three months after diagnosis. BACKGROUND:Numerous studies have examined quality of life among cancer survivors or among patients with cancer after aggressive treatment; such research has demonstrated...
journal_title：Journal of clinical nursing
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abstract：AIMS AND OBJECTIVES:To investigate the dynamics of domestic abuse awareness and recognition among primary healthcare professionals and abused women. BACKGROUND:Domestic abuse is a serious, public health issue that crosses geographical and demographic boundaries. Health professionals are well placed to recognise and re...
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journal_title：Journal of clinical nursing
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