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Title: Impact of simultaneous pancreas-kidney transplantation: patients' perspectives
Author: Isla Pera, Ma. Pilar (María Pilar)
Moncho Vasallo, Joaquín
Guasch, Òscar, 1961-
Ricart Brulles, Ma. José
Torras Rabasa, Alberto
Keywords: Complicacions de la diabetis
Trasplantament renal
Diabetes complications
Kidney transplantation
Issue Date: 2012
Publisher: Dove Medical Press
Abstract: Background: Few qualitative studies of simultaneous pancreas-kidney transplantation (SPK Tx) have been published. The aims of this study were to explore from the perspective of patients, the experience of living with diabetes mellitus type 1 (T1DM), suffering from complications, and undergoing SPK Tx with good outcome; and to determine the impact of SPK Tx on patients and their social and cultural environment. Methods: We performed a focused ethnographic study. Twenty patients were interviewed. Data were analyzed using content analysis and constant comparison following the method proposed by Miles and Huberman. Results: A functioning SPK Tx allowed renal replacement therapy and insulin to be discontinued. To describe their new situation, patients used words and phrases such as"miracle","being reborn" or"coming back to life". Although the complications of T1DM, its surgery and treatment, and associated psychological problems did not disappear after SPK Tx, these were minimized when compared with the pretransplantation situation. Conclusion: For patients, SPK Tx represents a recovery of their health and autonomy despite remaining problems associated with the complications of T1DM and SPK Tx. The understanding of patients" existential framework and their experience of disease are key factors for planning new intervention and improvement strategies.
Note: Reproducció del document publicat a:
It is part of: Patient Preference and Adherence, 2011, vol. 6, p. 597-603
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ISSN: 1177-889X
Appears in Collections:Articles publicats en revistes (Infermeria de Salut Pública, Salut mental i Maternoinfantil)

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