Skip to main content
Top

26-12-2024

Living with a new kidney from the perspective of adolescents: A mandala-supported qualitative study

Auteurs: Büşra Nur TEMÜR, Mustafa Volkan DÜZGÜN, Nilgün AKSOY, Ayşegül İŞLER, Elif ÇETİNKAYA

Gepubliceerd in: Quality of Life Research

Log in om toegang te krijgen
share
DELEN

Deel dit onderdeel of sectie (kopieer de link)

  • Optie A:
    Klik op de rechtermuisknop op de link en selecteer de optie “linkadres kopiëren”
  • Optie B:
    Deel de link per e-mail

Abstract

Background

Despite advances in transplant procedures, children and adolescents still face some challenges post-transplant and are at high risk for psychiatric, academic, and social problems. This study aims to explore the lived experiences of adolescent kidney transplant recipients through interviews and the use of mandala art therapy.

Methods

This study adopted a descriptive phenomenological design and thematic analysis approach based on Husserl’s philosophy. The sample included kidney transplant recipients aged 12–18 years admitted to the pediatric nephrology polyclinic of a university hospital in southern Türkiye. Data were collected through in-depth interviews conducted during a mandala art activity with 14 adolescent kidney transplant recipients. The qualitative data were analyzed using Colaizzi’s seven-stage qualitative analysis method, which is suitable to the descriptive phenomenological design employed in the present study.

Results

Four themes and seven subthemes emerged from the data related to the problems and experiences of adolescents with kidney transplantation and growing up with a new kidney. (1) Education, (2) Ideas about the kidney; including the sub-themes “What the kidney transplant process gave them, Feelings about their kidneys”, (3) Family; including the sub-themes “Relationship with the donor, Relationship with siblings”, (4) Social environment; including the sub-themes “Experiences with hospital, Relationship with friends and Desire for friendship with a transplanted Peer”.

Conclusion

Mandala art therapy-assisted interviews are an effective communication method for adolescent kidney transplant recipients to express their feelings and thoughts and to look at life from a broader perspective. Understanding the life experiences of adolescents with kidney transplantation and the difficulties they face may enable better and more systematic planning of the care to be given to them.
Bijlagen
Alleen toegankelijk voor geautoriseerde gebruikers
Literatuur
3.
go back to reference Lee, J. M., Jung, Y. K., Bae, J. H., Yoon, S. A., Kim, J. H., Choi, Y., Kim, H., Lee, K. W., Ahn, H. Y., Kim, J. W., Shin, M. S., Suh, K. S., Ha, I. S., Cheong, H. I., Kang, H. G., & Yi, N. J. (2017). Delayed transplantation may affect intellectual ability in children. Pediatrics International, 59(10), 1080–1086. https://doi.org/10.1111/ped.13369CrossRefPubMed Lee, J. M., Jung, Y. K., Bae, J. H., Yoon, S. A., Kim, J. H., Choi, Y., Kim, H., Lee, K. W., Ahn, H. Y., Kim, J. W., Shin, M. S., Suh, K. S., Ha, I. S., Cheong, H. I., Kang, H. G., & Yi, N. J. (2017). Delayed transplantation may affect intellectual ability in children. Pediatrics International, 59(10), 1080–1086. https://​doi.​org/​10.​1111/​ped.​13369CrossRefPubMed
5.
go back to reference Thys, K., Schwering, K. L., Siebelink, M., Dobbels, F., Borry, P., Schotsmans, P., Aujoulat, I., & ELPAT Pediatric Organ Donation and Transplantation Working Group. (2015). Psychosocial impact of pediatric living-donor kidney and liver transplantation on recipients, donors, and the family: A systematic review. Transplant International, 28(3), 270–280. https://doi.org/10.1111/tri.12481CrossRefPubMed Thys, K., Schwering, K. L., Siebelink, M., Dobbels, F., Borry, P., Schotsmans, P., Aujoulat, I., & ELPAT Pediatric Organ Donation and Transplantation Working Group. (2015). Psychosocial impact of pediatric living-donor kidney and liver transplantation on recipients, donors, and the family: A systematic review. Transplant International, 28(3), 270–280. https://​doi.​org/​10.​1111/​tri.​12481CrossRefPubMed
7.
18.
go back to reference Bailey, P. K., Hamilton, A. J., Clissold, R. L., Inward, C. D., Caskey, F. J., Ben-Shlomo, Y., & Owen-Smith, A. (2018). Young adults’ perspectives on living with kidney failure: A systematic review and thematic synthesis of qualitative studies. British Medical Journal Open, 8(1), e019926. https://doi.org/10.1136/bmjopen-2017-019926CrossRef Bailey, P. K., Hamilton, A. J., Clissold, R. L., Inward, C. D., Caskey, F. J., Ben-Shlomo, Y., & Owen-Smith, A. (2018). Young adults’ perspectives on living with kidney failure: A systematic review and thematic synthesis of qualitative studies. British Medical Journal Open, 8(1), e019926. https://​doi.​org/​10.​1136/​bmjopen-2017-019926CrossRef
23.
go back to reference Husserl, E. (1970). The crisis of European sciences and transcendental phenomenology: An introduction to Phenomenological Philosophy. Northwestern University. Husserl, E. (1970). The crisis of European sciences and transcendental phenomenology: An introduction to Phenomenological Philosophy. Northwestern University.
25.
go back to reference Booth, A., Hannes, K., Harden, A., Noyes, J., & Harris, J. (2014). COREQ (consolidated criteria for reporting qualitative studies). Moher, D., Altman, D. G., Schulz, K. F., Simera, I., & Wager, E. (Eds.). Guidelines for Reporting Health Research: A User’s Manual. 214–216. https://doi.org/10.1002/9781118715598.ch21 Booth, A., Hannes, K., Harden, A., Noyes, J., & Harris, J. (2014). COREQ (consolidated criteria for reporting qualitative studies). Moher, D., Altman, D. G., Schulz, K. F., Simera, I., & Wager, E. (Eds.). Guidelines for Reporting Health Research: A User’s Manual. 214–216. https://​doi.​org/​10.​1002/​9781118715598.​ch21
27.
go back to reference Colaizzi, P. (1978). Psychological research as the phenomenologist views it. In I. R. Valle, & M. King (Eds.), Existential-phenomenological Alternatives for psychology. Oxford University Press. https://scholar.google.com/scholar?hl=tr& as_sdt=0%2C5&q=Psychological+research+as+the+phenomenologist+views+it&btnG=. Colaizzi, P. (1978). Psychological research as the phenomenologist views it. In I. R. Valle, & M. King (Eds.), Existential-phenomenological Alternatives for psychology. Oxford University Press. https://​scholar.​google.​com/​scholar?​hl=​tr&​ as_sdt=0%2C5&q=Psychological+research+as+the+phenomenologist+views+it&btnG=.
31.
go back to reference Gebhart, V., Buchberger, W., Klotz, I., Neururer, S., Rungg, C., Tucek, G., Zenzmaier, C., & Perkhofer, S. (2020). Distraction-focused interventions on examination stress in nursing students: Effects on psychological stress and biomarker levels. A randomized controlled trial. International Journal of Nursing Practice, 26(1), e12788. https://doi.org/10.1111/ijn.12788CrossRefPubMed Gebhart, V., Buchberger, W., Klotz, I., Neururer, S., Rungg, C., Tucek, G., Zenzmaier, C., & Perkhofer, S. (2020). Distraction-focused interventions on examination stress in nursing students: Effects on psychological stress and biomarker levels. A randomized controlled trial. International Journal of Nursing Practice, 26(1), e12788. https://​doi.​org/​10.​1111/​ijn.​12788CrossRefPubMed
34.
41.
go back to reference Kelada, L., Wakefield, C. E., Drew, D., Ooi, C. Y., Palmer, E. E., Bye, A., De Marchi, S., Jaffe, A., & Kennedy, S. (2022). Siblings of young people with chronic illness: caring responsibilities and psychosocial functioning. Journal of Child Health Care, 26(4), 581–596. https://doi.org/10.1177/1367493521103346 Kelada, L., Wakefield, C. E., Drew, D., Ooi, C. Y., Palmer, E. E., Bye, A., De Marchi, S., Jaffe, A., & Kennedy, S. (2022). Siblings of young people with chronic illness: caring responsibilities and psychosocial functioning. Journal of Child Health Care, 26(4), 581–596. https://​doi.​org/​10.​1177/​1367493521103346​
43.
go back to reference Gao, B., Li, K., Liu, J., Liu, X., Zhang, J., Xu, C., He, Y., Feng, Z., & Zhao, M. (2022). Life events and depression among children and adolescents in southwest China: a two-stage moderated mediation model of social support and cognitive styles. BMC Psychiatry, 22(1), 819. https://doi.org/10.1186/s12888-022-04454-5 Gao, B., Li, K., Liu, J., Liu, X., Zhang, J., Xu, C., He, Y., Feng, Z., & Zhao, M. (2022). Life events and depression among children and adolescents in southwest China: a two-stage moderated mediation model of social support and cognitive styles. BMC Psychiatry, 22(1), 819. https://​doi.​org/​10.​1186/​s12888-022-04454-5
Metagegevens
Titel
Living with a new kidney from the perspective of adolescents: A mandala-supported qualitative study
Auteurs
Büşra Nur TEMÜR
Mustafa Volkan DÜZGÜN
Nilgün AKSOY
Ayşegül İŞLER
Elif ÇETİNKAYA
Publicatiedatum
26-12-2024
Uitgeverij
Springer International Publishing
Gepubliceerd in
Quality of Life Research
Print ISSN: 0962-9343
Elektronisch ISSN: 1573-2649
DOI
https://doi.org/10.1007/s11136-024-03879-7