The Decision-Making Process and the Factors Affecting That Process of Live Donors Who Have Their Own Family and Donate Their Liver to a Sibling

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  • Hagiwara Kuniko
    Osaka University Hospital
  • Seto Natsuko
    Division of Health Sciences, Graduate School of Medicine, Osaka University
  • Shimizu Yasuko
    Division of Health Sciences, Graduate School of Medicine, Osaka University
  • Ishigaki Yasuko
    Graduate School of Nursing and Social Services, Health Sciences University of Hokkaido

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  • レシピエントとは別世帯を営むきょうだいの，肝臓提供への意思決定プロセスとそれに影響する要因
  • レシピエント トワ ベツ セタイ オ イトナム キョウダイ ノ,カンゾウ テイキョウ エ ノ イシ ケッテイ プロセス ト ソレニ エイキョウ スル ヨウイン

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Abstract

Purpose: To clarify the decision-making process and factors that affect live donors who have their own family and donate their liver to a sibling.<br>Methods: Semi-structured interviews were conducted with five subjects who were donors living with their own family and were a sibling of the recipient. The interviews were analyzed qualitatively and inductively.<br>Results: In the decision-making process to donate, the “relationship with the sibling” is an influencing factor, and conflict occurs between two factors: “I must save my sibling's life” and “anxiety and fear that the procedure may damage my health.” The “To find meaning of the donation as the donor” strengthens the belief that “I must save my sibling's life.” In addition, the “understanding and support of the donor's spouse and family” reinforces the factor of “anxiety and fear that the procedure may damage my health.” Ultimately, the donor “consents to donate because I choose to be a donor conditionally.”<br>Conclusions: The study findings suggest that the decision-making process requires careful support to be able to donate a liver to a sibling and that family and nursing support is necessary to care for the involved spouse and family.

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