Living-Donor Liver Transplant in Oman: A Quantitative Cross-Sectional Study of Donors' Experiences and Challenges.

Autor: Al Adawi M; Department of Nursing, Royal Hospital, Ministry of Health (MOH), Muscat, Oman., Al Harthi H; Department of Training and Studies, Royal Hospital, Muscat, Oman., Al Hinai R; Department of Nursing, Royal Hospital, Ministry of Health (MOH), Muscat, Oman., Al Haddabi S; Department of Nursing, Royal Hospital, Ministry of Health (MOH), Muscat, Oman., Al Busaidi I; Department of Nursing, Royal Hospital, Ministry of Health (MOH), Muscat, Oman., Al Siyabi O; Divisions of Gastroenterology and Hepatology, Department of Medicine, Royal Hospital, Muscat, Oman., Al Awaidy ST; Office of Health Affairs, Ministry of Health, Muscat, Oman.
Jazyk: angličtina
Zdroj: Journal of transplantation [J Transplant] 2021 Nov 15; Vol. 2021, pp. 4251814. Date of Electronic Publication: 2021 Nov 15 (Print Publication: 2021).
DOI: 10.1155/2021/4251814
Abstrakt: Background: In Oman, the first liver transplant was performed at the Royal Hospital (RH) in September 2017. Since then, thirteen cases have been operated on at the RH. All of these cases were living-donor liver transplants (LDLT), and the remaining cases were treated in India with a total of approximately 193 recipients. To provide an in-depth overview of donor experiences, challenges, and perceptions, a cross-sectional study was conducted.
Methods: A cross-sectional study was conducted at one tertiary hospital in 2019. The survey was designed to collect data composed of closed and open-ended questions to reveal a thorough knowledge of the topic.
Results: A total of 50 of 120 donors responded to the survey with male dominance in the sample (68%) and 64% were aged 28 to 38 years. 66% of the respondents came to know about the donation through hospital staff. Interestingly, respondents ( n  = 8/12) who reported that fear of operation is the cause that prevents people from donating are among the male gender, while more men believe that the main cause is lack of knowledge. 90% of the respondents felt satisfied after donation. More men reported ambiguous feelings before donation. Moreover, married donors reported ambiguous feelings before donation ( p  = 0.008). The younger age group reported anxiety and doubt as a challenge through their donation experience.
Conclusion: This study revealed that donors have a positive feeling after donating as they have saved a life, as well as being empowered by family and community. The donors encourage individuals to donate a portion of their liver. Some crucial questions arose, such as anxiety before surgery, ambiguous feelings before surgery, and fatigue after surgery. These findings underscore the importance of a holistic approach that would enable donors to be well informed prior to surgery.
Competing Interests: The authors declare no conflicts of interest in publishing this article.
(Copyright © 2021 Mudhar Al Adawi et al.)
Databáze: MEDLINE
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