Avoiding the issue: patients' (non)communication with potential living kidney donors

Patient Educ Couns. 2009 Jan;74(1):39-44. doi: 10.1016/j.pec.2008.07.028. Epub 2008 Aug 26.

Abstract

Objective: Kidney transplantation with a living donor has proved to be an effective solution for kidney patients on the waiting list for transplantation. Nevertheless, it may be difficult to find a living kidney donor. The purpose of this explorative study is to investigate how kidney transplant candidates may, or may not, find a living donor in the Netherlands.

Methods: We compared a group of 42 patients who did not find a living donor with a group of 42 patients who did, using semi-structured interviews.

Results: We found that, although almost all patients recognized the advantages of living kidney donation and were willing to accept the offer of a living kidney donor, many found it very difficult to ask a potential donor directly. This was true for both groups.

Conclusion: Patients may gain from professional support to deal with this situation in ways that balance their medical needs and their personal relationships.

Practice implications: Support programs should be developed to assist patients in developing strategies for discussing living kidney donation with potential donors.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adaptation, Psychological
  • Adult
  • Aged
  • Attitude to Health*
  • Communication*
  • Donor Selection / methods
  • Donor Selection / statistics & numerical data
  • Family / psychology
  • Female
  • Health Services Accessibility
  • Health Services Needs and Demand
  • Humans
  • Interpersonal Relations*
  • Kidney Transplantation / psychology*
  • Living Donors* / psychology
  • Living Donors* / supply & distribution
  • Male
  • Middle Aged
  • Netherlands
  • Risk Factors
  • Social Support
  • Surveys and Questionnaires
  • Tissue and Organ Procurement / methods
  • Tissue and Organ Procurement / statistics & numerical data