Benefit-finding experiences of liver transplant recipients who underwent perioperative extracorporeal membrane oxygenation treatment: a qualitative research

ObjectiveThis study aimed to examine the benefit-finding experiences of liver transplant recipients who undergo perioperative extracorporeal membrane oxygenation (ECMO) treatments in order to provide targeted nursing care and promote mental health among these patients.MethodsThis study employed the...

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Main Authors: Zhiying Lei, Yuanyuan Mo, Huiqiao Huang, Lina Huang, Jiehui Zhou, Jianhui Dong, Juhua Zeng, Lu Liu, Xuyong Sun
Format: Article
Language:English
Published: Frontiers Media S.A. 2025-05-01
Series:Frontiers in Psychology
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Online Access:https://www.frontiersin.org/articles/10.3389/fpsyg.2025.1500575/full
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author Zhiying Lei
Yuanyuan Mo
Huiqiao Huang
Lina Huang
Jiehui Zhou
Jianhui Dong
Juhua Zeng
Lu Liu
Xuyong Sun
author_facet Zhiying Lei
Yuanyuan Mo
Huiqiao Huang
Lina Huang
Jiehui Zhou
Jianhui Dong
Juhua Zeng
Lu Liu
Xuyong Sun
author_sort Zhiying Lei
collection DOAJ
description ObjectiveThis study aimed to examine the benefit-finding experiences of liver transplant recipients who undergo perioperative extracorporeal membrane oxygenation (ECMO) treatments in order to provide targeted nursing care and promote mental health among these patients.MethodsThis study employed the phenomenological research approach within the framework of qualitative research. The determination of the sample size was predicated on achieving information saturation. Between June 2023 and March 2024, eight liver transplant recipients who underwent perioperative ECMO treatment at a qualified liver transplantation hospital in Guangxi were purposively selected for semi-structured interviews. In line with the cognitive adaptation theory, this study employed template analysis as the analytical approach, wherein each word in the text content was meticulously examined and categorized into their respective structures based on the theory's three frameworks. Throughout the analysis process, the researchers continuously refined and adjusted abstract content placed within templates while exploring the potential emergence of new themes.ResultsThe study involved a total of eight participants, comprising seven male and one female patient, aged between 43 and 68 years. Among the eight patients, seven had grade 3 or higher coronary artery disease, and one had severe arrhythmia, all of which were attributed to heart conditions necessitating ECMO support during liver transplantation. The ECMO types used were exclusively VA, with auxiliary durations varying between 5 h and 9.5 h. Three overarching themes and seven corresponding sub-themes were extracted: (1) the search for meaning, including a strong desire to survive, recognize the meaning of therapy; (2) gaining a sense of mastery, including a sense of control over one's body and psychological; (3) self-enhancement, including perceiving social support, strengthening self-management, and affirming self-worth.ConclusionsLiver transplant recipients who undergo preoperative ECMO treatment can have benefit-finding experiences. This study indicates that medical professionals should not only focus on timely and accurate treatment but also prioritize addressing patients' psychological needs while caring for critically ill individuals. Clinical medical staff can guide patients in engaging in positive psychological construction, exploring and providing effective social support resources, fostering patients' self-health management, and enhancing the level and patients' ability of benefit-finding by strengthening knowledge, education, and establishing psychological mutual assistance platforms after liver transplantation.
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spelling doaj-art-fb328c28c38e446a955a4ee91e8a2f462025-08-20T03:21:47ZengFrontiers Media S.A.Frontiers in Psychology1664-10782025-05-011610.3389/fpsyg.2025.15005751500575Benefit-finding experiences of liver transplant recipients who underwent perioperative extracorporeal membrane oxygenation treatment: a qualitative researchZhiying Lei0Yuanyuan Mo1Huiqiao Huang2Lina Huang3Jiehui Zhou4Jianhui Dong5Juhua Zeng6Lu Liu7Xuyong Sun8Department of Organ Transplantation, The Second Affiliated Hospital of Guangxi Medical University, Nanning, ChinaDepartment of Organ Transplantation, The Second Affiliated Hospital of Guangxi Medical University, Nanning, ChinaDepartment of Nursing, The Second Affiliated Hospital of Guangxi Medical University, Nanning, ChinaDepartment of Organ Transplantation, The Second Affiliated Hospital of Guangxi Medical University, Nanning, ChinaDepartment of Organ Transplantation, The Second Affiliated Hospital of Guangxi Medical University, Nanning, ChinaDepartment of Organ Transplantation, The Second Affiliated Hospital of Guangxi Medical University, Nanning, ChinaDepartment of Organ Transplantation, The Second Affiliated Hospital of Guangxi Medical University, Nanning, ChinaDepartment of Organ Transplantation, The Second Affiliated Hospital of Guangxi Medical University, Nanning, ChinaDepartment of Organ Transplantation, The Second Affiliated Hospital of Guangxi Medical University, Nanning, ChinaObjectiveThis study aimed to examine the benefit-finding experiences of liver transplant recipients who undergo perioperative extracorporeal membrane oxygenation (ECMO) treatments in order to provide targeted nursing care and promote mental health among these patients.MethodsThis study employed the phenomenological research approach within the framework of qualitative research. The determination of the sample size was predicated on achieving information saturation. Between June 2023 and March 2024, eight liver transplant recipients who underwent perioperative ECMO treatment at a qualified liver transplantation hospital in Guangxi were purposively selected for semi-structured interviews. In line with the cognitive adaptation theory, this study employed template analysis as the analytical approach, wherein each word in the text content was meticulously examined and categorized into their respective structures based on the theory's three frameworks. Throughout the analysis process, the researchers continuously refined and adjusted abstract content placed within templates while exploring the potential emergence of new themes.ResultsThe study involved a total of eight participants, comprising seven male and one female patient, aged between 43 and 68 years. Among the eight patients, seven had grade 3 or higher coronary artery disease, and one had severe arrhythmia, all of which were attributed to heart conditions necessitating ECMO support during liver transplantation. The ECMO types used were exclusively VA, with auxiliary durations varying between 5 h and 9.5 h. Three overarching themes and seven corresponding sub-themes were extracted: (1) the search for meaning, including a strong desire to survive, recognize the meaning of therapy; (2) gaining a sense of mastery, including a sense of control over one's body and psychological; (3) self-enhancement, including perceiving social support, strengthening self-management, and affirming self-worth.ConclusionsLiver transplant recipients who undergo preoperative ECMO treatment can have benefit-finding experiences. This study indicates that medical professionals should not only focus on timely and accurate treatment but also prioritize addressing patients' psychological needs while caring for critically ill individuals. Clinical medical staff can guide patients in engaging in positive psychological construction, exploring and providing effective social support resources, fostering patients' self-health management, and enhancing the level and patients' ability of benefit-finding by strengthening knowledge, education, and establishing psychological mutual assistance platforms after liver transplantation.https://www.frontiersin.org/articles/10.3389/fpsyg.2025.1500575/fullliver transplant recipientsECMObenefit-findingperioperativequalitative research
spellingShingle Zhiying Lei
Yuanyuan Mo
Huiqiao Huang
Lina Huang
Jiehui Zhou
Jianhui Dong
Juhua Zeng
Lu Liu
Xuyong Sun
Benefit-finding experiences of liver transplant recipients who underwent perioperative extracorporeal membrane oxygenation treatment: a qualitative research
Frontiers in Psychology
liver transplant recipients
ECMO
benefit-finding
perioperative
qualitative research
title Benefit-finding experiences of liver transplant recipients who underwent perioperative extracorporeal membrane oxygenation treatment: a qualitative research
title_full Benefit-finding experiences of liver transplant recipients who underwent perioperative extracorporeal membrane oxygenation treatment: a qualitative research
title_fullStr Benefit-finding experiences of liver transplant recipients who underwent perioperative extracorporeal membrane oxygenation treatment: a qualitative research
title_full_unstemmed Benefit-finding experiences of liver transplant recipients who underwent perioperative extracorporeal membrane oxygenation treatment: a qualitative research
title_short Benefit-finding experiences of liver transplant recipients who underwent perioperative extracorporeal membrane oxygenation treatment: a qualitative research
title_sort benefit finding experiences of liver transplant recipients who underwent perioperative extracorporeal membrane oxygenation treatment a qualitative research
topic liver transplant recipients
ECMO
benefit-finding
perioperative
qualitative research
url https://www.frontiersin.org/articles/10.3389/fpsyg.2025.1500575/full
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