Individuals living with a liver transplant – a follow-up study exploring mental, emotional and existential issues 10 years after transplantation

Abstract

Background Going through a liver transplantation is by many recipients considered mentally and emotionally burdensome. Aim The aim of this study was to explore individuals’ mental, emotional and existential experiences living with a liver transplant during a period of approximately ten years. Methodological design The methodology in this study is based on Gadamer’s hermeneutics. Galvin and Todres’ conceptual framework on well-being was applied in the interpretation process. Research methods Both researchers conducted interviews, which took the form of conversations. We made use of Brinkmann and Kvales’ three types of interpretation. Ethical issues and approval The study was approved by the Ombudsman for Privacy of the Norwegian Social Data Services and is based on informed consent and confidentiality. Results Three themes emerged through interpretation: 1. From great suffering to gratitude and a humble attitude towards life. 2. From living in uncertainty to leading a normal life. 3. From hopelessness and anxiety to an indifferent attitude towards life. Conclusion This study showed that the process of receiving a new liver and living with it, had changed most of the participants’ attitudes towards life in a humble way. Some persons struggled with life and experienced depression anxiety, as well as lack of energy.

Keywords

• liver transplantation
• 10 years post-transplant
• existential
• humble attitude
• hopelessness
• dwelling-mobility
• indifferent attitude