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Journal of Nursing ›› 2025, Vol. 32 ›› Issue (3): 69-73.doi: 10.16460/j.issn1008-9969.2025.03.069

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Surgical decision dilemma among heart transplant patients: a phenomenological study

TAN Wen-xuan1,2, ZHANG Rong3, ZHANG Li-li2, WANG Wei4a, SHAO Yan-hong4b, FANG Qing-hong2, ZHU Jin2   

  1. 1. School of Modern Public Service And Management, Jianghai Polytechnic College, Yangzhou 225101,China;
    2. School of Nursing, Southern Medical University, Guangzhou 510515, China;
    3. Dean's Office, Guangdong Second Rongjun Youfu Hospital, Foshan 510260, China;
    4a. Dept. of Heart Transplantation and Auxiliary Surgery; 4b. Intensive Care Unit I, Dept. of Cardiac Surgery, Guangdong Provincial People's Hospital (Guangdong Academy of Medical Sciences), Southern Medical University, Guangzhou 510080, China
  • Received:2024-09-10 Published:2025-03-06

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Abstract: Objective To explore the dilemmas of surgical decision among heart transplant patients and provide reference for clinical practitioners to implement decision assistance support. Methods From July to September in 2023, 18 heart transplant patients were selected by purpose sampling for interviews. Interpretive phenomenological analysis was used to analyze the data and extract themes. Results Four themes were extracted: subject experience dilemma (poor physical condition, affective disorder and pluralism, and poor cognition and conception), information support dilemma (lack of disease knowledge, poor information collection and screening ability, and doctor-patient communication barriers), ethical and moral dilemma (conflict of family opinions, and great pressure from public opinion), practical condition dilemma (poor economic conditions, and long waiting period for donors). Conclusion Surgical decision-making for heart transplant patients is accompanied by multiple dilemmas, including physical and emotional challenges, information acquisition and processing barriers, ethical confusion, and practical constraints.

Key words: heart transplantation, decision dilemma, doctor-patient communication, decision aid, qualitative research

CLC Number: 

  • R473.54
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