Citation:Tian BS,Li SQ,Zhang EE,Xiao HM,Su LJ,Zhang JE,Yuan J.The lived experiences of patients undergoing acellular porcine corneal stroma transplantation.Int J Ophthalmol 2018;11(10):1716-1720,doi:10.18240/ijo.2018.10.22
The lived experiences of patients undergoing acellular porcine corneal stroma transplantation
Received:October 04, 2017  Revised:May 14, 2018
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DOI:10.18240/ijo.2018.10.22
Key Words:corneal transplantation  xenotransplantation  quality of life
Fund Project:Supported by National Natural Science Foundation of China (No.81670826; No.81400423); the Science and Technology Planning Project of Guangdong Province (No.20160215).
                    
AuthorInstitution
Bi-Shan Tian State Key Laboratory of Ophthalmology, Zhongshan Ophthalmic Center, Sun Yat-sen University, Guangzhou , Guangdong Province, China
Sai-Qun Li State Key Laboratory of Ophthalmology, Zhongshan Ophthalmic Center, Sun Yat-sen University, Guangzhou , Guangdong Province, China
En-En Zhang State Key Laboratory of Ophthalmology, Zhongshan Ophthalmic Center, Sun Yat-sen University, Guangzhou , Guangdong Province, China
Hui-Ming Xiao State Key Laboratory of Ophthalmology, Zhongshan Ophthalmic Center, Sun Yat-sen University, Guangzhou , Guangdong Province, China
Li-Jin Su State Key Laboratory of Ophthalmology, Zhongshan Ophthalmic Center, Sun Yat-sen University, Guangzhou , Guangdong Province, China
Jun-E Zhang School of Nursing, Sun Yat-sen University, Guangzhou , Guangdong Province, China
Jin Yuan State Key Laboratory of Ophthalmology, Zhongshan Ophthalmic Center, Sun Yat-sen University, Guangzhou , Guangdong Province, China
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Abstract:
      To explore the lived experiences of patients undergoing acellular porcine corneal stroma (APCS) transplantation, a descriptive, qualitative design was performed. A purposive sample of 13 patients who underwent APCS transplantation to treat progressive infectious keratitis were enrolled in the semi-structured, open-ended interviews. The taped and transcribed interviews were analyzed using a thematic analysis approach. Alterations in the transparency of APCS grafts were accompanied by a gradual improved visual acuity (before surgery: 1.38± 0.91 logMAR; 3mo postoperatively: 0.40±0.24 logMAR, respectively). Accordingly, in terms of lived experiences, the patients generally reported “negative” experiences before the operation and during the early postoperative period, but this was greatly improved 3mo after surgery. Four main themes were derived: anxiety and fear, stigma, lifestyle change, and gratitude and insights. Conclusively, health care professionals should provide holistic care for patients, proactively promoting patients’ physical and mental health.
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