| 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 |
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| 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). |
| Author | Institution |
| 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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