405.8: Sociocultural experiences and meanings of kidney transplant in Mexican patients: A qualitative study.

Le résumé fourni par la source

Introduction: Although transplantation offers a better chance to improve quality of life, it poses many challenges for lower-middle income patients. The purpose of this study was to analyze these experiences among patients treated in a Mexican public hospital. Methods: A qualitative descriptive study of kidney transplant patients was conducted using semi-structured interviews following an interview guide, which were audio-recorded and transcribed verbatim. Thematic analysis was carried out to categorize the information using Atlas.ti software; the interpretive-critical perspective of medical anthropology was used for the findings. Results: This study included 13 patients with an average age of 36 years, 6 (46.1%) women, 10 (76.9%) singles, an average education of 13 years, 9 (69.2%) with informal jobs, and 13 (100%) with medium-low socioeconomic level. Eight main themes were identified and distributed in the 3 phases of the transplant process: Pre-transplant: 1. Lack of knowledge and beliefs about the transplant; 2. High costs, 3. Social support. Transplant: 4. Emotions, 5. Communication with the health team, 6. Barriers and facilitators. Post-transplant: 7. The new normality of transplant: body, family, and work, 8. Meanings of transplant and donation. Conclusions: Transplantation is an alternative to overcome the social suffering caused by chronic kidney disease; however, health vulnerability remains after the procedure. Social and institutional support alleviates the socio-economic and emotional burden. Transplantation provides a state of comprehensive well-being, although there is uncertainty due to the return to personal and social suffering in the event of a possible loss of the graft.

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