"Embracing a Borrowed Life": A Narrative Analysis of Post-Transplantation Experiences among Indian Kidney Recipients.

IF 0.7 4区医学 Q4 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH

Indian journal of public health Pub Date : 2025-04-01 Epub Date: 2025-06-30 DOI:10.4103/ijph.ijph_333_24

Naveen Kumar, Archita Tandon, Rashmi Rana, Mohinder Pal Sachdeva, Anurag Gupta, Devinder Singh Rana

{"title":"\"Embracing a Borrowed Life\": A Narrative Analysis of Post-Transplantation Experiences among Indian Kidney Recipients.","authors":"Naveen Kumar, Archita Tandon, Rashmi Rana, Mohinder Pal Sachdeva, Anurag Gupta, Devinder Singh Rana","doi":"10.4103/ijph.ijph_333_24","DOIUrl":null,"url":null,"abstract":"<p><p>This study systematically examined the multifaceted dimensions of the posttransplantation experiences of Indian kidney recipients through a meticulous narrative analysis of clinical interview data sourced from 111 male and 28 female recipients. The mean age of recipients was 39.63 ± 11.61 years, while donors exhibited a mean age of 48.68 ± 11.81 years. A predominant 33.8% of all donors were identified as maternal contributors. A central thematic construct, \"fear of graft rejection,\" emerged from the data. Subsequently, five subordinate themes were discerned: (i) Maintenance immunosuppressants and disease vulnerability, (ii) Translating gaze as nazar (evil eye), (iii) Decisions within families, donations by women, and (iv) Graft as a gift of life. This comprehensive elucidation of the recipients' perspectives augments the scholarly comprehension of the intricate challenges and decision-making processes inherent in the landscape of Indian kidney transplantation, characterized by a preponderance of living donations within familial networks.</p>","PeriodicalId":13298,"journal":{"name":"Indian journal of public health","volume":"69 2","pages":"218-220"},"PeriodicalIF":0.7000,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Indian journal of public health","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.4103/ijph.ijph_333_24","RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"2025/6/30 0:00:00","PubModel":"Epub","JCR":"Q4","JCRName":"PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH","Score":null,"Total":0}

引用次数: 0

Abstract

This study systematically examined the multifaceted dimensions of the posttransplantation experiences of Indian kidney recipients through a meticulous narrative analysis of clinical interview data sourced from 111 male and 28 female recipients. The mean age of recipients was 39.63 ± 11.61 years, while donors exhibited a mean age of 48.68 ± 11.81 years. A predominant 33.8% of all donors were identified as maternal contributors. A central thematic construct, "fear of graft rejection," emerged from the data. Subsequently, five subordinate themes were discerned: (i) Maintenance immunosuppressants and disease vulnerability, (ii) Translating gaze as nazar (evil eye), (iii) Decisions within families, donations by women, and (iv) Graft as a gift of life. This comprehensive elucidation of the recipients' perspectives augments the scholarly comprehension of the intricate challenges and decision-making processes inherent in the landscape of Indian kidney transplantation, characterized by a preponderance of living donations within familial networks.

查看原文本刊更多论文

“拥抱借来的生命”：印度肾受者移植后经历的叙事分析。

本研究通过对来自111名男性和28名女性肾受者的临床访谈数据进行细致的叙事分析，系统地研究了印度肾受者移植后经历的多方面。受者平均年龄39.63±11.61岁，供者平均年龄48.68±11.81岁。在所有献血者中，33.8%被确定为母体献血者。一个中心主题结构，“对贪污排斥的恐惧”，从数据中浮现出来。随后，确定了五个从属主题：（一）维持免疫抑制剂和疾病脆弱性；（二）将凝视翻译为nazar（邪恶之眼）；（三）家庭内部的决定、妇女的捐赠；（四）作为生命礼物的移植物。这种对受者观点的全面阐明，增强了对印度肾移植领域固有的复杂挑战和决策过程的学术理解，其特点是家庭网络中活体捐赠的优势。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

求助全文

约1分钟内获得全文求助全文

来源期刊

Indian journal of public health PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH-

CiteScore

2.40

自引率

0.00%

发文量

审稿时长

21 weeks

期刊介绍： Indian Journal of Public Health is a peer-reviewed international journal published Quarterly by the Indian Public Health Association. It is indexed / abstracted by the major international indexing systems like Index Medicus/MEDLINE, SCOPUS, PUBMED, etc. The journal allows free access (Open Access) to its contents and permits authors to self-archive final accepted version of the articles. The Indian Journal of Public Health publishes articles of authors from India and abroad with special emphasis on original research findings that are relevant for developing country perspectives including India. The journal considers publication of articles as original article, review article, special article, brief research article, CME / Education forum, commentary, letters to editor, case series reports, etc. The journal covers population based studies, impact assessment, monitoring and evaluation, systematic review, meta-analysis, clinic-social studies etc., related to any domain and discipline of public health, specially relevant to national priorities, including ethical and social issues. Articles aligned with national health issues and policy implications are prefered.