关键词: 亲体肝移植, 照顾者, 出院准备度, 质性研究

Abstract: Objective: To explore the status and needs of readiness for hospital discharge of caregivers for children undergoing living donor liver transplantations, and to provide a basis for adopting scientific and effective discharge guidance programs. Methods: Using purposive sampling method in qualitative research, 14 caregivers for children undergoing living donor liver transplantation were included, and semi-structured interviews were used in the descriptive research. The data of semi-structured interviews were analyzed by Colaizzi′s seven-step method. Results: Five themes and twelve sub-themes were extracted involvingpost-discharge nursing knowledge and skills needs (including the need of postoperative care and emergency treatment of liver transplantation, information acquisition and screening needs), medication guidance needs (including immunosuppressant drug guidance needs and abnormal medication treatment guidance needs ), rehabilitation guidance needs (including rehabilitation exercise guidance needs and vaccination guidance needs), psychological needs (including the needs of alleviating negative emotions, children′s social function adaptation needs), needs of material, informational, and emotional support (including medical technology support needs, needs of knowing social resources and accessing methods, professional platform support needs, and peer support needs). Conclusion: Caregivers have a high demand for the transition period after the discharge of children undergoing living donor liver transplantation, so it is recommended that medical staff should provide professional health guidance and psychological support, and establish multi-party support channels to improve the readiness for hospital discharge of caregivers for children undergoing living donor liver transplantation and ensure the safety of discharge.

Key words: Living donor liver transplantations, Caregiver, Readiness for hospital discharge, Qualitative research