How does psychological processing relate to compliance behaviour after lung transplantation? A content analytical study.
Non-compliance is one of the crucial problems impairing outcome after transplantation. Fourteen lung transplant recipients were interviewed about their thoughts regarding transplant-related topics. Compliance was assessed by doctors. The psychological processing was investigated by content analysis. Highly compliant patients perceived more advantages by transplantation. In contrast, low-compliant patients reported either an emotional distance to the lung or a closer relationship to the donor. Furthermore, they showed a contradictory relationship to the medical staff. There are some indications that perception of advantages by transplantation is crucial to compliance. This experience takes place in the context of a good staff-patient relationship. Emotional distance to the lung or nearness to the donor are further contributing factors of non-compliance.
Goetzmann
L
L
Psychosocial Medicine, University Hospital Zurich, and Department of Psychology, Switzerland. lutz.goetzmann@usz.ch
Moser
K S
KS
Vetsch
E
E
Klaghofer
R
R
Naef
R
R
Russi
E W
EW
Buddeberg
C
C
Boehler
A
A
D000223:Adaptation, Psychological; D000293:Adolescent; D000328:Adult; D001828:Body Image; D003674:Defense Mechanisms; D003863:Depression / Q000175:diagnosis / Q000523:psychology; D005260:Female; D006801:Humans; D007389:Internal-External Control; D016040:Lung Transplantation / Q000523:psychology*; D008297:Male; D008875:Middle Aged; D010349:Patient Compliance / Q000523:psychology*; D010552:Personality Assessment; D010817:Physician-Patient Relations; D020377:Self Efficacy; D012803:Sick Role; D012944:Social Support; D011795:Surveys and Questionnaires; D014019:Tissue Donors / Q000523:psychology