title: Health transition after lung transplantation - a grounded theory study.
abstract: OBJECTIVE
  To investigate lung recipients' process of transition from prior the transplantation to one year afterwards, as well as what their main concerns are and how they deal with these concerns.
  
  
  BACKGROUND
  During the last three decades, lung transplantation has been established as an effective treatment for patients with end-stage pulmonary disease. Towards the end of the 20th century, the concept of survival expanded to also include improving health-related quality of life (HRQoL). Although many studies have been published regarding lung recipients' HRQoL, aspects of health and everyday life remain understudied. Lung transplantation demands some kind of transition. However, very little is known about this transitional process.
  
  
  METHODS
  A qualitative inductive approach using Grounded Theory (GT) was used.
  
  
  METHODS
  A total of ten adult males and five adult females (n = 15) with a mean age of 55 years were included in the study and interviewed one year after transplantation. The open-ended interviews were digitally recorded and transcribed verbatim after each interview. The analysis of the material was performed consistent with Charmaz contructivistic approach of GT.
  
  
  RESULTS
  The core category Reconstructing daily occupations summarises a process wherein the generated GT is present through four main categories: Restricting, Regaining, Reorganising and Enriching. The process of reconstructing daily occupations is necessary to regain health.
  
  
  CONCLUSIONS
  A trajectory of health transition is evident, starting pretransplant with the lung disease and severe illness and proceeding at least up to one year after the transplantation with experienced health.
  
  
  CONCLUSIONS
  The result enables a unique possibility to enhance the lung recipients' striving for everyday life and thereby promote health. There is a need for change in the existing multidisciplinary transplant team to also include an occupational therapist to support and guide the lung recipients in changing their occupational patterns.
authors.affiliation: Skåne University Hospital, Thoracic Intensive Care Unit, Lund, Sweden.|Department of Health Sciences at Lund University, Lund, Sweden.
authors.forename: Martina
authors.initials: M
authors.lastname: Lundmark
authors.affiliation: Department of Health Sciences at Lund University, Lund, Sweden.
authors.forename: Lena-Karin
authors.initials: LK
authors.lastname: Erlandsson
authors.affiliation: The Transplant Center, Sahlgrenska University Hospital, Gothenburg, Sweden.
authors.forename: Annette
authors.initials: A
authors.lastname: Lennerling
authors.affiliation: Skåne University Hospital, Thoracic Intensive Care Unit, Lund, Sweden.|Department of Health Sciences at Lund University, Lund, Sweden.
authors.forename: Matilda
authors.initials: M
authors.lastname: Almgren
authors.affiliation: Department of Health Sciences at Lund University, Lund, Sweden.|Skåne University Hospital, Department of Transplantation and Cardiology, Lund, Sweden.
authors.forename: Anna
authors.initials: A
authors.lastname: Forsberg
mesh_terms: D000328:Adult; D005260:Female; D066296:Grounded Theory; D006304:Health Status; D019456:Health Transition; D006801:Humans; D016040:Lung Transplantation; D008297:Male; D008875:Middle Aged; D011788:Quality of Life; D020127:Recovery of Function; D016896:Treatment Outcome
keywords: daily occupation; everyday life; grounded theory; health; health transition; health-related quality of life; lung transplantation; qualitative study; trajectory; transition