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Table 5 Expressions of motivations to donate/ accept / wait for deceased donor, expected and experienced changes in relationship

From: Decision making around living and deceased donor kidney transplantation: a qualitative study exploring the importance of expected relationship changes

Statement category

Specific statements of participants classified in this category

Motivation to donate / accept / wait for deceased donor

 

 · Concern for donor’s health

I was too afraid that my wife would not come out of the surgery so well (DD recipient A4)

 · Relationship changes

I was afraid that in case of an argument the kidney would be brought up, even just as a joke. I didn’t want that (DD recipient A5)

 · Personal benefits

I wanted to have a normal life again. In fact, the entire family was sick too (LD recipient B6)

I did not want my children to see their father this way. I was prepared to go to great lengths for that (donor B7)

Social pressure

 

 · Social pressure doctors

The nephrologist said:"She needs a kidney transplantation as soon as possible, otherwise it is not necessary anymore, she will die without a kidney" (donor A11)

Expectations of relationship changes

 

 · Fear of imbalance in relationship

May I still argue with the donor? I was afraid not (LD recipient B8)

I was afraid that after the transplantation it would be hard for me to say No to the donor (LD recipient B4)

I was afraid I always had to be nice to the people who had given me a kidney (DD recipient A6)

Experienced changes in relationship after surgery

 

 · Closer relationship

The relationship is just as good, maybe even closer because we share this together (LD recipient B5)

We’re closer than we used to be before the transplantation: it just happened (donor B4)

 · Imbalance in relationship

I struggle with the balance. I do not dare to say No to the donor as I would want to do (LD recipient B4)

I have the feeling I have to be grateful all my life (LD recipient A4)

I feel obligated to maintain a good relationship with the donor, while she is not my type (LD recipient A5)

 · Meddlesomeness donor

Once in the month: did you take your medication? (donor A4)

It is spare time for the recipient so be careful with yourself (donor A8)

 · Changed relationship with others

The relationship with the partner of the recipient also improved (donor B4)

 

The mutual relationship of the children has become closer in the period that both their parents were sick (donor A7)

 

We were disappointed that nobody in the family offered to donate a kidney. We try to still maintain a good relationship (donor B6)