Document Type : Original Article


Department of Nursing, School of Nursing and Midwifery, Khorasgan (Isfahan) Branch, Islamic Azad University, Isfahan, Iran


Introduction: Heart transplantation is considered as a golden standard of treatment for
advanced heart failure. After ‑ transplantation health of patients is influenced by numerous
issues which many of them are unknown to the treatment team including nurses. This
research ‑ with the aim of describing the life experiences of heart transplant patients ‑ help us
to get close to the patients private life and gain comprehensive and a general understanding of
all aspects of their life. Methods: This study applied qualitative approach using phenomenology
method. The purposive sampling was conducted and continued with 9 participants until
information reached saturation point. The participants are the heart transplant recipients who
had surgery in Esfahan’s Heart Surgery Center of Shahid Chamran. Results: The extracted
interviews were analyzed through Colaizzi method: The eleven extracted main concepts were
included: Belief, tendencies of the recipient and family of donor, bewilderment, moment of
facing with transplantation, satisfaction, vital organ, support, temperament, physical effects of
transplantation, mental changes, paradox of life and death. Conclusion: In heart transplant
patients, being in touch with peers and family support have an important role in putting up with
the transplantation issue. Lack of social situation and social support were among the patients
distresses. Lack of the necessary information about transplantation made patients dissatisfied
with the heart transplantation. Regarding the research findings, training received by patients
would not be suffice and lack of information has been made them face with problems; therefore,
the nurse team of transplantation should play more an active role in training the patients.


1. John L, Barzivs S, Anthony S, Niedra R, Diphchand A, West L. Organ
and tissue transplantation: An Australian perspective. Aust Nurs J
2. Osborn KS, Wraa CE, Watson AB. Medical Surgical. Australia:
Pearson; 2010. p. 1632‑3.
3. Ramakrishna H, Jaroszewski DE, Arabia FA. Adult cardiac
transplantation: A review of perioperative management. Ann Card
Anaesth 2009;12:71‑8.
4. Black JM, Hawks JH. Medical Surgical Nursing. 7th ed. Philadelphia:
Elsevier; 2005. p. 694‑5.
5. Walden JA, Dracup K, Westlake C, Erickson V, Hamilton MA,
Fonarow GC. Educational needs of patients with advanced heart
failure and their caregivers. J Heart Lung Transplant 2001;20:766‑9.
6. Sadala ML, Stolf NA. Heart transplantation experiences:
A phenomenological approach. J Clin Nurs 2008;17:217‑25.
7. Tong A, Morton R, Howard K, Craig JC. Adolescent experiences
following organ transplantation: A systematic review of qualitative
studies. J Pediatr 2009;155:542‑9.
8. Delbarrio M, Robin P, Richard C, Christopher G, Mcgregor M,
Eelco F. Liver transplant patients: Their experience in the intensive
care unit, a phenomenological study. J Clin Nurs 2004;13:467‑76.
9. Abedi HA. Application of phenomenological method in clinical
sciences. J Rahbord 2011;54:207‑24.
10. Burns N, Grove Sk. The Practice of Nursing Research. 6th ed.
Philadelphia: Elsevier; 2009. p. 302‑3.
11. Wood GL, Haber J. Nursing Research: Methods and Critical
Appraisal for Evidence‑Based Practice. 7th ed. Philadelphia: Elsevier;
2010. p. 124‑6.
12. Holloway I. A‑Z of Qualitative Research in Health Care. 2th ed.
Australia: Black Well Publishing; 2008. p. 148‑9.
13. Rainer JP, Thompson CH, Lambros H. Psychological and
psychosocial aspects of the solid organ transplant experience – A
practice review. Psychotherapy (Chic) 2010;47:403‑12.
14. Martinelli V, Fusar‑Poli P, Emanuele E, Klersy C, Campana C, Barale F,et al. Getting old with a new heart: Impact of age on depression
and quality of life in long‑term heart transplant recipients. J Heart
Lung Transplant 2007;26:544‑8.
15. Canning RD, Dew MA, Davidson S. Psychological distress
among caregivers to heart transplant recipients. Soc Sci Med
16. Doering LV, Dracup K, Caldwell MA, Moser DK, Erickson VS,
Fonarow G, et al. Is coping style linked to emotional states in heart
failure patients? J Card Fail 2004;10:344‑9.
17. Grady KL, Naftel DC, Kobashigawa J, Chait J, Young JB,
Pelegrin D, et al. Patterns and predictors of quality of life at 5
to 10 years after heart transplantation. J Heart Lung Transplant
18. White‑Williams C, Jalowiec A, Grady K. Who returns to work after
heart transplantation. J Heart Lung Transplant 2005;24:2255‑61.
19. Ross H, Abbey S, De Luca E, Mauthner O, McKeever P, Shildrick M,
et al. What they say versus what we see: “Hidden” distress and
impaired quality of life in heart transplant recipients. J Heart Lung
Transplant 2010;29:1142‑9.
20. Lumby J. Liver transplantation: The death/life paradox. Int J Nurs
Pract 1997;3:231‑8.