Family experience in the kidney transplant process from a living
                    donor

Qualitative study conducted with four families of patients undergoing kidney transplantation of living donor. The research instrument used was a semi-structured interview conducted at the homes of families and recorded audio. The interviews were transcribed verbatim and from the saturation of data, categories emerged.

Results:

The following categories were observed: impact of chronic kidney disease and dialysis treatment in the family; family experience at different stages facing kidney transplant of a living donor; family interaction with the healthcare team; Resignifying the family system in the process of chronic kidney disease and kidney transplant; and support from social networking and spirituality as coping strategies.

Conclusion:

Kidney transplantation from a living donor involves aspects of physical and emotional care of everyone involved in the process, considering the potential and experienced adaptations where spirituality is seen as a contributing factor.

Keywords
Family; Kidney transplantation; Organ transplantation; Living donors; Nursing care

Family	Family composition	Family composition at the time of the interview	Hometown	Disease history	Donor
F1	Origin Family: father, mother and four brothers.	Recipient, donor, mother and father.	Campo Grande (RJ)	Chronic kidney disease began in 2008, hypertension in treating was the main cause. The immediate dialysis treatment was performed in the State of Minas Gerais	Sister
	Parents were separate. Father remarried with three children from the current relationship	Family lived in a rented house in the city of São Paulo (SP)
	Current family: mother, two sisters, a nephew.
	Recipient was separate from partner, with no children
F2	Origin Family: father, mother and 12 brothers and sisters	Donor and wife, Recipient and wife living in a house as Courtesy of the city of Itapecirica da Serra city (SP)	Recipient residing in Aracaju (SE) Donor. resident in Goiás (GO)	Loss of renal function in 2010, asymptomatic hypertension without treatment. Immediate dialysis treatment in the hometown	Brother
	Current family of the recipient: wife and teenage daughter
	Current donor‘s family: wife and a child of school age
F3	Origin Family: father, mother and ten brothers	Donor, recipient, companion brother, cousin	Metropolitan area of João Pessoa (PA) Donor resident in São Paulo (SP)	Loss of renal function was a result of hypertension without medical supervision. At diagnosis of chronic kidney disease, wife was diagnosed with renal failure (atrophy)	Sister
	Current Family: wife, two sons and a grandson	Donor, recipient, companion brother, cousin
	Current donor family: husband and two sons	Recipient in temporary home of the donor during the transplant process
F4	Origin Family/current: father, mother and a sister younger than 21 years	Residents in Guarulhos (SP)	Metropolitan region of São Paulo	Sudden kidney failure without triggering diseases.	Mother

Escola Paulista de Enfermagem, Universidade Federal de São Paulo R. Napoleão de Barros, 754, 04024-002 São Paulo - SP/Brasil, Tel./Fax: (55 11) 5576 4430 - São Paulo - SP - Brazil
E-mail: actapaulista@unifesp.br

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[1] Corresponding author Maria Goreti da Silva Cruz, Napoleão de Barros street, 754, São Paulo, SP, Brazil. Zip Code: 04024-002, goreti.cruz27@gmail.com