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ArticleFrontiers in psychology2025

Experiences, perceptions and unexpressed needs of patients undergoing heart and lung transplantation in intensive care unit: a qualitative phenomenological study.

Nikita Valentina Ugenti, Silvio Quirini, Marianna Aleandri, Vittorio Di Filippo, Stefano Durante, Alice Ferretti, Carolina Guerrieri, Carmela Martella, Angela Peghetti, Silvia Sgarzi and 3 more

Registry-linked trialAbstract read
In one paragraph

Article in Frontiers in psychology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT06773052 (The Experience, Perceptions and Unexpressed Needs of Heart and Lung Transplant Patients Admitted to Intensive Care), which is not on this map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT06773052 completednot on this map

The Experience, Perceptions and Unexpressed Needs of Heart and Lung Transplant Patients Admitted to Intensive Care: a Qualitative, Descriptive Phenomenological Observational Study

TypeobservationalSponsorIRCCS Azienda Ospedaliero-Universitaria di BolognaRan2022 to 2024Enrolled21ConditionsHeart and Lung Transplants
3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

13 authors.

Nikita Valentina UgentiIRCCS Azienda Ospedaliero-Universitaria di Bologna, Bologna, Italy.
Silvio QuiriniIRCCS Azienda Ospedaliero-Universitaria di Bologna, Bologna, Italy.
Marianna AleandriIRCCS Azienda Ospedaliero-Universitaria di Bologna, Bologna, Italy.
Vittorio Di FilippoIRCCS Azienda Ospedaliero-Universitaria di Bologna, Bologna, Italy.
Stefano DuranteIRCCS Azienda Ospedaliero-Universitaria di Bologna, Bologna, Italy.
Alice FerrettiOspedale Privato Accreditato Villa Laura, Bologna, Italy.
Carolina GuerrieriIRCCS Azienda Ospedaliero-Universitaria di Bologna, Bologna, Italy.
Carmela MartellaIRCCS Azienda Ospedaliero-Universitaria di Bologna, Bologna, Italy.
Angela PeghettiIRCCS Azienda Ospedaliero-Universitaria di Bologna, Bologna, Italy.
Silvia SgarziIRCCS Azienda Ospedaliero-Universitaria di Bologna, Bologna, Italy.
Sara ValentiniIRCCS Azienda Ospedaliero-Universitaria di Bologna, Bologna, Italy.
Angela VetromileIRCCS Azienda Ospedaliero-Universitaria di Bologna, Bologna, Italy.
Elena LiaIRCCS Azienda Ospedaliero-Universitaria di Bologna, Bologna, Italy.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Introduction: Patients in intensive care units require advanced clinical care as well as attention to psychological social and emotional needs, often overlooked. Heart and lung transplant recipients experience a particularly complex postoperative journey, marked by physical fragility, emotional vulnerability, and identity transformation. Communication barriers caused by sedation, intubation, and disorientation, combined with a focus on physiological stability, hinder understanding of their lived experience. A lack of qualitative research in this topic limits the development of person-centered care and mismatches between professional priorities and patient needs may lead to depersonalization and dissatisfaction. This study aimed to explore ICU experiences of transplant patients through the richness and complexity of their individual journey. Methods: A descriptive phenomenological study was conducted at IRCCS University Hospital of Bologna. Semi-structured interviews were performed with 21 heart (average ICU stay: 6 days) and lung (average ICU stay: 13 days) transplant recipients, 2-4 days post-ICU discharge. Interviews aimed to capture patients' recollections while ensuring clinical stability. Thematic content analysis was used to identify key themes. Results: Six main themes emerged: (1) care environment, (2) sensory perceptions, (3) person's empowerment, (4) lived experiences, (5) transplant path, and (6) quality of care. Patients reported feelings of isolation, disorientation, frustration and impaired communication due to sedation and intubation. Emotional experiences ranged from fear and loneliness to hope and gratitude. Reflections on the donor revealed ambivalent emotions including guilt and appreciation. Personalized care, empathetic communication, and supportive relationships with healthcare professionals were seen as essential for emotional well-being and recovery. Discussion: Heart and lung transplantation is a deeply transformative experience. Beyond clinical care, patients need emotional and psychological support. Personalized, empathetic interventions and improved communication strategies are crucial to enhancing both recovery outcomes and the overall ICU experience. Clinical trial registration: ClinicalTrials.gov, identifier NCT06773052.

Indexed as

caringintensive care unitpatient-centered carepatient experiencetransplant

Identifiers

PMID40994850
PMCPMC12454062

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Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.