DOI: 10.1111/jocn.70600 ISSN: 0962-1067

Lived Experiences of People Who Have Undergone Liver Transplantation During the Post‐Transplant Recovery Period: A Meta‐Synthesis of Qualitative Studies

Dandan Geng, Yu Du, Jin Gao, Yan Zhu, Haiying Zhou, Jingxian Yu, Xiao Chen

ABSTRACT

Aim

To synthesize qualitative evidence on the post‐transplant lived experiences of people who have undergone liver transplantation throughout the post‐transplant recovery period.

Background

People who have undergone liver transplantation encounter complex physical, lifestyle‐related, and social challenges that impair quality of life. Existing qualitative studies have explored their post‐transplant experiences; yet no comprehensive meta‐synthesis has synthesized this body of evidence.

Methods

Five databases (EMBASE, PubMed, CINAHL, Web of Science, ProQuest) were systematically searched up to June 2026. Qualitative studies investigating the recovery‐phase post‐transplant lived experiences of adult people who have undergone liver transplantation were included. Thomas and Harden's thematic synthesis was applied, with quality appraisal conducted using the Joanna Briggs Institute Qualitative Assessment and Review Instrument.

Results

Forty‐five eligible studies generated three analytical themes: physical exhaustion‐to‐functional reconstruction, paradoxical psychological adaptation between death‐related fear and rebirth hope, and social‐network restructuring marked by co‐existing support and loneliness. Study participants experienced non‐linear recovery and an empathy gap where social support could trigger loneliness.

Conclusion

Recovery is a dynamic multi‐dimensional process. Conventional follow‐up emphasizes physiological monitoring while overlooking lived experiences. Person‐centred care integrating physical, emotional, and social needs is required. Long‐term longitudinal research with co‐researchers who have undergone liver transplantation is recommended.

Implications

Nurses should deliver holistic follow‐up assessment to identify at‐risk people who have undergone liver transplantation and guide anticipatory supportive care. This review highlights how intertwined physical‐psychological‐social experiences can inform person‐centred post‐transplant recovery‐oriented care.

Patient or Public Contribution

None.

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