Resiliency, the Lived Experience of Patients Undergoing Hematopoietic Stem Cell Transplantation (original) (raw)
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Purpose: This study aimed at description and interpretation of the lived experience of Hematopoietic Stem Cell Transplantation (HSCT) as a novel therapeutic option in hematologic cancers.Methods: This hermeneutic phenomenological study was conducted on 13 individuals who had undergone HSCT. The participants were selected using purposeful sampling. In-depth interview was used and data analysis was conducted using van Manen’s methodological framework.Results: Three themes emerged in this study, including “bewilderment in the shadow of hope”, “emerging dream of budding”, and “entering the calm beach”. Bewilderment in the shadow of hope consisted of four subthemes, namely “strange and shocking news”, “searching for information accomplished with psychological distress”, “having some misconceptions”, and “finding a chance for survival”. In addition, five subthemes of “chemotherapy as a root of transplantation”, “immersing in the psychological burden”, “shining light of life”, “waiting for...
International journal of hematology-oncology and stem cell research, 2013
This study explored the state of hematopoietic stem cell transplantation (HSCT) recipient patients and problems experienced by them and nurse about these state and problems, in Iran. Qualitative content analysis was used for analyzing semi-structured interviews with 12 HSCT recipient patients and 18 nurses. THREE MAIN CATEGORIES DESCRIBED THE HSCT STATE AND PROBLEMS: shadow of death, living with uncertainty, and immersion in problems. Patients treated with risk variety in continuity with probability of death. The patients lived with uncertainty. Consequently these resulted immersion in problems with four sub-categories including: (a) Physical problems, (b) money worries, (c) life disturbances, and (d) emotional strain. HSCT patients live in a state of limbo between life and death with multidimensional problems. Establish centers for supporting and educating of patients and their families, education of health care providers, enhancement of public knowledge about HSCT along with alloc...
Background: The number of global hematopoietic stem cell transplantation (HSCT) survivors is increasing rapidly. Survivors encounter many challenges, but studies regarding survivorship experiences in China are scarce. Objective: This study aimed to explore the survivorship experiences of Chinese patients with hematological cancers after HSCT and to describe the impact of HSCT on survivors’ lives. Methods: Descriptive qualitative research was employed. Purposive sampling was used to recruit HSCT survivors who were treated in Zhejiang Province from June 2021 to June 2022. Audio-recorded semi-structured interviews were conducted, transcribed verbatim, and analyzed via conventional content analysis. Results: Fifteen HSCT survivors aged 18-59 years participated in this study. Four themes and 11 subthemes emerged: (1) transplant being harder than you thought (body function impaired, forced to modify diet, disturbed by survivorship uncertainty), (2) difficulty blending into circles (limite...
Spirituality and the Recovery of Quality of Life Following Hematopoietic Stem Cell Transplantation
Health Psychology, 2014
Objective: Spirituality has been linked to improved adjustment and functioning in individuals with cancer; however, its effect on quality of life following hematopoietic stem cell transplantation (HSCT) has not been well-studied. This study investigated changes in spirituality in hematologic cancer patients recovering from HSCT and relationships between spirituality and dimensions of quality of life following HSCT. Methods: Participants (N ϭ 220) completed measures of two dimensions of spirituality (meaning/ peace and religious faith), depression, anxiety, fatigue, pain, and physical and functional well-being prior to transplant and at 1-, 3-, 6-, and 12-months posttransplant. Results: Meaning/peace declined at 1-month posttransplant and returned to pretransplant levels by 6-months posttransplant, and faith increased from pretransplant to 6-months posttransplant. Mixed-effects linear regression models indicated that greater pretransplant meaning/peace, but not religious faith, predicted less depression, anxiety, and fatigue, and better physical and functional well-being during the 12-months following transplant. Conclusions: The capacity to find meaning and peace may facilitate recovery following HSCT. Results suggest that spirituality may be a resilience factor that could be targeted to improve quality of life for HSCT recipients.
International journal of nursing practice, 2000
Autologous bone marrow or peripheral blood stem cell transplant are recent treatments to offer hope of a cure or prolonged remission for certain types of cancer. Current literature predominantly has either a biomedical focus or deals with survivorship issues. The ways in which survivors perceive this treatment option is important in providing nurses with a deeper insight and understanding with which to inform nursing practice. Using methods consistent with hermeneutic phenomenology, seven people who survived this treatment were invited to participate in sharing their stories in individual audiotaped interviews. Themes that emerged from their stories include changing concepts of self, the significance of relationships, being different from the past and temporality.
Quality of Life Research, 2011
Purpose Psychosocial assessment prior to haematopoietic stem cell transplants (HSCT) can help to identify patients at risk of impaired health-related quality of life (HRQOL) post-transplant. According to the response-shift model, certain antecedents and mechanisms, along with changes in internal standards, values or conceptualisations of HRQOL, facilitate adjustment to changes in health circumstances. This study sought to explore the role of psychosocial variables in adjustment to compromised HRQOL following HSCT, from the theoretical basis of the response-shift model. Methods Semi-structured interviews were conducted with 28 patients (15 women, 13 men; 22-71 years), post-HSCT. Time since transplant ranged from 1 month to 28 years. Verbatim transcripts were analysed using template analysis. Results Patients provided narrative examples of changing their values and internal standards. Optimism, social support, social comparisons, changing expectations and setting goals were identified as important in managing threats to HRQOL. Conclusions The response-shift model is a useful theoretical basis for exploring HRQOL in HSCT patients. Response shifts and psychosocial variables may help patients to cope and enabling them to experience good HRQOL despite the negative effects of HSCT. Understanding the adjustment processes has implications for patient care.
2017
Background and aim: In the last years we have seen an ever increasing number of patients with haematologic disorders who need hematopoietic stem cell transplantation (HSCT). The whole sector of HSCT results, infact to be in a continous scientific and technological clinical progress, offering a very advanced care. Despite this, some aspects are underconsidered, some of which could be fundamental to determine the success of the care pathway, such as the experience of the illness by the patient. Using a Narrative Based Medicine approach we wanted to investigate clinical, psychosocial and organizational aspects of the patient’s journey whilst undergoing HSCT. Method: Various narrative interviews were conducted using non-structured approach. Results were analysed by thematic contents. Results: Psycological dimension is the most compromised: above all emerged sentiments of oppression linked to the isolation period in the Low Bacterial Load (LBL) room. To note are also the different dynami...
Revista de Enfermagem UFPE on line, 2013
Objective: to present reflections on the triad patient/family and professionals in the context of Transplantation Hematopoietic Stem Cell. Method: a descriptive study, of conceptual and theoretical analysis performed by the reflective process about Transplantation of Hematopoietic Stem Cells. Results: The findings of this reflective process were evidenced in three categories: 1. The context of Transplantation Hematopoietic Stem Cell, 2. The role of family and health care team in the care of patients undergoing transplantation of Hematopoietic Stem Cell and 3. Repercussions of the process of death and dying in Transplantation Hematopoietic Stem Cell. Conclusion: there was the implicit role of the health care team in the task of engaging patients, families and other team members in job attitudes that enable all verbalizing their feelings, identifying sources of aid, that may be inside or outside of their own family.
Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer, 2016
The aim of this qualitative study was to gain a rich understanding of the impact that haematopoietic stem cell transplantation (HSCT) has on long-term survivor's quality of life (QoL). Participants included 441 survivors who had undergone HSCT for a malignant or non-malignant disease. Data were obtained by a questionnaire positing a single open-ended question asking respondents to list the three issues of greatest importance to their QoL in survivorship. Responses were analysed and organised into QoL themes and subthemes. Major themes identified included the following: the failing body and diminished physical effectiveness, the changed mind, the loss of social connectedness, the loss of the functional self and the patient for life. Each of these themes manifests different ways in which HSCT survivor's world and opportunities had diminished compared to the unhindered and expansive life that they enjoyed prior to the onset of disease and subsequent HSCT. HSCT has a profound an...