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Turlinskienė M, Seniūnaitė‐Ramanauskienė R, Pociūnaitė J, Sargautytė R. Psychological empowerment and quality of life in haematopoietic stem cell transplantation patients: A quantitative study. Nurs Open 2023; 10:7611-7621. [PMID: 37740665 PMCID: PMC10643847 DOI: 10.1002/nop2.2000] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/17/2022] [Revised: 09/04/2023] [Accepted: 09/13/2023] [Indexed: 09/25/2023] Open
Abstract
AIM This study aimed to evaluate the relationship between psychological empowerment, depression, anxiety, and quality of life in people with haematopoietic stem cell transplantation (HSCT). DESIGN A longitudinal prospective study. METHODS A sample of 150 people with haematological was recruited at Santaros Clinics in Lithuania between September 2020 and April 2022. Demographic characteristics, cancer-related characteristics, depression, anxiety, psychological empowerment and quality of life (QoL) were assessed using self-report questionnaires before and 10-12 weeks after HSCT. Descriptive statistics, correlation and moderation analyses were performed. RESULTS The results showed that psychological empowerment had a significant correlation with patients' depression, anxiety and QoL. Patients who were more empowered before HSCT had a subjectively better QoL before and after HSCT and were less depressed after transplantation. The results showed that empowerment was a moderator between depression and QoL after transplantation, but it had a significant effect on the QoL only among patients who are less depressed. PATIENT OR PUBLIC CONTRIBUTION With this study, we aim to contribute to a better understanding of the psychological experiences of people with HSCT. Particularly, psychological empowerment is an important factor in preparing for this treatment. Medical professionals like nurses can be crucial contributors to implementing and strengthening psychological empowerment.
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Affiliation(s)
- Marija Turlinskienė
- Institute of PsychologyVilnius UniversityVilniusLithuania
- Vilnius University Hospital Santaros KlinikosVilniusLithuania
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Polomeni A, Ainaoui M. La médecine prédictive à l’épreuve de l’oncohématologie : réflexions à partir de la clinique. PSYCHO-ONCOLOGIE 2022. [DOI: 10.3166/pson-2021-0170] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/20/2022]
Abstract
Le développement de l’oncogénétique permet de mieux adapter le traitement pour les patients atteints de cancer et aussi de proposer, dans les cas d’anomalies génétiques héréditaires, un suivi adapté aux proches concernés. Néanmoins, les nouvelles technologies de séquençage suscitent des questions éthiques et cliniques, notamment quant à l’impact psychologique de ces tests génétiques. Nous abordons la spécificité de l’identification de mutations génétiques constitutionnelles dans le cadre de l’oncohématologie.
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Polomeni A. « Faire le deuil » en temps d’innovations thérapeutiques. PSYCHO-ONCOLOGIE 2020. [DOI: 10.3166/pson-2020-0115] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/20/2022]
Abstract
Nous traitons la problématique du deuil dans le cadre de l’allogreffe de cellules souches hématopoïétiques à partir d’un donneur haplo-identique. L’analyse d’un cas clinique permet d’interroger l’application systématique des catégories du normal et du pathologique au deuil, la surmédicalisation des sujets endeuillés ainsi que l’injonction sociale à « faire son deuil », selon les modalités décrites par la nosographie psychiatrique. Les modalités d’accompagnement des donneurs endeuillés seront questionnées en réaffirmant la pertinence d’une clinique nourrie par une réflexion psychanalytique.
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Zomerdijk N, Turner J, Hill GR, Gottlieb D. Experiences and unmet needs of family members requested to donate haematopoietic stem cells to an ill relative: findings from a prospective multi-centre study. Support Care Cancer 2020; 29:635-644. [PMID: 32424644 DOI: 10.1007/s00520-020-05520-y] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/19/2020] [Accepted: 05/06/2020] [Indexed: 12/24/2022]
Abstract
BACKGROUND Despite well-documented physical effects of haematopoietic stem cell (HSC) donation, far less attention has been focused on the psychosocial impact for family donors. This study aimed to better understand the psychosocial aspects of HSC donation by family members, focusing, in particular on their needs for information and supportive care. METHODS Thirty-one adult HSC family donors from two clinical hospitals were interviewed before, during and 1 month after HSC donation. Interviews explored ambivalence, motivation, perceived pressure, preparedness, the donor-recipient relationship, information and support received and suggestions for improvement. RESULTS Three main themes about the donation experience were identified: 'call to arms' (focused on the recipient, stressful urgency, making meaning of being a donor, decisional ambivalence), 'proceeding with donation' (living in limbo, unsettling uncertainty, pervasive pain, feeling supported) and 'after the dust settles' (feeling discarded, downplaying role, residual symptoms, dealing with adverse recipient outcomes). Underlying system and communication issues included time for consideration prior to donor work-up, management of confidentiality, information inadequacy and access to support. Donors wanted information about the emotional challenges specific to being a family donor, such as ways in which previous donors coped with recipient death. For donors whose recipient had died, the priority for improved care was follow-up support. CONCLUSION Our findings emphasise a gap in information and supportive care for family donors and the need for a protocol specifically designed to inform and support family donors before, during and after HSC donation.
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Affiliation(s)
- Nienke Zomerdijk
- Faculty of Medicine, University of Queensland, Brisbane, QLD, Australia. .,Royal Brisbane and Women's Hospital, Brisbane, QLD, Australia. .,Bone Marrow Transplant Laboratory, QIMR Berghofer Medical Research Institute, Brisbane, QLD, Australia. .,School of Psychological Sciences, University of Melbourne, Melbourne, VIC, Australia.
| | - Jane Turner
- Faculty of Medicine, University of Queensland, Brisbane, QLD, Australia.,Royal Brisbane and Women's Hospital, Brisbane, QLD, Australia
| | - Geoffrey R Hill
- Faculty of Medicine, University of Queensland, Brisbane, QLD, Australia.,Royal Brisbane and Women's Hospital, Brisbane, QLD, Australia.,Bone Marrow Transplant Laboratory, QIMR Berghofer Medical Research Institute, Brisbane, QLD, Australia.,Clinical Research Division, Fred Hutchinson Cancer Research Center, Seattle, WA, USA
| | - David Gottlieb
- Blood and Bone Marrow Transplant Unit, Westmead Hospital, Sydney, NSW, Australia.,Sydney Medical School, University of Sydney, Sydney, NSW, Australia
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