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Franchina L, Sarradon-Eck A, Arnault Y, Le Corroller AG, Zunic P, Marino P. Lived experience of State-sponsored intra-national overseas therapeutic mobility for stem cell transplantation. Soc Sci Med 2022; 301:114957. [PMID: 35397418 DOI: 10.1016/j.socscimed.2022.114957] [Citation(s) in RCA: 2] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/20/2021] [Revised: 03/29/2022] [Accepted: 03/30/2022] [Indexed: 11/12/2022]
Abstract
This article focuses on the lived experience of patients with haematological cancer who were transferred from La Réunion (a French overseas Department) to mainland France to undergo allogeneic haematopoietic stem cell transplantation (allo-HSCT). Based on a qualitative study conducted between February 2020 and January 2021 with allo-HSCT recipients, their family caregivers and healthcare professionals, we examined the social, economic and cultural factors shaping the patients' complex experience. We have called this kind of State-sponsored intra-national medical transfer "overseas therapeutic mobility". The patients' experience of this therapeutic journey beyond their geographical and cultural frontiers has some similarities with transnational therapeutic mobility. Overseas therapeutic mobility to undergo highly technical treatment requires considerable logistic efforts and mobility skills. The remoteness of their families and their affective and cultural environment give mobile patients a feeling of disorientation and causes them much social suffering. The two-fold condition of being a sick person with a possibly lethal disease and being treated overseas can be regarded as a double ordeal. In addition, the unfunded costs place a heavy burden on the patients and those whose families have limited resources. This study points to the cleavages which occur between post-colonial overseas regions and mainland France, and the territorial inequalities existing in patients' access to specialized treatment due to French policies of healthcare centralization.
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Affiliation(s)
- Loreley Franchina
- Aix Marseille Univ., INSERM, IRD, SESSTIM, ISSPAM, Marseille, France
| | - Aline Sarradon-Eck
- Aix Marseille Univ., INSERM, IRD, SESSTIM, ISSPAM, Marseille, France; Institut Paoli-Calmettes, CanBios, UMR1252, Marseille, France.
| | - Yolande Arnault
- Institut Paoli-Calmettes, Département de Psychologie Clinique, Marseille, France
| | | | - Patricia Zunic
- Service d'hématologie et d'oncologie Médicale, CHU La Réunion, Saint Pierre, France
| | - Patricia Marino
- Aix Marseille Univ., INSERM, IRD, SESSTIM, ISSPAM, Marseille, France; Institut Paoli-Calmettes, CanBios, UMR1252, Marseille, France
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Evaluation of a Nurse-Led Patient Navigation Intervention: Follow-Up of Patients After Autologous and Allogeneic Stem Cell Transplantation. Cancer Nurs 2021; 45:287-296. [PMID: 34608045 DOI: 10.1097/ncc.0000000000001012] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/26/2022]
Abstract
BACKGROUND Complex survivorship cancer care requires nurse-led interventions. Therefore, a nurse-led patient navigation intervention was developed in which trained cancer nurses gave advice and referred to other professionals during the process of recovery and rehabilitation of hematopoietic stem cell transplantation (HSCT) patients. OBJECTIVE The aim of this study was to understand the nature and effect of this nurse-led information and referral intervention. METHODS Of the 199 included patients in the intervention group, 75 completed the quality of life, quality of care, self-efficacy, and self-management behavior questionnaires at baseline and at 6 and 12 months after HSCT. A historical control group of 62 patients completed the same questionnaires 12 months after HSCT. In addition, patients' experiences with the intervention were evaluated in 2 focus groups. RESULTS Patients emphasized the holistic approach of the cancer nurses and the opportunity to discuss psychosocial domains of life. Within the intervention group, a statistically significant effect on quality of life was demonstrated over time. The differences in quality of life, self-efficacy, and self-management were not significant between the intervention group and control group. CONCLUSION The holistic focus of this nurse-led intervention proved to be acceptable to the HSCT patients and promising in supporting the (complex) challenges that these patients face during their process of recovery and rehabilitation. IMPLICATIONS FOR PRACTICE Nurse-led patient navigation interventions with a holistic approach when included in the daily practice of complex survivorship cancer care can support HSCT patients' information and referral needs during their rehabilitation.
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Five Phases of Recovery and Rehabilitation After Allogeneic Stem Cell Transplantation: A Qualitative Study. Cancer Nurs 2020; 42:50-57. [PMID: 28426538 DOI: 10.1097/ncc.0000000000000494] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/26/2022]
Abstract
BACKGROUND For patients with a hematological malignancy, allogeneic stem cell transplantation (alloSCT) is a treatment modality that may cause a wide range of problems. Little is known about the process of recovery and rehabilitation and the problems that alloSCT patients are confronted with during the first-year posttransplant. OBJECTIVE This study explored the problems of patients during the first year after alloSCT, to better understand the process of recovery and rehabilitation. METHODS In a qualitative study, hemato-oncology patients were interviewed 1-year posttransplant. The semistructured interviews were transcribed verbatim, coded, and analyzed using constant comparative analysis. RESULTS Ten participants were included until saturation of data was reached. The patients had experienced various problems and had gone through an individual process of recovery and rehabilitation. Nevertheless, 5 phases could be distinguished: (1) survive, (2) on the receiving end, (3) bring under control, (4) start recuperation, and (5) retrospection. The duration of each phase varied between patients. CONCLUSION Although patients experienced individual problems after alloSCT, they all followed a common pathway. Posttransplant care might be improved by adjusting the care to the distinct phases that the patients pass through. IMPLICATIONS FOR PRACTICE Nurses can play an important role in achieving improvements in posttransplant care by adjusting care to the individual needs of patients within the distinct phases.Future nursing research should confirm and refine this process of recovery and rehabilitation and assess the effects of improvement measures in alloSCT patients and in other populations.
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Koll TT, Semin JN, Coburn RA, Hill-Polerecky DM, Miller KA, Wildes TM, Estabrooks PA, Jones KJ. Returning to life activities after hematopoietic cell transplantation in older adults. J Geriatr Oncol 2019; 11:304-310. [PMID: 31836475 DOI: 10.1016/j.jgo.2019.11.008] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/18/2019] [Revised: 10/15/2019] [Accepted: 11/25/2019] [Indexed: 11/29/2022]
Abstract
OBJECTIVES The prevalence of hematopoietic cell transplant (HCT) among older adults with hematological malignancies has more than doubled over the last decade and continues to grow. HCT is an intense process that can impact functional status and health-related quality of life. The objective of this paper is to describe the experience of returning to life activities after HCT in patients 60 years of age and older and the resources required to adapt and cope to limitations in physical, psychological, and cognitive function. MATERIALS AND METHODS Twenty English speaking adults 60 years and older with hematological malignancy 3 to 12 months post-HCT completed semi-structured interviews. Open-ended questions and probes were guided by the Transactional Model of Stress and Coping to explore adaptive functioning, coping resources, and coping strategies. An integrated grounded theory approach was used to code the textual data to identify themes. The study took place at a tertiary comprehensive cancer center in the Midwest United States. RESULTS Eight allogeneic and twelve autologous HCT recipients participated in the interviews. Nineteen participants were within 6-12 months and 1 participant was at 3 months post-HCT. Our findings identify the significant role of engaging in life activities and social support in the recovery of physical, psychological and cognitive function. CONCLUSION Older HCT recipients are an understudied population. They are at high risk for functional decline. Our findings may provide community oncologists and primary care physicians with a context for providing care to older HCT survivors during their recovery.
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Affiliation(s)
- Thuy T Koll
- Division of Geriatrics, Gerontology, and Palliative Medicine, Department of Internal Medicine, University of Nebraska Medical Center, Omaha, NE, United States of America.
| | - Jessica N Semin
- Division of Geriatrics, Gerontology, and Palliative Medicine, Department of Internal Medicine, University of Nebraska Medical Center, Omaha, NE, United States of America
| | - Rachel A Coburn
- Department of Medicine, University of Wisconsin School of Medicine and Public Health, Madison, WI, United States of America
| | - Diane M Hill-Polerecky
- Blood and Marrow Transplantation Program, Nebraska Medicine, Omaha, NE, United States of America
| | - Kimberly A Miller
- Blood and Marrow Transplantation Program, Nebraska Medicine, Omaha, NE, United States of America
| | - Tanya M Wildes
- Department of Medicine, Division of Medical Oncology, Washington University School of Medicine, St. Louis, MO, United States of America
| | - Paul A Estabrooks
- Department of Health Promotion, College of Public Health, University of Nebraska Medical Center, Omaha, NE, United States of America
| | - Katherine J Jones
- Nebraska Coalition for Patient Safety, Omaha, NE, United States of America; College of Allied Health Professions, University of Nebraska Medical Center, Omaha, NE, United States of America
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Longitudinal Analysis of the Relationships Between Social Support and Health-Related Quality of Life in Hematopoietic Stem Cell Transplant Recipients. Cancer Nurs 2019; 42:251-257. [DOI: 10.1097/ncc.0000000000000616] [Citation(s) in RCA: 10] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/17/2022]
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Liang Y, Wang H, Niu M, Zhu X, Cai J, Wang X. Health-related quality of life before and after hematopoietic stem cell transplant: evidence from a survey in Suzhou, China. Hematology 2018; 23:626-632. [PMID: 29587595 DOI: 10.1080/10245332.2018.1457199] [Citation(s) in RCA: 9] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/17/2022] Open
Affiliation(s)
- Yongchun Liang
- Department of Nursing, The First Affiliated Hospital of Soochow University, Suzhou, Jiangsu, People’s Republic of China
| | - Haifang Wang
- Department of Nursing, The First Affiliated Hospital of Soochow University, Suzhou, Jiangsu, People’s Republic of China
| | - Meie Niu
- Department of Nursing, The First Affiliated Hospital of Soochow University, Suzhou, Jiangsu, People’s Republic of China
| | - Xiaming Zhu
- Department of Hematology, The First Affiliated Hospital of Soochow University, Suzhou, Jiangsu, People’s Republic of China
| | - Jianzheng Cai
- Department of Nursing, The First Affiliated Hospital of Soochow University, Suzhou, Jiangsu, People’s Republic of China
| | - Xiubei Wang
- Department of Nursing, The First Affiliated Hospital of Soochow University, Suzhou, Jiangsu, People’s Republic of China
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Wendt C. Perception and Assessment of Verbal and Written Information on Sex and Relationships after Hematopoietic Stem Cell Transplantation. JOURNAL OF CANCER EDUCATION : THE OFFICIAL JOURNAL OF THE AMERICAN ASSOCIATION FOR CANCER EDUCATION 2017; 32:681-689. [PMID: 27278129 DOI: 10.1007/s13187-016-1054-x] [Citation(s) in RCA: 10] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 05/16/2023]
Abstract
This study aimed to investigate experiences of verbal and written information about sex and relationships among men and women treated with hematopoietic stem cell transplantation. The study also aimed to investigate the demand for information and assessment of the quality of written patient information material entitled "Sex and relationships in the treatment of blood diseases." Few studies exist that shed any light on the demand for information about sex and relationships on the part of patients with hematological diseases before, during, and after their treatment. A total of 216 patients undergoing treatment for malignant blood diseases between 2000 and 2010 participated in this study. Patients' experiences of information about sex and relationships, and their opinions about the written patient information, were assessed using a questionnaire created specifically for this study. Most patients (81 %) had not received information about sex and relationships from a healthcare professional. Almost 90 % of men felt that verbal information was important, compared with 82 % of women. The majority also held that written information was important. These results indicate that patients, regardless of gender, age, and treatment, consider oral and written information about sex and relationships to be important and that the healthcare system should provide the information. The written patient information was considered to play an important role in creating an opening for a conversation about a sensitive topic such as sexuality, and also as a source of reference and support for the patient and his/her partner.
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Affiliation(s)
- Christel Wendt
- Faculty of Health and Society, Malmö University, 205 06, Malmö, Sweden.
- Skåne University Hospital, 221 85, Lund, Sweden.
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Barata A, Wood WA, Choi SW, Jim HSL. Unmet Needs for Psychosocial Care in Hematologic Malignancies and Hematopoietic Cell Transplant. Curr Hematol Malig Rep 2017; 11:280-7. [PMID: 27113094 DOI: 10.1007/s11899-016-0328-z] [Citation(s) in RCA: 47] [Impact Index Per Article: 6.7] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/16/2022]
Abstract
Individuals diagnosed with hematologic malignancies experience significant unmet psychological, physical, informational, financial, and spiritual needs. The goal of the current review is to summarize and highlight recent research focused on these issues in the diagnosis and treatment periods and beyond. The review also describes the needs of adolescent and young adult (AYA) and pediatric patients. While a large body of research has reported on unmet needs among adult hematologic cancer patients, there is far less data regarding the challenges confronted by AYA and pediatric populations. Available data suggests that among all age groups, hematopoietic cell transplantation (HCT) is a risk factor for greater unmet needs. Recommendations for screening and evidence-based interventions to prevent or ameliorate unmet needs are provided. Future research is needed to develop additional evidence-based psychosocial interventions with a focus on hematologic cancer.
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Affiliation(s)
- Anna Barata
- Hospital de Sant Pau, Universitat Autònoma de Barcelona, Barcelona, Spain
- IIB Sant Pau and Jose Carreras Leukemia Research Institute, Barcelona, Spain
| | | | | | - Heather S L Jim
- Moffitt Cancer Center, 12902 Magnolia Drive MRC-PSY, Tampa, FL, 33612, USA.
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Sinatora F, Traverso A, Zanato S, Di Florio N, Porreca A, Tremolada M, Boscolo V, Marzollo A, Mainardi C, Calore E, Pillon M, Cattelan C, Basso G, Messina C. Quality of Life and Psychopathology in Adults Who Underwent Hematopoietic Stem Cell Transplantation (HSCT) in Childhood: A Qualitative and Quantitative Analysis. Front Psychol 2017; 8:1316. [PMID: 28848462 PMCID: PMC5550669 DOI: 10.3389/fpsyg.2017.01316] [Citation(s) in RCA: 10] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/28/2017] [Accepted: 07/17/2017] [Indexed: 01/29/2023] Open
Abstract
Background: Patients who undergo pediatric Hematopoietic Stem Cell Transplantation (HSCT) may experience long-term psychological sequelae and poor Quality of Life (QoL) in adulthood. This study aimed to investigate subjective illness experience, QoL, and psychopathology in young adults who have survived pediatric HSCT. Method: The study involved patients treated with HSCT in the Hematology-Oncology Department between 1984 and 2007. Psychopathology and QoL were investigated using the SCL-90-R and SF-36. Socio-demographic and medical information was also collected. Finally, participants were asked to write a brief composition about their experiences of illness and care. Qualitative analysis of the texts was performed using T-LAB, an instrument for text analysis that allows the user to highlight the occurrences and co-occurrences of lemma. Quantitative analyses were performed using non-parametric tests (Spearman correlations, Kruskal-Wallis and Mann-Whitney tests). Results: Twenty-one patients (9 males) participated in the study. No significant distress was found on the SCL-90 Global Severity Index, but it was found on specific scales. On the SF-36, lower scores were reported on scales referring to bodily pain, general health, and physical and social functioning. All the measures were significantly (p < 0.05) associated with specific socio-demographic and medical variables (gender, type of pathology, type of HSCT, time elapsed between communication of the need to transplant and effective transplantation, and days of hospitalization). With regard to the narrative analyses, males focused on expressions related to the body and medical therapies, while females focused on people they met during treatment, family members, and donors. Low general health and treatment with autologous HSCT were associated with memories about chemotherapy, radiotherapy, and the body parts involved, while high general health was associated with expressions focused on gratitude (V-Test ± 1.96). Conclusion: Pediatric HSCT survivors are more likely to experience psychological distress and low QoL in adulthood compared with the general population. These aspects, along with survivors' subjective illness experience, show differences according to specific medical and socio-demographic variables. Studies are needed in order to improve the care and long-term follow-up of these families.
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Affiliation(s)
- Francesco Sinatora
- Psychiatric Unit, Department of Women's and Children's Health, University Hospital of PaduaPadua, Italy
| | - Annalisa Traverso
- Psychiatric Unit, Department of Women's and Children's Health, University Hospital of PaduaPadua, Italy
| | - Silvia Zanato
- Psychiatric Unit, Department of Women's and Children's Health, University Hospital of PaduaPadua, Italy
| | - Nicoletta Di Florio
- Psychiatric Unit, Department of Women's and Children's Health, University Hospital of PaduaPadua, Italy
| | - Alessio Porreca
- Psychiatric Unit, Department of Women's and Children's Health, University Hospital of PaduaPadua, Italy
| | - Marta Tremolada
- Department of Developmental Psychology and Socialisation, University of PaduaPadua, Italy
| | - Valentina Boscolo
- Psychiatric Unit, Department of Women's and Children's Health, University Hospital of PaduaPadua, Italy
| | - Antonio Marzollo
- Haematology-Oncology Division, Department of Women's and Children's Health, University Hospital of PaduaPadua, Italy
| | - Chiara Mainardi
- Haematology-Oncology Division, Department of Women's and Children's Health, University Hospital of PaduaPadua, Italy
| | - Elisabetta Calore
- Haematology-Oncology Division, Department of Women's and Children's Health, University Hospital of PaduaPadua, Italy
| | - Marta Pillon
- Haematology-Oncology Division, Department of Women's and Children's Health, University Hospital of PaduaPadua, Italy
| | - Chiara Cattelan
- Psychiatric Unit, Department of Women's and Children's Health, University Hospital of PaduaPadua, Italy
| | - Giuseppe Basso
- Haematology-Oncology Division, Department of Women's and Children's Health, University Hospital of PaduaPadua, Italy
| | - Chiara Messina
- Haematology-Oncology Division, Department of Women's and Children's Health, University Hospital of PaduaPadua, Italy
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Biagioli V, Piredda M, Annibali O, Iacorossi L, D'Angelo D, Matarese M, Alvaro R, De Marinis MG. Being in protective isolation following autologous haematopoietic stem cell transplantation: A phenomenological study. J Clin Nurs 2017; 26:4467-4478. [DOI: 10.1111/jocn.13777] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 02/14/2017] [Indexed: 12/01/2022]
Affiliation(s)
- Valentina Biagioli
- Department of Biomedicine and Prevention; Faculty of Medicine; School of Nursing; Tor Vergata University; Rome Italy
| | - Michela Piredda
- Research Unit Nursing Science; Campus Bio-Medico di Roma University; Rome Italy
| | - Ombretta Annibali
- Haematology, Stem Cell Transplantation, Transfusion Medicine and Cellular Therapy Unit; Campus Bio-Medico di Roma University; Rome Italy
| | | | - Daniela D'Angelo
- Research Unit Nursing Science; Campus Bio-Medico di Roma University; Rome Italy
| | - Maria Matarese
- Research Unit Nursing Science; Campus Bio-Medico di Roma University; Rome Italy
| | - Rosaria Alvaro
- Department of Biomedicine and Prevention; Faculty of Medicine; School of Nursing; Tor Vergata University; Rome Italy
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Biagioli V, Piredda M, Mauroni MR, Alvaro R, De Marinis MG. The lived experience of patients in protective isolation during their hospital stay for allogeneic haematopoietic stem cell transplantation. Eur J Oncol Nurs 2016; 24:79-86. [DOI: 10.1016/j.ejon.2016.09.001] [Citation(s) in RCA: 13] [Impact Index Per Article: 1.6] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/18/2016] [Revised: 08/17/2016] [Accepted: 09/01/2016] [Indexed: 12/15/2022]
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Effects of Healing Touch and Relaxation Therapy on Adult Patients Undergoing Hematopoietic Stem Cell Transplant. Cancer Nurs 2016; 39:E1-E11. [DOI: 10.1097/ncc.0000000000000272] [Citation(s) in RCA: 8] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/26/2022]
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Cantú-Rodríguez OG, Sánchez-Cárdenas M, Treviño-Montemayor OR, Gutiérrez-Aguirre CH, Tarín-Arzaga L, Jaime-Pérez JC, Gómez-Almaguer D. Impact of outpatient non-myeloablative haematopoietic stem cell transplantation in quality of life vs. conventional therapy. PSYCHOL HEALTH MED 2015; 21:10-9. [PMID: 26125120 DOI: 10.1080/13548506.2015.1054843] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 10/23/2022]
Abstract
The role of outpatient hematopoietic stem cell transplantation (HSCT) as a therapeutic tool has been strengthened significantly because of the increasing number of patients undergoing this treatment. Due the very nature of this procedure, one of the aspects that should not be overlooked is the quality of life (QOL) of patients undergoing HSCT. Thus, one must consider not only health status after treatment, but also, the psychosocial implications for the patient. This is an observational, longitudinal, and prospective study to assess QOL in patients undergoing outpatient HSCT vs. similar patients receiving medical treatment (MxTx). By applying the COOP/WONKA charts on five occasions (pre-HSCT/initial, post-HSCT/first month, and at 3, 6, and 9 months), thirty-eight patients were analysed, 19 with HSCT and 19 with MxTx with no differences in age, gender or diagnosis. The initial survey found significant differences only in pain perception, which was higher in the HSCT group (p = .08); at the first month, there was a greater tendency for feelings of depression or anxiety in the HSCT group (p = .016), with more limitations in social (p = .003) and daily (p = .044) activities. From 3 months post-HSCT, the results were very similar. The differences persisted only in the area of social activities. Four patients developed graft-versus-host disease with no significant difference in the scores obtained compared to other transplant patients at 3, 6, and 9 months (p = .26) of follow-up.
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Affiliation(s)
- Olga Graciela Cantú-Rodríguez
- a Hematology Service , Hospital Universitario, Universidad Autónoma de Nuevo León , Madero y Gonzalitos Sn. Colonia Mitras Centro, C.P. 64460 Monterrey , Mexico
| | - Mónica Sánchez-Cárdenas
- b Department of Internal Medicine , Hospital Universitario, Universidad Autónoma de Nuevo León , Monterrey , Mexico
| | - Oscar Rubén Treviño-Montemayor
- a Hematology Service , Hospital Universitario, Universidad Autónoma de Nuevo León , Madero y Gonzalitos Sn. Colonia Mitras Centro, C.P. 64460 Monterrey , Mexico
| | - Cesar Homero Gutiérrez-Aguirre
- a Hematology Service , Hospital Universitario, Universidad Autónoma de Nuevo León , Madero y Gonzalitos Sn. Colonia Mitras Centro, C.P. 64460 Monterrey , Mexico
| | - Luz Tarín-Arzaga
- a Hematology Service , Hospital Universitario, Universidad Autónoma de Nuevo León , Madero y Gonzalitos Sn. Colonia Mitras Centro, C.P. 64460 Monterrey , Mexico
| | - José Carlos Jaime-Pérez
- a Hematology Service , Hospital Universitario, Universidad Autónoma de Nuevo León , Madero y Gonzalitos Sn. Colonia Mitras Centro, C.P. 64460 Monterrey , Mexico
| | - David Gómez-Almaguer
- a Hematology Service , Hospital Universitario, Universidad Autónoma de Nuevo León , Madero y Gonzalitos Sn. Colonia Mitras Centro, C.P. 64460 Monterrey , Mexico
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Impact of an incentive-based mobility program, "Motivated and Moving," on physiologic and quality of life outcomes in a stem cell transplant population. Cancer Nurs 2014; 37:345-54. [PMID: 24067357 DOI: 10.1097/ncc.0b013e3182a40db2] [Citation(s) in RCA: 8] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/03/2023]
Abstract
BACKGROUND Research suggests that patients experience increased fatigue, reduced physical activity, and diminished quality of life (QOL) after hematopoietic stem cell transplantation (HSCT). Structured exercise during hospitalization has been shown to maintain or improve fatigue. Incentive-based interventions have not been tested to encourage physical activity maintenance. OBJECTIVES The study's aim was to evaluate the effect of participation in an incentive-based mobility program on fatigue, physical conditioning, performance status, and QOL in individuals undergoing allogeneic HSCT. We hypothesized that program participation would affect these variables and that time spent engaged in physical activity would correlate with improved outcomes. METHODS A 1-group repeated-measures design used the Brief Fatigue Inventory, 6-minute walk test, and the Functional Assessment of Cancer Therapy-Bone Marrow Transplant Scale to assess study variables. Repeated-measures models assessed the effect of participation time on these variables. RESULTS Individuals with higher participation (minutes) significantly increased 6-minute walk test scores throughout hospitalization but had no significant changes in Brief Fatigue Inventory and Functional Assessment of Cancer Therapy-Bone Marrow Transplant Scale scores. Fatigue and QOL decreased over hospitalization but improved by discharge. Subjects who demonstrated higher participation averaged fewer hospital days (R = 1.65; P = .005). CONCLUSIONS This study is unique in examining the impact of an incentive-based mobility program, participation in which may decrease length of hospital stay for HSCT patients. Randomized trials are needed to further validate these findings and assess additional variables that can influence outcomes. IMPLICATIONS FOR PRACTICE An incentive-based mobility program during hospitalization for HSCT has the potential to minimize fatigue and stabilize, if not improve, QOL.
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Music therapy for patients who have undergone hematopoietic stem cell transplant. EVIDENCE-BASED COMPLEMENTARY AND ALTERNATIVE MEDICINE 2014; 2014:742941. [PMID: 24527052 PMCID: PMC3913188 DOI: 10.1155/2014/742941] [Citation(s) in RCA: 13] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 11/13/2013] [Accepted: 12/24/2013] [Indexed: 11/17/2022]
Abstract
Objectives. This study examines the short- and long-term QOL benefits of a music therapy
intervention for patients recovering from hematopoietic stem cell transplantation (HSCT). Methods. Ninety allogeneic HSCT patients, after transplant, were randomized to receive ISO-principle (i.e., mood matching) based music therapy (MT; n = 29), unstructured music (UM; n = 30), or usual care (UC; n = 31) for four weeks. The ISO principle posits that patients may shift their mood from one state to another by listening to music that is “equal to” the individual's initial mood state and subsequently listening to music selections that gradually shift in tempo and mood to match the patient's desired disposition. Participants in MT and UM groups developed two audio CDs to help them feel more relaxed and energized and were instructed to use the CDs to improve their mood as needed. Short-term effects on mood and long-term effects on QOL were examined. Results. MT and UM participants reported improved mood immediately after listening to CDs; the within-group effect was greater for UM participants compared to MT participants. Participant group was not associated with long-term QOL outcomes. Conclusions. Music listening improves mood acutely but was not associated with long-term benefits in this study.
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Moore HK, Santibañez MEB, Denzen EM, Carr DW, Murphy EA. Barriers to Accessing Health Care for Hematopoietic Cell Transplantation Recipients Living in Rural Areas. Clin J Oncol Nurs 2013; 17:405-11. [DOI: 10.1188/13.cjon.405-411] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/17/2022]
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Current world literature. Curr Opin Organ Transplant 2013; 18:111-30. [PMID: 23299306 DOI: 10.1097/mot.0b013e32835daf68] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/25/2022]
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