Caring in Hematopoietic Stem Cell Transplantation

سال انتشار: 1397
نوع سند: مقاله کنفرانسی
زبان: انگلیسی
مشاهده: 378

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ISMOH17_101

تاریخ نمایه سازی: 10 اردیبهشت 1398

چکیده مقاله:

Introduction: Caring has been an important concept in nursing and clarifying the caring indifferent patients is an important aspect of research in nursing. There are many studies in caring ofdifferent patients, but not study conducted in Hematopoietic stem cell transplantation (HSCT)patients about caring concept. HSCT is new, complex, time demanding and invasive procedureand the last resort in the treatment of number of life threatening diseases. HSCT is the moststressful medical procedures because of the associated dangers and risks of complications inphysical, psychological, emotional and social domains. The research in caring of HSCT patients is apriority and this study aimed to exploring the process of caring for HSCT patients.Method: The present study was conducted according to grounded theory between 2011 and May2013 in Tehran Shariati hospital, which is also the main HSCT center in Iran. Major source of datacollection was in-depth interviews, also observation used as supplementary. Participants in thisstudy included 18 nurses, physicians, 12 HSCT patients, and family members. Sampling waspurposeful, and as the study progressed, purposive sampling was superseded by theoreticalsampling. Data analysis carried out with method of Strauss and Corbin (2008).Finding: The following four categories were emerged from the data analysis, namely: encountering to patient limbo between life and death attempt to reduce risk of death psychological rebuilding and caring achievements The four main categories were consisted of13 subcategories. Supporting in order to patient pass the HSCT way with successfully wasrecognized as the core variable that represents caring for HSCT patients in study setting, and canrelate all categories together. The goal of emergent theory named supporting in order to patient pass the HSCT way with successfully is to help patients traverse HSCT with few complications andmore successful.Conclusion: Caring for HSCT patients is process that occur in encountering to patient´s limbobetween life and death context, via attempt to reduce risk of death and psychologicalrebuilding as action/reaction strategies, with some consequence to patients and nurses. Strategiesused by nurses in caring of HSCT patients performed according to protocole in some aspects, and inother cases without any guidelines. Successfully HSCT and survival of HSCT patients is veryimportant in caring of these patients, and nurses attempt to help HSCT patients pass the HSCT waywith successfully. But in this way they encounter to some problems as well as the emotional labourthat can affect the quality of care and provision of emotional support to HSCT patients. This aspectneed to be modified. Finding and emerged theory of the present study can be used in nursingactivities, nurse orientation and education programs and nursing policy

نویسندگان

Leila Sayadi

School of Nursing and Midwifery, Hematology-Oncology and Stem Cell Transplantation Research Center, Tehran University of Medical Sciences, Tehran, Iran

Vahid Zamanzadeh

Nursing and Midwifery Faculty, Tabriz University of Medical Sciences, Tabriz, Iran

Leila Valizadeh

Nursing and Midwifery Faculty, Tabriz University of Medical Sciences, Tabriz, Iran

Fariba Taleghani

Nursing and Midwifery care research center, Nursing and Midwifery Faculty, Isfahan University of Medical Sciences, Isfahan, Iran