Synthesis of self-management strategies used by young adults who have undergone hematopoietic stem cell transplantation: A narrative review

Vinette, Billy; Mrad, Hazar; El-Akhras, Ali; Bilodeau, Karine

doi:10.5737/23688076314470475

Cited by 4 publications

(3 citation statements)

References 19 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Patients should be encouraged to practice self-care and self-management of their health condition even during hospitalization, so they do not have difficulty following the instructions given. Regarding HSCT, this treatment requires that patients and their families/caregivers are capable of collaborating for effective care, following the care guidelines, to minimize risks and have a better quality of life ( 31 ) , from self-care to the correct management of complications.…”

Section: Discussionmentioning

confidence: 99%

Self-care guidelines for patients in the post-hematopoietic stem cell transplantation period: a scoping review

Nascimento,

Melo,

Soares

et al. 2023

Rev. Bras. Enferm.

View full text Add to dashboard Cite

Objective: To map the evidence on self-care guidelines for patients in the post-hematopoietic stem cell transplantation (HSCT) period. Method: Scoping review supported by Joanna Briggs Institute recommendations, with searches conducted between March and April 2022 in national and international databases and repositories of theses and dissertations. Results: Of the 11 studies that composed the final sample, the guidelines had a social and personal aspect, as post-transplant patients need to follow numerous essential recommendations for the prevention of infections and complications for successful treatment and improved quality of life. Conclusion: Knowing the self-care guidelines that must be performed by post-HSCT patients is fundamental for the nursing team to provide the necessary information for care outside the controlled environment of the hospital, in addition to minimizing episodes of infection, death, and increasing the survival and quality of life of transplant recipients.

show abstract

Section: Discussionmentioning

confidence: 99%

Self-care guidelines for patients in the post-hematopoietic stem cell transplantation period: a scoping review

Nascimento,

Melo,

Soares

et al. 2023

Rev. Bras. Enferm.

View full text Add to dashboard Cite

show abstract

“…During transplantation, the patients placed themselves in the role of the "weak" subconsciously and lost their autonomy. Nurses play a key role in helping patients acquire self-management strategies by providing information about symptom management, helping them manage their emotions, and encouraging them to be actively involved in their care [24]. Studies have demonstrated the feasibility and effectiveness of this self-management modality in HSCT patients during hospitalization [24,42].…”

Section: Discussionmentioning

confidence: 99%

Understanding the symptom experience and self-management strategies of adult hematopoietic stem cell transplantation patients during hospitalization: findings from a qualitative longitudinal study

Chen

Xie

et al. 2022

Support Care Cancer

View full text Add to dashboard Cite

Purpose The aim of this study was to explore the symptom experience and self-management strategies of adult hematopoietic stem cell transplantation patients during hospitalization. Methods This was a qualitative descriptive study. A heterogeneous sample of 19 patients who underwent hematopoietic stem cell transplantation from May to October 2021 were enrolled in the study. Semi-structured interviews were conducted at four time points during hospitalization, providing a total of 64 interview datasets. Results Four themes and 11 subthemes reflecting the symptom experience and self-management strategies of adult hematopoietic stem cell transplantation patients during hospitalization were observed. The four themes were (1) unexpected symptom burden: dynamic, disturbing, co-occurring, and correlative; (2) emotional complexity at different periods; (3) internal predicament: ineffectiveness of symptom management; and (4) external strength: desire for support from multiple sources. Hematopoietic stem cell transplantation patients experienced a complex and dynamic array of symptoms from admission to discharge, and they experienced the dual forces of internal predicament and external strength in symptom selfmanagement during hospitalization. ConclusionThe findings of this study emphasize the need for a deeper understanding and precise management of the symptom experience of adult hematopoietic stem cell transplantation patients during hospitalization. Hematopoietic stem cell transplantation nurses need to assess symptoms on an ongoing basis; educate patients on ways to perceive, express, and self-manage multiple symptoms; and develop patients' self-symptom management skills to enhance their symptom relief and quality of life.

show abstract

“…Furthermore, even after completing their treatment, cancer survivors including young adults report chronic fatigue, depression, and cognitive impairment [ 26 – 28 ]. YA cancer survivors often use psychosocial strategies such as managing their emotions and seeking support from others [ 29 ]. After treatment, they require regularly participating in routine, but less frequently than those during treatment [ 23 ].…”

Section: Introductionmentioning

confidence: 99%

Adaptation and measurement invariance of the 13-item version of Patient Activation Measure across Japanese young adult cancer survivors during and after treatment: A cross-sectional observational study

Soejima,

Kitao

2023

PLoS ONE

View full text Add to dashboard Cite

The 13-item version of the Patient Activation Measure (PAM-13) is a frequently used measure that gauges the level of self-management in an individual. However, its applicability across Japanese young adult (YA) cancer survivors during and after their treatment remains unclear. This study confirmed the psychometric properties and measurement invariance of the Japanese version of PAM-13 across them during and after treatment. We used cross-sectional observational data collected through an online survey from 500 survivors in January 2022. We determined feasibility, internal consistency, concurrent validity against physical fatigue and depression, and known-groups validity regarding educational level. Structural validity was also found using Rasch analysis for survivors both during and after treatment. Furthermore, measurement invariance of the PAM-13 was examined using multiple-group structural equation modeling. Rasch fit statistics were acceptable for the unidimensional structure of PAM-13. It was found to be internally consistent for survivors during (McDonald’s omega: 0.88, item-total correlations: 0.48–0.62) and after treatment (McDonald’s omega: 0.90, item-total correlations: 0.32–0.72). The PAM-13 was concurrently valid with physical fatigue (Pearson’s product-moment correlation coefficients: -0.25 and -0.18 for survivors during and after treatment, respectively) and depression (Pearson’s product-moment correlation coefficients: -0.20 and -0.19 for survivors during and after treatment, respectively). Known-groups validity showed that survivors after treatment with a higher educational level reported a higher patient activation score than those with a lower educational level (p = 0.001); however, there was no difference due to the education level between survivors during treatment. The configural and metric invariance of the PAM-13 were confirmed, but scalar invariance was rejected. It was found that the PAM-13 is applicable for Japanese YA cancer survivors during and after treatment. However, given the lack of scalar invariance in the PAM-13, the scores of particular items between YA cancer survivors during and after treatment should be interpreted with caution.

show abstract

Synthesis of self-management strategies used by young adults who have undergone hematopoietic stem cell transplantation: A narrative review

Cited by 4 publications

References 19 publications

Self-care guidelines for patients in the post-hematopoietic stem cell transplantation period: a scoping review

Self-care guidelines for patients in the post-hematopoietic stem cell transplantation period: a scoping review

Understanding the symptom experience and self-management strategies of adult hematopoietic stem cell transplantation patients during hospitalization: findings from a qualitative longitudinal study

Adaptation and measurement invariance of the 13-item version of Patient Activation Measure across Japanese young adult cancer survivors during and after treatment: A cross-sectional observational study

Contact Info

Product

Resources

About