The Coping Process in Adults With Acute Leukemia Undergoing Hematopoietic Stem Cell Transplantation

• DOI: 10.1097/jnr.0b013e318257b5e0
• Publication Date: 2012-05-16T12:58:13Z
• Authors: Zahra Farsi; Nahid Dehghan Nayeri; Reza Negarandeh
• Keywords: Adult; Male; Religion and Psychology; Adolescent; Marital Status; Hematopoietic Stem Cell Transplantation; Fear; Holistic Health; Iran; Middle Aged; 3. Good health; Interviews as Topic; Leukemia, Myeloid, Acute; 03 medical and health sciences; 0302 clinical medicine; Social Class; Adaptation, Psychological; Humans; Female; Longitudinal Studies; Nurse-Patient Relations; Attitude to Health; Qualitative Research

The increasing numbers of leukemia cancer survivors treated with hematopoietic stem cell transplantation (HSCT) face numerous challenges after their transplant procedure. Little information has been published regarding the coping process this population. Understanding how they cope life-threatening disease can assist healthcare professionals to provide holistic care.This study was designed elicit adults experiencing acute who underwent HSCT therapy.This longitudinal qualitative and grounded theory took place during 2009-2011. Ten scheduled for were recruited from Shariati Hospital in Tehran, Iran. A series pretransplant posttransplant interviews held hospital's units. Final 2-6 months outpatient clinic.The five categories that emerged data included perceived threat, suspension between fear hope, rebirth, contextual factors, strategies. Although patients vacillated within spectrum (i.e., "buffer zone" fighting acquiescing), "finding meaning" identified as final outcome experience indicated effective coping. CONCLUSIONS/IMPLICATION FOR PRACTICE: Each patient perceives therapy uniquely. This significantly affect perception change lives both temporarily permanently. Nurses apply interventions help unique situation, find meaning allay stress.