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The haematopoietic stem cell transplant survivors’ sense of coherence about their experiences: A qualitative study

journal contribution
posted on 23.02.2022, 04:01 authored by Umairah BM Sharin, Chung CJ Hwang, Wei HD Ang, Violeta LopezVioleta Lopez
Purpose: To explore the experiences of haematopoietic stem cell transplant survivors attending the long-term follow-up unit. Methods: A descriptive qualitative study of eight post-haematopoietic stem cell transplant survivors which were interviewed guided by the sense of coherence framework. Thematic analysis was used to extract meaningful explication of the survivors’ experiences. Results: The post-haematopoietic stem cell transplant survivors interviewed were five females and three males with age ranging from 27 to 67 years and had the stem cell transplant between 4 and 20 years. Three main themes emerged from the data including (1) comprehending the experience, (2) acknowledging the meaningfulness of the experience and (3) managing threats to a new life after the transplant. The experiences of post-haematopoietic stem cell transplant survivors were initially difficult but they were able to make re-adjustments to their new life by reconciling with their new identity, refocusing on meaningful activities, strengthening their resilience and navigating the healthcare system. Conclusion: In spite of the difficulties faced by the survivors, they were able to face the challenges and made adjustment in a positive light by focusing on the valuable aspects of their experiences. Health care practitioners need to continually support them throughout their survivorship journey no matter how long it takes. Any long-term follow-up unit is a step in the right direction to meet the complex needs of the survivors by integrating and adapting clinical guidelines into routine oncologic and transplant care so that survivors are not lost in transition following treatment.

History

Volume

28

Issue

9

Start Page

4275

End Page

4283

Number of Pages

9

eISSN

1433-7339

ISSN

0941-4355

Publisher

Springer

Language

en

Peer Reviewed

Yes

Open Access

No

Acceptance Date

23/12/2019

External Author Affiliations

National University of Singapore; Singapore General Hospital; National University of Singapore

Era Eligible

Yes

Medium

Print-Electronic

Journal

Supportive Care in Cancer