Meta-integration of psychological experience in patients undergoing hematopoietic stem cell transplantation during protective isolation period
WANG Yingying HUANG Lu WU Yun
Department of Hematology, the First Affiliated Hospital of University of Science and Technology of China Anhui Provincial Hospital, Anhui Province, Hefei 230001, China
Abstract：Objective To systematically evaluate the psychological experience of patients undergoing hematopoietic stem cell transplantation during the protective isolation period, and to provide reference for medical staff to provide supportive care. Methods PubMed, the Cochrane Library, Psyc INFO, Web of Science, EMbase, CINAHL, CNKI, CBM, Wang Fang, VIP and other databases were searched by computer. Qualitative research on the psychological experience of protective isolation in patients with hematopoietic stem cell transplantation were retrieved from the establishment of the database until May 25, 2020. The results were integrated using the evaluation literature of evidence-based Health Care Australia’s Quality Evaluation Criteria for Qualitative Research (2017) and the meta integration method. Results A total of 11 articles, two in Chinese and nine in English, were included, a total of 85 results were extracted and grouped into nine new categories, which were integrated into three results: general feelings before transplantation, negative effects of protective isolation, and positive coping factors. Conclusion Clinical medical staff should pay attention to the overall feeling of patients with hematopoietic stem cell transplantation during the protective isolation period, understand the real experience and needs of patients, and provide timely and targeted help to patients.
[1] 黄晓军.造血干细胞移植问与答[M].北京：人民卫生出版社，2016：7.
[2] 蔡永梅，孙志耀，施雨鑫.血液肿瘤患者医院感染特点分析及干预效果研究[J].中国感染与化疗杂志，2020，20（4）：379-383.
[3] Kuba K，Esser P，Mehnert A，et al. Depression and anxiety following hematopoietic stem cell transplantation：a prospective population-based study in Germany [J]. Bone Marrow Transplant，2017，52（12）：1651-1657.
[4] Thain CW，Gibbon B. An Exploratory Study of Recipients’ Perceptions of Bone Marrow Transplantation [J]. J Adv Nurs，1996，23（3）：528-535.
[5] Biagioli V，Piredda M，Annibali O，et al. Being in Protective Isolation Following Autologous Haematopoietic Stem Cell Transplantation：A Phenomenological Study [J]. J Clin Nurs，2017，26（23/24）：4467-4478.
[6] Cohen MZ，Jenkins D，Holston EC，et al. Understanding health literacy in patients receiving hematopoietic stem cell transplantation [J]. Oncol Nurs Forum，2013，40（5）：508-515.
[7] Zamanzadeh V，Valizadeh L，Sayadi L，et al. Life in limbo：experiences of Iranian hematopoietic stem cell transplantation recipient patients and nurses in a qualitative study [J]. Int J Hematol Oncol Stem Cell Res，2013，7（3）：25-33.
[8] Farsi Z，Nayeri ND，Negarandeh R. The coping process in adults with acute leukemia undergoing hematopoietic stem cell transplantation [J]. J Nurs Res，2012，20（2）：99-109.
[9] Biagioli V，Piredda M，Mauroni MR，et al. The Lived Experience of Patients in Protective Isolation During Their Hospital Stay for Allogeneic Hematopoietic Stem Cell Transplantation [J]. Eur J Oncol Nurs，2016，24：79-86.
[10] 阮海涛，李玲.造血干细胞移植病人入住层流室期间心理体验的质性研究[J].护理研究，2015，29（36）：4594-4596.
[11] 王丽，左丽宏，王兵，等.造血干细胞移植患者隔离期间的心理体验[J].中华护理杂志，2013，48（8）：729-731.
[12] Gargiulo G，Sansone V，Rea T，et al. Narrative Based Medicine as a Tool for Needs Assessment of Patients Undergoing Hematopoietic Stem Cell Transplantation [J]. Acta Biomed，2017，88（1S）：18-24.
[13] Stephens M. The lived experience post-autologous hem-atopoietic stem cell transplant （HSCT）：a phenomenological study [J]. Eur J Oncol Nurs，2005，9（3）：204-215.
[14] Alnasser Q，Abu Kharmah SD，Attia M，et al. The lived experience of autologous stem cell transplanted patients：Post transplantation and before discharge [J]. J Clin Nurs，2018，27（7/8）：1508-1518.
[15] Joanna Briggs Institute 2017. JBI Critical Appraisal Checklist for Qualitative Research [EB/OL]. （2017-02-18）. http：//joannabriggs.org/research/critical-appraisal-tools.html.
[16] 胡雁.循证护理学[M].北京：人民卫生出版社，2012：130-141.
[17] Kuba K，Esser P，Scherwath A，et al. Cancer-and-treatment-specific distress and its impact on posttraumatic stress in patients undergoing allogeneic hematopoietic stem cell transplantation （HSCT）[J]. Psychooncology，2017，26（8）：1164-1171.
[18] 张爱华，康丽芳，王亚妮，等.心理护理提高异基因造血干细胞移植患者治疗效果的临床研究[J].中华肿瘤防治杂志，2018，25（S2）：284-286.
[19] Adams RN，Mosher CE，Abonour R，et al. Cognitive and situational precipitants of loneliness among patients with cancer：A qualitative analysis [J]. Oncol Nurs Forum，2016，43（2），156-163.
[20] Biagioli V，Piredda M，Annibali O，et al. Factors influencing the perception of protective isolation in patients undergoing hematopoietic stem cell transplantation：A multicenter prospective study [J]. Eur J Cancer Care，2019，28（6）：e13148.
[21] Rini C，Austin J，Wu LM，et al. Harnessing benefits of helping others：a randomized controlled trial testing expressive helping to address survivorship problems after hematopoietic stem cell transplant [J]. Health Psychol，2014，33（12）：1541-1551.
[22] Amonoo HL，Brown LA，Scheu CF，et al. Positive psychological experiences in allogeneic hematopoietic stem cell transplantation [J]. Psychooncology，2019，28（8）：1633-1639.
[23] Chaar D，Shin JY，Mazzoli A，et al. A Mobile Health App （Roadmap 2.0） for Patients Undergoing Hematopoietic Stem Cell Transplant：Qualitative Study on Family Caregivers’ Perspectives and Design Considerations [J]. JMIR Mhealth Uhealth，2019，7（10）：e15775.
[24] Amonoo HL，Kurukulasuriya C，Chilson K，et al. Improving quality of life in hematopoietic stem cell transplantation survivors through a positive psychology intervention [J]. Biol Blood Marrow Transplant，2020，26（6）：1144-1153.
[25] Haase JE，Robb SL，Burns DS，et al. Adolescent/Young Adult Perspectives of a Therapeutic Music Video Intervention to Improve Resilience During Hematopoietic Stem Cell Transplant for Cancer [J]. J Music Ther，2020， 57（1）：3-33.
[26] Mitchell SA. Palliative care during and following allogeneic hematopoietic stem cell transplantation [J]. Curr Opin Support Palliat Care，2018，12（1）：58-64.
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