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Interpersonal needs expressed by patients during bone marrow transplantation
E C de Carvalho1, P G Gonçalves, A P Bontempo
1University of São Paulo at Ribeirão Preto College of Nursing/WHO Collaborating Centre for Nursing Research Development, Brazil.
Cancer Nursing
|December 29, 2000
Summary
Patients undergoing bone marrow transplantation experience interpersonal needs, primarily for control, affection, and inclusion. Satisfaction varied by phase, with affection needs being fully met during discharge preparation.
Area of Science:
- Oncology
- Psychology
- Nursing
Background:
- Bone marrow transplantation (BMT) is a complex medical procedure with significant psychological and social impacts on patients.
- Understanding patients' interpersonal needs during different phases of BMT is crucial for providing holistic care.
- Previous research has highlighted the importance of social support but has not fully detailed the specific interpersonal needs during BMT.
Purpose of the Study:
- To identify and describe the interpersonal needs manifested by patients undergoing bone marrow transplantation.
- To examine whether these interpersonal needs were met by others during the BMT process.
- To analyze the consequences of need satisfaction or dissatisfaction on patient outcomes.
Main Methods:
- Qualitative study involving 23 participants in the conditioning phase, 19 in the transplantation phase, and 16 in the preparation for discharge phase.
- Data collection focused on identifying interpersonal needs (control, affection, inclusion) and their satisfaction.
- Analysis of patient-reported experiences and outcomes related to their interpersonal needs.
Main Results:
- The need for expressed control was most frequently demonstrated, followed by wished affection and wished inclusion.
- Inclusion needs were most satisfied during the conditioning phase; control and affection needs were best met during preparation for discharge.
- Patient satisfaction with need fulfillment was lowest during the transplantation phase, followed by conditioning and discharge preparation.
Conclusions:
- Patients undergoing BMT exhibit distinct interpersonal needs that fluctuate across treatment phases.
- While positive outcomes predominated, unmet needs, particularly during the transplantation phase, can lead to negative consequences.
- Targeted interventions addressing affection needs during discharge preparation show high patient satisfaction and warrant further investigation.