Home experiences of parents of children undergoing hematopoietic stem cell transplantation: A qualitative study

Pınar Bekar1, Duygu Altuntaş2, Emine Efe2

  • 1Burdur Mehmet Akif Ersoy University, Bucak School of Health, Department of Child Development, Bucak/Burdur, Turkey.

PubMed

Insights

Parents undergoing hematopoietic stem cell transplantation (HSCT) for their child face significant home care challenges, including emotional distress and life adjustments. Understanding these experiences is crucial for effective pediatric nursing support and improved family well-being post-transplant.

Area of Science:

  • Pediatric Hematology and Oncology
  • Qualitative Health Research
  • Family Caregiving Studies

Background:

  • Hematopoietic stem cell transplantation (HSCT) is a complex treatment for pediatric cancers and other conditions.
  • The transition from hospital to home care presents unique challenges for families of children undergoing HSCT.
  • Limited research exists on the specific home experiences of parents managing post-HSCT care.

Purpose of the Study:

  • To describe the lived home experiences of parents whose children have undergone hematopoietic stem cell transplantation (HSCT).
  • To identify the difficulties, emotional responses, and coping mechanisms employed by parents during home care.
  • To gather parental suggestions for improving support systems for families post-HSCT.

Main Methods:

  • A descriptive qualitative research design was employed.
  • Data were collected through semi-structured interviews and researcher observations with 12 parents of children undergoing HSCT.
  • Content analysis was used to analyze interview transcripts.

Main Results:

  • Five key themes emerged: difficulties in home experiences, changes in family life, parental emotions (fear, anxiety, stress), coping strategies (distraction, spousal/professional support), and parental suggestions.
  • Parents reported significant adjustments in health, physical, psychological, and social aspects of family life post-HSCT.
  • Coping mechanisms varied, with an emphasis on seeking support and employing distraction techniques.

Conclusions:

  • Parents experience substantial challenges and emotional distress during their child's home recovery after HSCT.
  • Pediatric nurses require a comprehensive understanding of these parental experiences to provide effective assessment and support.
  • Recommendations include regular health screening, psychosocial support, and training to enhance parental self-efficacy in managing post-HSCT care.
Abstract

Related Concept Videos

Bone Marrow Sampling and Transplants01:22

Bone Marrow Sampling and Transplants

Bone marrow transplant is a potential cure for several diseases, including cancer and specific genetic disorders. Notably, this procedure is applicable for patients suffering from aplastic anemia, certain types of leukemia, severe combined immunodeficiency disease (SCID), Hodgkin's disease, non-Hodgkin's lymphoma, multiple myeloma, thalassemia, sickle-cell disease, and certain cancers.
The transplant begins with high doses of chemotherapy and radiation treatment, which aim to destroy...
339
Stem Cell Therapy for Tissue Regeneration01:21

Stem Cell Therapy for Tissue Regeneration

Stem cell therapy is a method used in regenerative medicine to repair and restore function to damaged tissues and organs. Stem cells have the potential to proliferate and differentiate into various tissue types, making them ideal candidates for tissue regeneration. For example, hematopoietic stem cell transplants are commonly used in blood cancer treatment to replenish damaged bone marrow and restore healthy blood cells.
Types of Stem Cells used in Stem Cell Therapy
The two main cell...
4.1K
Multipotency of Hematopoietic Stem Cells01:19

Multipotency of Hematopoietic Stem Cells

The hematopoietic stem cells or HSCs are multipotent, meaning they can differentiate and give rise to all blood and immune cells. HSCs are maintained in the quiescent stage until an external stimulus initiates their differentiation. The multipotent HSCs exist as two heterogeneous populations, long-term repopulating cells (LTRC) and short-term repopulating cells (STRC). The two HSC populations have different surface markers or receptors and are classified based on quiescence and long-term...
3.1K
Kidney Transplant III: Nursing Management01:16

Kidney Transplant III: Nursing Management

Postoperative Nursing Management for Kidney Transplant PatientsPostoperative nursing management care includes monitoring the surgical site, encouraging early movement, and promoting lung health through breathing exercises. Nurses also administer prescribed medications like H2-blockers, such as famotidine, or proton pump inhibitors, like omeprazole, to help prevent gastrointestinal ulcers and bleeding. Fungal infections in the mouth and bladder can result from immunosuppressive and antibiotic...
22
Regulation of Hematopoietic Stem Cells01:01

Regulation of Hematopoietic Stem Cells

All blood and immune cells are produced from the multipotent hematopoietic stem cells (HSCs) by the process of hematopoiesis. However, they all have a limited life span. In addition, many are depleted in immune surveillance or combatting an injury or infection. This makes blood one of the most regenerative tissues. Hematopoiesis helps replenish these blood and immune cells, restoring the body's normal functioning. However, overproduction of blood and immune cells can make them cancerous or...
3.2K
Overview of Hematopoiesis01:20

Overview of Hematopoiesis

Hematopoiesis, or blood cell production, is a vital biological process that begins early in embryonic development and continues throughout life. This process generates the various types of cells found in blood, including red blood cells, white blood cells, and platelets from hematopoietic stem cells (HSCs).
Developmental Phases of Hematopoiesis
Initially, HSCs are formed in the embryonic yolk sac, a critical site for early blood cell production. These stem cells subsequently migrate to other...
4.1K