Supporting patient preparedness for self-care in allo-HCT using a Swedish dialogue tool: A mixed methods...

Area of Science:

• Hematology
• Nursing Science
• Health Psychology

Background:

• Allogeneic hematopoietic stem cell transplant (allo-HCT) requires significant patient self-care and adaptation post-hospitalization.
• Assessing patient preparedness for self-care and care transitions is crucial for successful recovery.

Purpose of the Study:

• To investigate patient preparedness for self-care and post-hospital recovery transition after allo-HCT.
• To evaluate the impact of the Assessment of Rehabilitation Needs Checklist (ARNC) combined with nurse-led conversations on patient preparedness.

Main Methods:

• Convergent parallel mixed-methods design involving 12 patients undergoing allo-HCT in Sweden.
• Quantitative data collected using the Self-Care of Chronic Illness Inventory-4 and Care Transitions Measure.
• Qualitative data gathered through individual interviews 6-8 weeks post-allo-HCT.

Main Results:

• Patients generally reported high self-care scores, though self-care management showed a slight decrease.
• The ARNC enhanced patient motivation, served as a reminder, and improved self-care habits.
• Patients reported high preparedness for care transitions, attributing it to the ARNC and nurse conversations.

Conclusions:

• The ARNC and nurse conversations positively influenced patient preparedness for self-care and care transitions post-allo-HCT.
• Self-care management presented challenges, indicating a need for individualized education and support.
• Patients felt prepared for the transition from hospital to home, highlighting the intervention's effectiveness.