Turkiye Klinikleri Journal of Nursing Sciences

.: ORIGINAL RESEARCH
Being an Informal Caregiver in Bone Marrow Transplant Unit: A Qualitative Study
Kemik İliği Transplantasyon Ünitesinde Bakım Verici Olmak: Kalitatif Çalışma
Dilek BAYKALa, Gülbeyaz CANb, Fatma BİLGİNc, İpek YÖNAL HİNDİLERDENd, Meliha NALÇACId
aDepartment of Nursing, İstanbul Atlas University Faculty of Health Sciences, İstanbul, Türkiye
bDepartment of Internal Medicine Nursing, İstanbul University-Cerrahpaşa Florence Nightingale Faculty of Nursing, İstanbul, Türkiye
cDepartment of Bone Marrow Unit, İstanbul University İstanbul Faculty of Medicine, İstanbul, Türkiye
dDivision of Hematology, İstanbul University İstanbul Faculty of Medicine, İstanbul, Türkiye
Turkiye Klinikleri J Nurs Sci. 2022;14(4):1135-43
doi: 10.5336/nurses.2022-89812
Article Language: EN
Full Text
ABSTRACT
Objective: The bone marrow transplantation (BMT) units are high-dependency areas, with patients requiring care. Patients in BMT are in need of intensive care due to the treatment applied and complications related to the treatment. This study explores informal caregivers' experiences and perceptions in (BMT) unit. Material and Methods: Individual interviews were conducted in a semi-structured form. Theoretical thematic analysis was used to analyze the interview data. A qualitative design was used to describe the caregivers' experiences in the BMT unit, the caregiving process, and what they felt while giving care, and their expectations. Individual interviews were conducted in a semi-structured form. 24 informal caregivers hospitalized in the BMT of a university hospital who agreed to participate in the study were included in İstanbul, Türkiye. Results: Three major and nine themes emerged from the data analysis: (1) caregiver's perception, (1a) daily life, (1b) difficulties experienced, (1c) social support, (1d) health problems; (2) thoughts and experiences (2a) feelings, (2b) changes in relationships, (2c) what if I became ill; (3) expectations; (3a) expectations from the future, (3b) expectations from institutions. Conclusion: It was understood in this study that the informal caregivers had difficulties while maintaining their daily lives, felt alone in the process of providing care, experienced a set of psychological problems after the diagnosis, were optimistic about the future, and had expectations from institutions.

Keywords: Bone marrow transplantation; informal caregiver; experiences; qualitative study
ÖZET
Amaç: Kemik iliği transplantasyonu (KİT) üniteleri, hastaların bakıma ihtiyaç duydukları ve bağımlılıklarının yüksek oldukları alanlardır. KİT ünitesindeki hastalar uygulanan tedavi ve tedaviye bağlı komplikasyonlar nedeniyle yoğun bakıma muhtaçtır. Bu çalışmada, KİT ünitesindeki informal bakım vericilerin deneyim ve algılarını araştırmak amaçlandı. Gereç ve Yöntemler: Bireysel görüşmeler yarı yapılandırılmış formla gerçekleştirilmiştir. Görüşme verilerinin analizinde teorik tematik analiz kullanılmıştır. Bakım vericilerin KİT ünitesindeki deneyimlerini, bakım verme sürecini, bakım verirken hissettiklerini ve beklentilerini betimlemek için nitel bir tasarım kullanılmıştır. Bireysel görüşmeler, yarı yapılandırılmış formla gerçekleştirilmiştir. İstanbul'da bir üniversite hastanesinin KİT ünitesinde yatan ve çalışmaya katılmayı kabul eden 24 informal bakım verici dâhil edildi. Bulgular: Veri analizinden 3 ana ve ve 9 tema ortaya çıkmıştır: (1) bakım verenin algısı, (1a) günlük yaşam, (1b) yaşanan zorluklar, (1c) sosyal destek, (1d) sağlık sorunları; (2) düşünceler ve deneyimler, (2a) duygular, (2b) ilişkilerde değişiklikler, (2c) hasta olursam; (3) beklentiler, (3a) gelecekten beklentiler, (3b) kurumlardan beklentiler. Sonuç: Bu çalışmada, informal bakım verenlerin günlük yaşamlarını sürdürmekte zorlandıkları, bakım verme sürecinde kendilerini yalnız hissettikleri, tanı konulduktan sonra birtakım psikolojik sorunlar yaşadıkları, geleceğe yönelik iyimser oldukları ve kurumlardan beklentilerinin olduğu anlaşılmıştır.

Anahtar Kelimeler: Kemik iliği transplantasyonu; informal bakım verici; deneyimler; kalitatif çalışma
REFERENCES:
  1. Guilcher GMT, Truong TH, Saraf SL, Joseph JJ, Rondelli D, Hsieh MM. Curative therapies: allogeneic hematopoietic cell transplantation from matched related donors using myeloablative, reduced intensity, and nonmyeloablative conditioning in sickle cell disease. Semin Hematol. 2018;55(2):87-93. [Crossref]  [PubMed]  [PMC] 
  2. Castagna A, Mcmonagle L, Eeltink C, Liptrott S. Transplantation through the generations. In: Kenyon M, Babic A, eds. The European Blood and Marrow Transplantation Textbook for Nurses: Under the Auspices of EBMT. 1st ed. Cham (CH): Springer; 2018. [Crossref]  [PMC] 
  3. Holochwost SJ, Robb SL, Henley AK, Stegenga K, Perkins SM, Russ KA, et al. Active music engagement and cortisol as an acute stress biomarker in young hematopoietic stem cell transplant patients and caregivers: results of a single case design pilot study. Front Psychol. 2020;11:587871. [Crossref]  [PubMed]  [PMC] 
  4. Breitbart WS, Alici Y. Psycho-oncology. Harv Rev Psychiatry. 2009;17(6):361-76. [Crossref]  [PubMed] 
  5. Bergkvist K, Winterling J, Kisch AM. Support in the context of allogeneic hematopoietic stem cell transplantation-the perspectives of family caregivers. Eur J Oncol Nurs. 2020;46:101740. [Crossref]  [PubMed] 
  6. Anderson EW, White KM. "It has changed my life": an exploration of caregiver experiences in serious illness. American Journal of Hospice and Palliative Medicine. 2017;35(2):266-74. [Crossref]  [PubMed]  [PMC] 
  7. Krol M, Papenburg J, van Exel J. Does including informal care in economic evaluations matter? A systematic review of inclusion and impact of informal care in cost-effectiveness studies. Pharmacoeconomics. 2015;33(2):123-35. [Crossref]  [PubMed] 
  8. Zarit SH, Todd PA, Zarit JM. Subjective burden of husbands and wives as caregivers: a longitudinal study. Gerontologist. 1986;26(3):260-6. [Crossref]  [PubMed] 
  9. Gillen G. Caregiving after stroke. Stroke Rehabilitation. 4th ed. Missouri: Elseiver. 2016. p.309-27. [Crossref] 
  10. Upton KV. An investigation into compassion fatigue and self-compassion in acute medical care hospital nurses: a mixed methods "1study. J Compassion Health Care. 2018;5(1):7. [Crossref] 
  11. Rumpold T, Schur S, Amering M, Kirchheiner K, Masel EK, Watzke H, et al. Informal caregivers of advanced-stage cancer patients: every second is at risk for psychiatric morbidity. Support Care Cancer. 2016;24(5):1975-82. [Crossref]  [PubMed] 
  12. Ugalde A, Gaskin CJ, Rankin NM, Schofield P, Boltong A, Aranda S, et al. A systematic review of cancer caregiver interventions: Appraising the potential for implementation of evidence into practice. Psychooncology. 2019;28(4):687-701. [Crossref]  [PubMed]  [PMC] 
  13. Russell JA, Poon MC, Jones AR, Woodman RC, Ruether BA. Allogeneic bone-marrow transplantation without protective isolation in adults with malignant disease. Lancet. 1992;339(8784):38-40. [Crossref]  [PubMed] 
  14. Svahn BM, Remberger M, Myrbäck KE, Holmberg K, Eriksson B, Hentschke P, et al. Home care during the pancytopenic phase after allogeneic hematopoietic stem cell transplantation is advantageous compared with hospital care. Blood. 2002;100(13):4317-24. [Crossref]  [PubMed] 
  15. Prieto JM, Atala J, Blanch J, Carreras E, Rovira M, Cirera E, et al. Role of depression as a predictor of mortality among cancer patients after stem-cell transplantation. J Clin Oncol. 2005;23(25):6063-71. [Crossref]  [PubMed] 
  16. Frey P, Stinson T, Siston A, Knight SJ, Ferdman E, Traynor A, et al. Lack of caregivers limits use of outpatient hematopoietic stem cell transplant program. Bone Marrow Transplant. 2002;30(11):741-8. [Crossref]  [PubMed] 
  17. Biagioli V, Piredda M, Mauroni MR, Alvaro R, De Marinis MG. The lived experience of patients in protective isolation during their hospital stay for allogeneic haematopoietic stem cell transplantation. Eur J Oncol Nurs. 2016;24:79-86. [Crossref]  [PubMed] 
  18. Can G, Erdal S, Koçubaba Ş. Kemik İliği Nakli Hemşireliğinde Kanıta Dayalı Bakım-Konsensus 2018. 1. Baskı. İstanbul: Nobel Tıp Kitapevi; 2020.
  19. Bagcivan G, Ozen N, Bayrak D, Cinar FI. Does being a cancer patient or family caregiver of a cancer patient affect stem cell donation awareness? Asia Pac J Oncol Nurs. 2019;7(1):36-43. [Crossref]  [PubMed]  [PMC] 
  20. Xie L, Shen C, Shi Y, Li H. Caregiver burden among primary family caregivers of patients undergoing hematopoietic stem cell transplantation: a cross-sectional study from Suzhou, China. Cancer Nurs. 2021;44(6):E556-E66. [Crossref]  [PubMed] 
  21. Bergkvist K, Larsen J, Johansson UB, Mattsson J, Fossum B. Family members' life situation and experiences of different caring organisations during allogeneic haematopoietic stem cells transplantation-a qualitative study. Eur J Cancer Care (Engl). 2018;27(1). [Crossref]  [PubMed] 
  22. Xie L, Li H, Jing XC. Qualitative study on the experience and needs of caregivers of patients with hematopoietic stem cell transplantation. Chinese J Pract Nurs. 2017;033(024):1885-8.
  23. Kisch AM, Bergkvist K, Alvariza A, Årestedt K, Winterling J. Family caregivers' support needs during allo-HSCT-a longitudinal study. Support Care Cancer. 2021;29(6):3347-56. [Crossref]  [PubMed]  [PMC] 
  24. Sundler AJ, Lindberg E, Nilsson C, Palmér L. Qualitative thematic analysis based on descriptive phenomenology. Nursing Open. 2019;6(3):733-9. [Crossref]  [PubMed]  [PMC] 
  25. Holloway I, Galvin K. Qualitative Research in Nursing and Healthcare. 4th ed. Chichester, West Sussex, UK: John Wiley & Sons; 2017.
  26. Anney VN. Ensuring the quality of the findings of qualitative research: looking at trustworthiness criteria. Journal of Emerging Trends in Educational Research and Policy Studies. 2014;5:272-81. [Link] 
  27. Sannes TS, Simoneau TL, Mikulich-Gilbertson SK, Natvig CL, Brewer BW, Kilbourn K, et al. Distress and quality of life in patient and caregiver dyads facing stem cell transplant: identifying overlap and unique contributions. Support Care Cancer. 2019;27(6):2329-37. [Crossref]  [PubMed]  [PMC] 
  28. Hu X, Peng X, Su Y, Huang W. Caregiver burden among Chinese family caregivers of patients with lung cancer: a cross-sectional survey. Eur J Oncol Nurs. 2018;37:74-80. [Crossref]  [PubMed] 
  29. Sabo B, McLeod D, Couban S. The experience of caring for a spouse undergoing hematopoietic stem cell transplantation: opening Pandora's box. Cancer Nurs. 2013;36(1):29-40. [Crossref]  [PubMed] 
  30. Applebaum AJ, Bevans M, Son T, Evans K, Hernandez M, Giralt S, et al. A scoping review of caregiver burden during allogeneic HSCT: lessons learned and future directions. Bone Marrow Transplant. 2016;51(11):1416-22. [Crossref]  [PubMed]  [PMC] 
  31. Bevans M, Sternberg EM. Caregiving burden, stress, and health effects among family caregivers of adult cancer patients. JAMA. 2012;307(4):398-403. [Crossref]  [PubMed]  [PMC] 
  32. Çuhadar D, Tanriverdi D, Pehlivan M, Kurnaz G, Alkan S. Determination of the psychiatric symptoms and psychological resilience levels of hematopoietic stem cell transplant patients and their relatives. Eur J Cancer Care (Engl). 2016;25(1):112-21. [Crossref]  [PubMed] 
  33. Bishop MM, Beaumont JL, Hahn EA, Cella D, Andrykowski MA, Brady MJ, et al. Late effects of cancer and hematopoietic stem-cell transplantation on spouses or partners compared with survivors and survivor-matched controls. J Clin Oncol. 2007;25(11):1403-11. [Crossref]  [PubMed] 
  34. Schalkers I, Dedding CW, Bunders JF. '[I would like] a place to be alone, other than the toilet'--Children's perspectives on paediatric hospital care in the Netherlands. Health Expect. 2015;18(6):2066-78. [Crossref]  [PubMed]  [PMC] 
  35. Salsman JM, Danhauer SC, Moore JB, Ip EH, McLouth LE, Nightingale CL, et al. Systematic review of financial burden assessment in cancer: Evaluation of measures and utility among adolescents and young adults and caregivers. Cancer. 2021;127(11):1739-48. [Crossref]  [PubMed]  [PMC] 

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