The Lived Experience of Adult Cancer Survivors After Hematopoietic Stem Cell Transplantation: A Qualitative Study From Saudi Arabia.

IF 2 3区 医学 Q2 MEDICINE, GENERAL & INTERNAL Patient preference and adherence Pub Date : 2025-01-31 eCollection Date: 2025-01-01 DOI:10.2147/PPA.S500554
Hamdan Almutairi, Ahmad Aboshaiqah, Mohsen Alzahrani, Adel F Almutairi, Mahmoud Salam
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Abstract

Background: Hematopoietic stem cell transplantation (HSCT) is a high-intensity treatment with the potential to extend the life expectancy of some patients with cancer. The aim of this study is to explore the lived experience of cancer survivors who underwent HSCT from Saudi Arabia.

Material and methods: This study adopted a qualitative descriptive research design using semi-structured in-depth face-to-face interviews. A purposive sampling method was used to recruit eleven patients with cancer who underwent HSCT at an adult oncology center in Saudi Arabia. The interview guide was developed by the authors based on the multi-dimensional health-related QOL model. Participants were asked about their daily activities, problems with coping, quality of life, and personal stress/worries about the future. Data collection was ceased when thematic saturation was reached. Inductive thematic analysis was conducted by two research team members.

Results: Seven male and four female participants were interviewed (range of age 18 to 51 years). Interviews lasted between 60 and 75 minutes. Five major themes emerged in this study. The first was Physical Well-Being based on four sub-themes: independence, self-efficacy, health outlook (health perception), and pain. The second theme was Psychosocial Impact based on the subthemes: stigmatization, depression, and social strains. The third and fourth themes were Social Support and Coping with the Disease, with the subthemes: avoidant coping, meditation and faith. The fifth theme included psychosocial/physical stability and optimism.

Conclusion: Exploring the lived experiences of cancer survivors can inform supportive health care management. Patients who underwent HSCT reported a series of challenges at the physical, psychosocial, and social levels. Further quantitative research studies are recommended to confirm the impact of HSCT on the QOL of cancer survivors in the Saudi Arabian context.

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成年癌症幸存者在造血干细胞移植后的生活经历:来自沙特阿拉伯的定性研究。
背景:造血干细胞移植(HSCT)是一种高强度的治疗方法,有可能延长一些癌症患者的预期寿命。本研究的目的是探讨来自沙特阿拉伯接受造血干细胞移植的癌症幸存者的生活经历。材料与方法:本研究采用半结构化深度面对面访谈的定性描述性研究设计。我们采用有目的的抽样方法,在沙特阿拉伯的一家成人肿瘤中心招募了11名接受造血干细胞移植的癌症患者。访谈指南是作者基于多维健康相关生活质量模型制定的。参与者被问及他们的日常活动、应对问题、生活质量以及个人压力/对未来的担忧。当专题饱和时,停止数据收集。由两名研究小组成员进行归纳性专题分析。结果:访谈了7名男性和4名女性参与者(年龄在18至51岁之间)。采访持续了60到75分钟。在这项研究中出现了五大主题。第一个是基于四个子主题的身体健康:独立性,自我效能感,健康前景(健康感知)和疼痛。第二个主题是基于以下分主题的社会心理影响:污名化、抑郁和社会压力。第三和第四个主题是社会支持和应对疾病,副主题:回避应对,冥想和信仰。第五个主题包括社会心理/身体稳定和乐观主义。结论:探索癌症幸存者的生活经历可以为支持性医疗保健管理提供信息。接受造血干细胞移植的患者在身体、社会心理和社会层面上面临一系列挑战。建议进一步进行定量研究,以确认造血干细胞移植对沙特阿拉伯癌症幸存者生活质量的影响。
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来源期刊
Patient preference and adherence
Patient preference and adherence MEDICINE, GENERAL & INTERNAL-
CiteScore
3.60
自引率
4.50%
发文量
354
审稿时长
6-12 weeks
期刊介绍: Patient Preference and Adherence is an international, peer reviewed, open access journal that focuses on the growing importance of patient preference and adherence throughout the therapeutic continuum. The journal is characterized by the rapid reporting of reviews, original research, modeling and clinical studies across all therapeutic areas. Patient satisfaction, acceptability, quality of life, compliance, persistence and their role in developing new therapeutic modalities and compounds to optimize clinical outcomes for existing disease states are major areas of interest for the journal. As of 1st April 2019, Patient Preference and Adherence will no longer consider meta-analyses for publication.
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