The objective of the research was to determine the effect of educational intervention based on Bandura’s Social Cognitive Learning Theory on care dependency and symptom management after hematopoietic stem cell transplantation.
Methods. This randomized controlled trial was conducted between January 2019 and February 2020 at the Hematopoietic Stem Cell Transplantation Center. All the patients were randomly divided into two groups: 53 individuals in the intervention group and 53 individuals in the control group. The sociodemographic data collection form, the Edmonton Symptom Assessment Scale and the Care Dependency Scale were used for data collection. Data were collected from the patients one day after hematopoietic stem cell transplantation and 12 weeks later.
Results. There were no statistically significant differences between the groups regarding the mean scores of the Edmonton Symptom Assessment Scale and the Care Dependency Scale at baseline. Twelve weeks after intervention, there were statistically significant differences between the groups regarding the mean scores of the Edmonton Symptom Assessment Scale and the Care Dependency Scale.
Conclusions. Educational intervention along with telephone counseling based on Bandura’s theory was found to be an effective way to reduce symptom severity and care dependency in patients who underwent hematopoietic stem cell transplantation and is recommended for all patients after hematopoietic stem cell transplantation.
Sung H, Ferlay J, Siegel RL, Laversanne M, Soerjomataram I, Jemal A, et al. Global cancer statistics 2020: GLOBOCAN estimates of incidence and mortality worldwide for 36 cancers in 185 countries. CA: A Cancer Journal for Clinicians. 2021;71(3):209–249. Available from: https://doi.org/10.3322/caac.21660
Broder MS, Quock TP, Chang E, Reddy SR, Agarwal-Hashmi R, Arai S, et al. The cost of hematopoietic stem-cell transplantation in the United States. American health & drug benefits. 2017;10(7):366-374. Available from: https://pubmed.ncbi.nlm.nih.gov/29263771/
Health Resources & Services Administration. Transplant Activity Report [Internet]. 2021 [cited 2021 Aug 16]. Available from: https://bloodstemcell.hrsa.gov/data/donation-and-transplantation-statistics/transplant-activity-report
Khandelwal P, Millard HR, Thiel E, Abdel-Azim H, Abraham AA, Auletta JJ, et al. Hematopoietic stem cell transplantation activity in pediatric cancer between 2008 and 2014 in the United States: a Center for International Blood and Marrow Transplant research report. Biology of Blood and Marrow Transplantation. 2017;23(8):1342–1349. Available from: https://doi.org/10.1016/j.bbmt.2017.04.018
El-Jawahri A, LeBlanc T, VanDusen H, Traeger L, Greer JA, Pirl WF, et al. Effect of inpatient palliative care on quality of life 2 weeks after hematopoietic stem cell transplantation. JAMA. 2016;316(20):2094. Available from: https://doi.org/10.1001/jama.2016.16786
Cohen MZ, Rozmus CL, Mendoza TR, Padhye NS, Neumann J, Gning I, et al. Symptoms and quality of life in diverse patients undergoing hematopoietic stem cell transplantation. Journal of Pain and Symptom Management. 2012;44(2):168–180. Available from: https://doi.org/10.1016/j.jpainsymman.2011.08.011
Kroemeke A, Sobczyk-Kruszelnicka M, Kwissa-Gajewska Z. Everyday life following hematopoietic stem cell transplantation: decline in physical symptoms within the first month and change-related predictors. Quality of Life Research. 2017;27(1):125–135. Available from: https://doi.org/10.1007/s11136-017-1705-3
Akin S, Oguz G, Durna Z. Symptoms after hospital discharge following hematopoietic stem cell transplantation. Indian Journal of Palliative Care. 2014;20(1):41. Available from: https://doi.org/10.4103/0973-1075.125558
Majhail NS, Douglas Rizzo J, Lee SJ, Aljurf M, Atsuta Y, Bonfim C, et al. Recommended screening and preventive practices for long-term survivors after hematopoietic cell transplantation. Hematology/Oncology and Stem Cell Therapy. 2012;5(1):1–30. Available from: https://doi.org/10.5144/1658-3876.2012.1
Bevans M, Wehrlen L, Castro K, Prince P, Shelburne N, Soeken K, et al. A problem-solving education intervention in caregivers and patients during allogeneic hematopoietic stem cell transplantation. Journal of Health Psychology. 2013;19(5):602–617. Available from: https://doi.org/10.1177/1359105313475902
Garcia CM, Mumby PB, Thilges S, Stiff PJ. Comparison of early quality of life outcomes in autologous and allogeneic transplant patients. Bone Marrow Transplantation. 2012;47(12):1577–1582. Available from: https://doi.org/10.1038/bmt.2012.77
Nelson AM, Coe CL, Juckett MB, Rumble ME, Rathouz PJ, Hematti P, et al. Sleep quality following hematopoietic stem cell transplantation: longitudinal trajectories and biobehavioral correlates. Bone Marrow Transplantation. 2014;49(11):1405–1411. Available from: https://doi.org/10.1038/bmt.2014.179
Ovayolu Ö, Ovayolu N, Kaplan E, Pehlivan M, Karadağ G. Symptoms and quality of life before and after stem cell transplantation in cancer. Pakistan Journal of Medical Sciences. 2013;29(3). Available from: https://doi.org/10.12669/pjms.293.3290
Bhatia S. Long-term health impacts of hematopoietic stem cell transplantation inform recommendations for follow-up. Expert Review of Hematology. 2011;4(4):437–454. Available from: https://doi.org/10.1586/ehm.11.39
Passweg J, Halter J, Bucher C, Gerull S, Heim D, Rovó A, et al. Hematopoietic stem cell transplantation: a review and recommendations for follow-up care for the general practitioner. Swiss Medical Weekly. 2012;Available from: https://doi.org/10.4414/smw.2012.13696
Lazenby M, Sebego M, Swart NC, Lopez L, Peterson K. Symptom burden and functional dependencies among cancer patients in Botswana suggest a need for palliative care nursing. Cancer Nursing. 2016;39(1):E29–E38. Available from: https://doi.org/10.1097/NCC.0000000000000249
Oechsle K, Wais MC, Vehling S, Bokemeyer C, Mehnert A. Relationship between symptom burden, distress, and sense of dignity in terminally ill cancer patients. Journal of Pain and Symptom Management. 2014;48(3):313–321. Available from: https://doi.org/10.1016/j.jpainsymman.2013.10.022
Hoffman AJ. Enhancing self-efficacy for optimized patient outcomes through the theory of symptom self-management. Cancer Nursing. 2013;36(1):E16–E26. Available from: https://doi.org/10.1097/NCC.0b013e31824a730a
Decker PJ. The enhancement of behavior modeling training of supervisory skills by the inclusion of retention processes. Personnel Psychology. 1982;35(2):323–332. Available from: https://doi.org/10.1111/j.1744-6570.1982.tb02198.x
Bethards ML. Applying social learning theory to the observer role in simulation. Clinical Simulation in Nursing. 2014;10(2):e65–e69. Available from: https://doi.org/10.1016/j.ecns.2013.08.002
Kocaaslan EN, Akgün Kostak M. Effect of disease management education on the quality of life and self‐efficacy levels of children with asthma. Journal for Specialists in Pediatric Nursing. 2019;24(2):e12241. Available from: https://doi.org/10.1111/jspn.12241
Toygar İ, Hançerlioğlu S, Utku T, Şimşir IY, Çetinkalp Ş. Effect of an educational intervention based on Bandura’s theory on foot care self-efficacy in diabetes: a prospective quasi-experimental study. The International Journal of Lower Extremity Wounds. 2020;:153473462094832. Available from: https://doi.org/10.1177/1534734620948327
Lee M, Wu SV, Lu K, Liu C, Liang S, Chuang Y. Effectiveness of a self‐management program in enhancing quality of life, self‐care, and self‐efficacy in patients with hemodialysis: a quasi‐experimental design. Seminars in Dialysis. 2021;34(4):292–299. Available from: https://doi.org/10.1111/sdi.12957
Kav S, Tokdemir G. The effect of structured education to patients receiving oral agents for cancer treatment on medication adherence and self-efficacy. Asia-Pacific Journal of Oncology Nursing. 2017;4(4):290. Available from: https://doi.org/10.4103/apjon.apjon_35_17
Qiao L, Zeng S-Q, Zhang N. Effects of cooperative nursing and patient education on postoperative infection and self-efficacy in gastrointestinal tumors. World Journal of Clinical Cases. 2021;9(7):1610–1618. Available from: https://doi.org/10.12998/wjcc.v9.i7.1610
Gladbach C, Patton LJ, Xu X, Aquino V. Transition from hospital to home following hematopoietic stem cell transplantation: a feasibility study for “Rooming In”. Journal of Pediatric Oncology Nursing. 2020;38(1):42–50. Available from: https://doi.org/10.1177/1043454220958643
Leppla L, Mielke J, Kunze M, Mauthner O, Teynor A, Valenta S, et al. Clinicians and patients perspectives on follow-up care and eHealth support after allogeneic hematopoietic stem cell transplantation: a mixed-methods contextual analysis as part of the SMILe study. European Journal of Oncology Nursing. 2020;45:101723. Available from: https://doi.org/10.1016/j.ejon.2020.101723
Dijkstra A, Buist G, Dassen T. Nursing-care dependency. Scandinavian Journal of Caring Sciences. 1996;10(3):137–143. Available from: https://doi.org/10.1111/j.1471-6712.1996.tb00326.x
Yönt G, Akın Korhan E, Khorshid L, Eşer İ, Dijkstra A. Evaluation of the validity and reliability of care dependency scale for elderly individuals. Turkish Journal of Geriatrics. 2010;13(Supp.):71.
Sadırlı S, Ünsar S. Edmonton Symptom Assessment Scale (ESAS) in patients with cancer: the Turkish study of validity and reliability. Fırat Saglık Hizmetleri Dergisi. 2009;4(11):79-95.
Cioce M, Lohmeyer FM, Moroni R, Magini M, Giraldi A, Garau P, et al. Impact of educational interventions on psychological distress during allogeneic hematopoietic stem cell transplantation: a randomized study. Mediterranean Journal of Hematology and Infectious Diseases. 2020;12(1):e2020067. Available from: https://doi.org/10.4084/mjhid.2020.067
Battiwalla M, Hashmi S, Majhail N, Pavletic S, Savani BN, Shelburne N. National Institutes of Health Hematopoietic Cell Transplantation Late Effects Initiative: developing recommendations to improve survivorship and long-term outcomes. Biology of Blood and Marrow Transplantation. 2017;23(1):6–9. Available from: https://doi.org/10.1016/j.bbmt.2016.10.020
Hodges CB. Self-efficacy in the context of online learning environments: a review of the literature and directions for research. Performance Improvement Quarterly. 2008;20(3-4):7–25. Available from: https://doi.org/10.1002/piq.20001
Phan HP. The development of english and mathematics self-efficacy: a latent growth curve analysis. The Journal of Educational Research. 2012;105(3):196–209. Available from: https://doi.org/10.1080/00220671.2011.552132
Oberoi S, Robinson PD, Cataudella D, Culos-Reed SN, Davis H, Duong N, et al. Physical activity reduces fatigue in patients with cancer and hematopoietic stem cell transplant recipients: a systematic review and meta-analysis of randomized trials. Critical Reviews in Oncology/Hematology. 2018;122:52–59. Available from: https://doi.org/10.1016/j.critrevonc.2017.12.011
Ghazikhanian SE, Dorfman CS, Somers TJ, O’Sullivan ML, Fisher HM, Edmond SN, et al. Cognitive problems following hematopoietic stem cell transplant: relationships with sleep, depression and fatigue. Bone Marrow Transplantation. 2016;52(2):279–284. Available from: https://doi.org/10.1038/bmt.2016.248
Jim HSL, Sutton SK, Jacobsen PB, Martin PJ, Flowers ME, Lee SJ. Risk factors for depression and fatigue among survivors of hematopoietic cell transplantation. Cancer. 2016;122(8):1290–1297. Available from: https://doi.org/10.1002/cncr.29877
Mosher CE, DuHamel KN, Rini C, Corner G, Lam J, Redd WH. Quality of life concerns and depression among hematopoietic stem cell transplant survivors. Supportive Care in Cancer. 2010;19(9):1357–1365. Available from: https://doi.org/10.1007/s00520-010-0958-y
Janicsák H, Masszi T, Reményi P, Ungvari GS, Gazdag G. Quality of life and its socio-demographic and psychological determinants after bone marrow transplantation. European Journal of Haematology. 2013;91(2):135–140. Available from: https://doi.org/10.1111/ejh.12126
Ward JA, Balian C, Gilger E, Raybin JL, Li Z, Montgomery KE. Electronic symptom assessment in children and adolescents with advanced cancer undergoing hematopoietic stem cell transplantation. Journal of Pediatric Oncology Nursing. 2020;37(4):255–264. Available from: https://doi.org/10.1177/1043454220917686
Tecchio C, Bonetto C, Bertani M, Cristofalo D, Lasalvia A, Nichele I, et al. Predictors of anxiety and depression in hematopoietic stem cell transplant patients during protective isolation. Psycho-Oncology. 2012;22(8):1790–1797. Available from: https://doi.org/10.1002/pon.3215
Kako J, Kobayashi M, Kanno Y, Ogawa A, Miura T, Matsumoto Y. The optimal cutoff point for expressing revised Edmonton Symptom Assessment System scores as binary data indicating the presence or absence of symptoms. American Journal of Hospice and Palliative Medicine®. 2018;35(11):1390–1393. Available from: https://doi.org/10.1177/1049909118775660
Steenbeek ED, Ramspek CL, van Diepen M, Dekker FW, Achterberg WP. The association between pain perception and care dependency in older nursing home residents: a prospective cohort study. Journal of the American Medical Directors Association. 2021;22(3):676–681. Available from: https://doi.org/10.1016/j.jamda.2020.07.022
Vaes AW, Machado FVC, Meys R, Delbressine JM, Goertz YMJ, Van Herck M, et al. Care dependency in non-hospitalized patients with COVID-19. Journal of Clinical Medicine. 2020;9(9):2946. Available from: https://doi.org/10.3390/jcm9092946
Şahin ZA, Ergüney S. Effect on symptom management education receiving patients of chemotherapy. Journal of Cancer Education. 2015;31(1):101–107. Available from: https://doi.org/10.1007/s13187-015-0801-8
Sherman DW, Haber J, Hoskins CN, Budin WC, Maislin G, Shukla S, et al. The effects of psychoeducation and telephone counseling on the adjustment of women with early-stage breast cancer. Applied Nursing Research. 2012;25(1):3–16. Available from: https://doi.org/10.1016/j.apnr.2009.10.003
Moore GF, Audrey S, Barker M, Bond L, Bonell C, Hardeman W, et al. Process evaluation of complex interventions: Medical Research Council guidance. BMJ. 2015;350(6):h1258–h1258. Available from: https://doi.org/10.1136/bmj.h1258
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