Factors influencing the perception of protective isolation in patients undergoing haematopoietic stem cell transplantation: A multicentre prospective study.

Factors influencing the perception of protective isolation in patients undergoing haematopoietic stem cell transplantation: A multicentre prospective study.

Biagioli, Valentina;Piredda, Michela;Annibali, Ombretta;Tirindelli, Maria Cristina;Pignatelli, Adriana;Marchesi, Francesco;Mauroni, Maria Rita;Soave, Sonia;Del Giudice, Elisabetta;Ponticelli, Elena;Clari, Marco;Cavallero, Sandra;Monni, Pierina;Ottani, Laura;Sica, Simona;Cioce, Marco;Cappucciati, Lorella;Bonifazi, Francesca;Alvaro, Rosaria;De Marinis, Maria Grazia;Gargiulo, Gianpaolo;
european journal of cancer care 2019 Vol. 28 pp. e13148
281
biagioli2019factorseuropean

Abstract

To identify which factors can influence the patients' perception of protective isolation following Haematopoietic Stem Cell Transplantation (HSCT).This is a prospective study conducted in 10 Italian centres, members of the Italian Group of stem cell transplant (GITMO). Patients' perception of protective isolation was assessed using the ISOLA scale between 7 and 9 days post-transplant. Statistical linear regression analysis was performed.The participants were 182 adult patients receiving autologous (48%) or allogeneic (52%) HSCT in protective isolation. Male sex (β = .152), education level (β = -.245), double room (β = .186), satisfaction with visiting hours (β = -.174) and emotional support from nurses (β = -.169) were independently associated with isolation-related suffering. Significant predictors of the relationship with oneself included body temperature (β = -.179), fatigue (β = -.192) and emotional support from nurses (β = -.292). Factors independently associated with the relationship with others were education (β = -.230), chemotherapy cycles (β = -.218), pain (β = .150) and satisfaction with visiting hours (β = -.162).Healthcare providers should pay greater attention in caring for those patients who are at risk for a negative isolation experience. Nurses should provide emotional support.

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