IMPACT OF EDUCATIONAL INTERVENTIONS ON PSYCHOLOGICAL DISTRESS DURING ALLOGENEIC HEMATOPOIETIC STEM CELL TRANSPLANTATION: A RANDOMIZED STUDY.
Background Physical and psychological factors, like wrong attitudes and behaviours, can negatively influence health outcomes of the patients receiving allogeneic hematopoietic stem cell transplantation (AHSCT). Educational interventions aiming to improve knowledge on side effects, risks, complica...
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| Format: | Article |
| Language: | English |
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PAGEPress Publications
2020-08-01
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| Series: | Mediterranean Journal of Hematology and Infectious Diseases |
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| Online Access: | https://www.mjhid.org/index.php/mjhid/article/view/4305 |
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| author | Marco Cioce Franziska Michaela Lohmeyer Rossana Moroni Marinella Magini Alessandra Giraldi Paola Garau Maria Carola Gifuni Vezio Savoia Danilo Celli Stefano Botti Gianpaolo Gargiulo Francesca Bonifazi Fabio Ciceri Ivana Serra Maurizio Zega Simona Sica Andrea Bacigalupo Valerio De Stefano Umberto Moscato |
| author_facet | Marco Cioce Franziska Michaela Lohmeyer Rossana Moroni Marinella Magini Alessandra Giraldi Paola Garau Maria Carola Gifuni Vezio Savoia Danilo Celli Stefano Botti Gianpaolo Gargiulo Francesca Bonifazi Fabio Ciceri Ivana Serra Maurizio Zega Simona Sica Andrea Bacigalupo Valerio De Stefano Umberto Moscato |
| author_sort | Marco Cioce |
| collection | DOAJ |
| description | Background
Physical and psychological factors, like wrong attitudes and behaviours, can negatively influence health outcomes of the patients receiving allogeneic hematopoietic stem cell transplantation (AHSCT). Educational interventions aiming to improve knowledge on side effects, risks, complications and preventive behaviour can reduce psychological distress, and improve quality of life (QoL). We aimed to compare a standard approach with therapeutic patient education (TPE) to analyse the impact on AHSCT patients’ QoL, psychological distress and knowledge of AHSCT side effects, risks complications and preventive behaviour.
Material and methods
A prospective interventional study was conducted analysing data of 36 patients who received one of two different educational approaches, which were a standard approach (not-exposed) or TPE (exposed).
Results
In the exposed group QoL improved 14 days after transplantation (42.2 vs 25.6; p<0.03) and at time of discharge (36.6 vs 54.4; p<0.005). Anxiety and depression was better controlled in the exposed group, both at hospitalization and discharge (anxiety: 48.1 vs 53.2; 46.4 vs 51.6. p<0.04; depression: 49 vs 55.3; 48 vs 54.3 , p<0.03). Knowledge of AHSCT risks and complications improved in exposed patients, both at admission (10.1/15 vs 8/15 correct answers; p<0.01) and discharge (10.7/15 vs 8.8/15 correct answer; p<0.03).
Conclusion
The TPE for AHSCT patients improved knowledge, reduced anxiety and depression, which consequently increasing QoL. Therefore, we recommend our approach to further engage patients in the treatment plan, which should specifically take place prior to AHSCT initiation. |
| format | Article |
| id | doaj-art-c45409ff10734dd9a2ab15e3a90f8ece |
| institution | OA Journals |
| issn | 2035-3006 |
| language | English |
| publishDate | 2020-08-01 |
| publisher | PAGEPress Publications |
| record_format | Article |
| series | Mediterranean Journal of Hematology and Infectious Diseases |
| spelling | doaj-art-c45409ff10734dd9a2ab15e3a90f8ece2025-08-20T01:47:51ZengPAGEPress PublicationsMediterranean Journal of Hematology and Infectious Diseases2035-30062020-08-0112110.4084/mjhid.2020.067IMPACT OF EDUCATIONAL INTERVENTIONS ON PSYCHOLOGICAL DISTRESS DURING ALLOGENEIC HEMATOPOIETIC STEM CELL TRANSPLANTATION: A RANDOMIZED STUDY.Marco Cioce0Franziska Michaela LohmeyerRossana MoroniMarinella MaginiAlessandra GiraldiPaola GarauMaria Carola GifuniVezio SavoiaDanilo CelliStefano BottiGianpaolo GargiuloFrancesca BonifaziFabio CiceriIvana SerraMaurizio ZegaSimona SicaAndrea BacigalupoValerio De StefanoUmberto Moscato{'en_US': 'Fondazione PoliclinicoUniversitario Agostino Gemelli IRCCS Roma'}Background Physical and psychological factors, like wrong attitudes and behaviours, can negatively influence health outcomes of the patients receiving allogeneic hematopoietic stem cell transplantation (AHSCT). Educational interventions aiming to improve knowledge on side effects, risks, complications and preventive behaviour can reduce psychological distress, and improve quality of life (QoL). We aimed to compare a standard approach with therapeutic patient education (TPE) to analyse the impact on AHSCT patients’ QoL, psychological distress and knowledge of AHSCT side effects, risks complications and preventive behaviour. Material and methods A prospective interventional study was conducted analysing data of 36 patients who received one of two different educational approaches, which were a standard approach (not-exposed) or TPE (exposed). Results In the exposed group QoL improved 14 days after transplantation (42.2 vs 25.6; p<0.03) and at time of discharge (36.6 vs 54.4; p<0.005). Anxiety and depression was better controlled in the exposed group, both at hospitalization and discharge (anxiety: 48.1 vs 53.2; 46.4 vs 51.6. p<0.04; depression: 49 vs 55.3; 48 vs 54.3 , p<0.03). Knowledge of AHSCT risks and complications improved in exposed patients, both at admission (10.1/15 vs 8/15 correct answers; p<0.01) and discharge (10.7/15 vs 8.8/15 correct answer; p<0.03). Conclusion The TPE for AHSCT patients improved knowledge, reduced anxiety and depression, which consequently increasing QoL. Therefore, we recommend our approach to further engage patients in the treatment plan, which should specifically take place prior to AHSCT initiation.https://www.mjhid.org/index.php/mjhid/article/view/4305therapeutic patient education, allogeneic hematopoietic stem cell transplantation, quality of life, psychological support, patient engagement |
| spellingShingle | Marco Cioce Franziska Michaela Lohmeyer Rossana Moroni Marinella Magini Alessandra Giraldi Paola Garau Maria Carola Gifuni Vezio Savoia Danilo Celli Stefano Botti Gianpaolo Gargiulo Francesca Bonifazi Fabio Ciceri Ivana Serra Maurizio Zega Simona Sica Andrea Bacigalupo Valerio De Stefano Umberto Moscato IMPACT OF EDUCATIONAL INTERVENTIONS ON PSYCHOLOGICAL DISTRESS DURING ALLOGENEIC HEMATOPOIETIC STEM CELL TRANSPLANTATION: A RANDOMIZED STUDY. Mediterranean Journal of Hematology and Infectious Diseases therapeutic patient education, allogeneic hematopoietic stem cell transplantation, quality of life, psychological support, patient engagement |
| title | IMPACT OF EDUCATIONAL INTERVENTIONS ON PSYCHOLOGICAL DISTRESS DURING ALLOGENEIC HEMATOPOIETIC STEM CELL TRANSPLANTATION: A RANDOMIZED STUDY. |
| title_full | IMPACT OF EDUCATIONAL INTERVENTIONS ON PSYCHOLOGICAL DISTRESS DURING ALLOGENEIC HEMATOPOIETIC STEM CELL TRANSPLANTATION: A RANDOMIZED STUDY. |
| title_fullStr | IMPACT OF EDUCATIONAL INTERVENTIONS ON PSYCHOLOGICAL DISTRESS DURING ALLOGENEIC HEMATOPOIETIC STEM CELL TRANSPLANTATION: A RANDOMIZED STUDY. |
| title_full_unstemmed | IMPACT OF EDUCATIONAL INTERVENTIONS ON PSYCHOLOGICAL DISTRESS DURING ALLOGENEIC HEMATOPOIETIC STEM CELL TRANSPLANTATION: A RANDOMIZED STUDY. |
| title_short | IMPACT OF EDUCATIONAL INTERVENTIONS ON PSYCHOLOGICAL DISTRESS DURING ALLOGENEIC HEMATOPOIETIC STEM CELL TRANSPLANTATION: A RANDOMIZED STUDY. |
| title_sort | impact of educational interventions on psychological distress during allogeneic hematopoietic stem cell transplantation a randomized study |
| topic | therapeutic patient education, allogeneic hematopoietic stem cell transplantation, quality of life, psychological support, patient engagement |
| url | https://www.mjhid.org/index.php/mjhid/article/view/4305 |
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