How to Reduce the Psychological Impact of the Announcement of Allogeneic Bone Marrow Transplant in Hematologic Malignancy ?
AbstractBackground: Breaking bad news to patients with hematologic malignancy produce a traumatic outcome on the patient’s quality of life. This study focused on the announcement of allogeneic bone marrow transplant (ABMT) and on the real-life experience of patients and haematologists about this event in order to reduce the psychic impact of this medical care. Methods: participants: 5 patients and 4 haematologists; data collection: semi-directive interviews; data analysis: Grounded Theory and clinical analysis (qualitative approach). Find.: themes developed: 1.Patients: Patients’ real-life experience when receiving the diagnosis, hearing the possibility of a transplant and the risk of recurrences; Perception of its relationship with the doctor, communication elements and content of the announcements; Beliefs, psychic resistances, coping strategies and anguishes about ABMT /2.Haematologists: announcement of hematologic malignancies diagnosis and recurrences; presentation of the ABTM;… Discuss.: Haematologists must explore patients’ beliefs and anguishes about the transplant and patients’ use of defence mechanisms and coping strategies, to reduce their anxiety before and after the surgery.
Copyright (c) 2014 C. Deratte , W. Houllé , L. Gilibert , M.L. Costantini
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