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Poster Display session 3

3387 - Factors Influencing the Level of Emotional Support from Nurses Perceived by Patients Undergoing Haematopoietic Stem Cell Transplantation in Protective Isolation

Date

30 Sep 2019

Session

Poster Display session 3

Presenters

Michela Piredda

Citation

Annals of Oncology (2019) 30 (suppl_5): v829-v835. 10.1093/annonc/mdz275

Authors

M. Piredda1, V. Biagioli2, G. Gargiulo3, O. Annibali4, M.C. Tirindelli4, A. Pignatelli5, F. Marchesi6, M.R. Mauroni7, S. Soave8, E. Del Giudice9, E. Ponticelli10, M. Clari11, S. Cavallero12, P. Monni13, L. Ottani14, S. Sica15, M. Cioce16, L. Cappucciati17, R. Alvaro2, M.G. De Marinis1

Author affiliations

  • 1 Research Unit Nursing Science, Campus Bio-Medico di Roma University, 00128 - Rome/IT
  • 2 Biomedicine And Prevention, University of Rome Tor Vergata, 00133 - Rome/IT
  • 3 Haematology And Haematopoietic Stem Cell Transplantation Unit, Federico II University Hospital, 80131 - Naples/IT
  • 4 Haematology, Stem Cell Transplantation, Transfusion Medicine And Cellular Therapy Unit, Campus Bio-Medico di Roma University, 00128 - Rome/IT
  • 5 Quality Office, Regina Elena National Cancer Institute, 00144 - Rome/IT
  • 6 Hematology And Stem Cell Transplant Unit, Regina Elena National Cancer Institute, 00144 - Rome/IT
  • 7 Haematology Unit, Fondazione Policlinico Tor Vergata, 00133 - Rome/IT
  • 8 Stem Cell Transplant Unit, Fondazione Policlinico Tor Vergata, 00133 - Rome/IT
  • 9 Stem Cell Transplant Unit, S. Camillo-Forlanini Hospital, 00152 - Rome/IT
  • 10 Department Of Oncology, Città della Salute e della Scienza University Hospital, 10126 - Turin/IT
  • 11 Department Of Public Health And Pediatrics, University of Turin, 10126 - Turin/IT
  • 12 Haematology Unit, S. Croce e Carle Hospital, 12100 - Cuneo/IT
  • 13 Haematology/oncology And Specialised Medicine Unit, Fondazione IRCCS Ca' Granda, Ospedale Maggiore Policlinico, 20122 - Milan/IT
  • 14 Bone Marrow Transplant Centre, Fondazione IRCCS Ca' Granda, Ospedale Maggiore Policlinico, 20122 - Milan/IT
  • 15 Institute Of Haematology, Cattolica del Sacro Cuore University, 00168 - Rome/IT
  • 16 Haematology Unit, Fondazione Policlinico Universitario Agostino Gemelli, 00168 - Rome/IT
  • 17 Oncology-hematology Department, Hospital of Piacenza, 29121 - Piacenza/IT
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Resources

Abstract 3387

Background

Patients undergoing haematopoietic stem cell transplantation (HSCT) are often hospitalised in protective isolation in order to reduce the risk of dangerous infection. However, they could experience isolation-related suffering, problems in relationships with others, and difficulties in relating to themselves. Oncology nurses might play an important role in mitigating perceived isolation and in providing emotional support. The aim of this study was to identify which factors can influence the level of emotional support from nurses perceived by patients with haematological malignancies undergoing HSCT in isolation.

Methods

A multicentre prospective study was conducted in 10 haematology centres of the Italian Group of stem cell transplant (GITMO). Emotional support from nurses was measured between day +7 and +9 post-transplant using the Scale Experiences on the Newcastle Satisfaction with Nurses Scale. Multiple linear regression analysis was performed.

Results

The participants were 186 adult patients receiving autologous (48%) or allogeneic (52%) HSCT in protective isolation. They were mainly male (61.6%) with a mean age of 50.1 (SD = 13.4; range=19-71). The regression model explained 23% of the total variance (p < .001) (Table). Sex, pain level, double room, satisfaction with information received before HSCT, and patients to nurse ratio were independently associated with emotional support from nurses.Table: CN56

Regression model predicting perceived emotional support from nurses (n = 186)

β95% CIP
Sex (female).193(.056; .332).006
Pain level-.147(-.287; -.007).040
First HSCT.099(-.038; .234).158
Double room.242(.098; .378).001
Satisfaction with info.403(.264; .547)<.001
Patients to nurse-.168(-.316; -.027).021
P<.001

Conclusions

Patients who reported high emotional support from nurses were female, with low pain, satisfied with information received, and hospitalised in double room in a ward with a low patients to nurse ratio. It is crucial to reduce the patients to nurse ratio in order to promote the role of nurses in providing emotional support.

Clinical trial identification

Editorial acknowledgement

Legal entity responsible for the study

Campus Bio-Medico di Roma University.

Funding

Has not received any funding.

Disclosure

All authors have declared no conflicts of interest.

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