Behavioral causes of lack of compliance with life care in the transplant warehouse in hematopoietic stem cell transplantation patients: a qualitative study
10.3760/cma.j.cn115682-20240624-03517
- VernacularTitle:造血干细胞移植患者在移植仓内生活护理缺乏依从性的行为成因的质性研究
- Author:
Yuan TIAN
1
;
Xiaofei LIN
;
Yuanyuan LIN
;
Jiaojiao WENG
;
Xin'en LYU
;
Shujuan ZHOU
Author Information
1. 温州医科大学附属第一医院血液内科，温州 325000
- Publication Type:Journal Article
- Keywords:
Hematopoietic stem cell transplantation;
Life care;
Compliance;
Qualitative research
- From:
Chinese Journal of Modern Nursing
2025;31(10):1364-1370
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To explore the causes of lack of compliance with life care in hematopoietic stem cell transplantation recipients while living alone in the transplant warehouse, and to provide a basis for developing targeted promotion measures.Methods:Using purposive sampling method, from June to December 2023, on-site observations were conducted on the voluntary completion of life care by hematopoietic stem cell transplant patients (with a 30 day observation period) admitted to the Blood Transplantation Center of the First Affiliated Hospital of Wenzhou Medical University. The compliance was calculated after the observation period. Patients with a compliance of less than 80% were selected, and semi-structured interviews were conducted with 17 of them after informed consent. The Colaizzi 7-step analysis method was applied to organize and analyze the interview data.Results:Three core themes on lack of compliance were distilled, namely physical factors impeding compliance (somatic specific symptoms leading to distraction, somatic non-specific symptoms leading to activity intolerance), psychological factors impeding compliance (negative emotions, comfort zone dilemmas, regression phenomena, constraints of personality psychological traits), and cognitive factors impeding compliance (subjective cognitive unperceived benefit, poor modeling resulting in cognitive biases, limited perceived attention) .Conclusions:The behavioral causes of lack of compliance with life care of hematopoietic stem cell transplant patients while living alone in the transplant warehouse are due to multiple factors of the body and mind, among which psychologically mediated mechanisms are key to compliance. Healthcare professionals should pay attention to both the physiological and psychological needs of patients, actively alleviate physical symptoms, appropriately provide psychological care to remove psychological barriers, help them actively seek family and social support, and promote cognitive improvement, thereby improving compliance.
