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Factors influencing the level of emotional support from nurses perceived by patients undergoing haematopoietic stem cell transplantation in protective isolation
abstracts
CN56
Annals of Oncology
Factors influencing the level of emotional support from nurses perceived by patients undergoing haematopoietic stem cell transplantation in protective isolation
Downloaded from https://academic.oup.com/annonc/article-abstract/30/Supplement_5/mdz275.011/5578377 by guest on 26 October 2019
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 1 Research Unit Nursing Science, Campus Bio-Medico di Roma University, Rome, Italy, 2 Biomedicine and Prevention, University of Rome Tor Vergata, Rome, Italy, 3 Haematology and Haematopoietic Stem Cell Transplantation Unit, Federico II University Hospital, Naples, Italy, 4Haematology, Stem Cell Transplantation, Transfusion Medicine and Cellular Therapy Unit, Campus Bio-Medico di Roma University, Rome, Italy, 5Quality Office, Regina Elena National Cancer Institute, Rome, Italy, 6Hematology and Stem Cell Transplant Unit, Regina Elena National Cancer Institute, Rome, Italy, 7 Haematology Unit, Fondazione Policlinico Tor Vergata, Rome, Italy, 8Stem Cell Transplant Unit, Fondazione Policlinico Tor Vergata, Rome, Italy, 9Stem Cell Transplant a della Unit, S. Camillo-Forlanini Hospital, Rome, Italy, 10Department of Oncology, Citt Salute e della Scienza University Hospital, Turin, Italy, 11Department of Public Health 12 and Pediatrics, University of Turin, Turin, Italy, Haematology Unit, S. Croce e Carle Hospital, Cuneo, Italy, 13Haematology/Oncology and Specialised Medicine Unit, Fondazione IRCCS Ca’ Granda, Ospedale Maggiore Policlinico, Milan, Italy, 14Bone Marrow Transplant Centre, Fondazione IRCCS Ca’ Granda, Ospedale Maggiore Policlinico, Milan, Italy, 15Institute of Haematology, Cattolica del Sacro Cuore University, Rome, Italy, 16Haematology Unit, Fondazione Policlinico Universitario Agostino Gemelli, Rome, Italy, 17Oncology-Hematology Department, Hospital of Piacenza, Piacenza, Italy 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 þ7 and þ9 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 ¼ 13.4; range¼19-71). 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. 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. 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.
Table: CN56 Regression model predicting perceived emotional support from nurses (n ¼ 186)
Sex (female) Pain level First HSCT Double room Satisfaction with info Patients to nurse P
b
95% CI
P
.193 -.147 .099 .242 .403 -.168
(.056; .332) (-.287; -.007) (-.038; .234) (.098; .378) (.264; .547) (-.316; -.027)
.006 .040 .158 .001 <.001 .021 <.001
v832 | Cancer Nursing: Psychosocial Care and Survivorship
Volume 30 | Supplement 5 | October 2019
CN56
Annals of Oncology
Factors influencing the level of emotional support from nurses perceived by patients undergoing haematopoietic stem cell transplantation in protective isolation
Downloaded from https://academic.oup.com/annonc/article-abstract/30/Supplement_5/mdz275.011/5578377 by guest on 26 October 2019
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 1 Research Unit Nursing Science, Campus Bio-Medico di Roma University, Rome, Italy, 2 Biomedicine and Prevention, University of Rome Tor Vergata, Rome, Italy, 3 Haematology and Haematopoietic Stem Cell Transplantation Unit, Federico II University Hospital, Naples, Italy, 4Haematology, Stem Cell Transplantation, Transfusion Medicine and Cellular Therapy Unit, Campus Bio-Medico di Roma University, Rome, Italy, 5Quality Office, Regina Elena National Cancer Institute, Rome, Italy, 6Hematology and Stem Cell Transplant Unit, Regina Elena National Cancer Institute, Rome, Italy, 7 Haematology Unit, Fondazione Policlinico Tor Vergata, Rome, Italy, 8Stem Cell Transplant Unit, Fondazione Policlinico Tor Vergata, Rome, Italy, 9Stem Cell Transplant a della Unit, S. Camillo-Forlanini Hospital, Rome, Italy, 10Department of Oncology, Citt Salute e della Scienza University Hospital, Turin, Italy, 11Department of Public Health 12 and Pediatrics, University of Turin, Turin, Italy, Haematology Unit, S. Croce e Carle Hospital, Cuneo, Italy, 13Haematology/Oncology and Specialised Medicine Unit, Fondazione IRCCS Ca’ Granda, Ospedale Maggiore Policlinico, Milan, Italy, 14Bone Marrow Transplant Centre, Fondazione IRCCS Ca’ Granda, Ospedale Maggiore Policlinico, Milan, Italy, 15Institute of Haematology, Cattolica del Sacro Cuore University, Rome, Italy, 16Haematology Unit, Fondazione Policlinico Universitario Agostino Gemelli, Rome, Italy, 17Oncology-Hematology Department, Hospital of Piacenza, Piacenza, Italy 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 þ7 and þ9 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 ¼ 13.4; range¼19-71). 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. 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. 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.
Table: CN56 Regression model predicting perceived emotional support from nurses (n ¼ 186)
Sex (female) Pain level First HSCT Double room Satisfaction with info Patients to nurse P
b
95% CI
P
.193 -.147 .099 .242 .403 -.168
(.056; .332) (-.287; -.007) (-.038; .234) (.098; .378) (.264; .547) (-.316; -.027)
.006 .040 .158 .001 <.001 .021 <.001
v832 | Cancer Nursing: Psychosocial Care and Survivorship
Volume 30 | Supplement 5 | October 2019