Factors influencing the perception of protective isolation in patients undergoing haematopoietic stem cell transplantation: A multicentre prospective study

Valentina Biagioli, Michela Piredda, Ombretta Annibali, Maria Cristina Tirindelli, Adriana Pignatelli, Francesco Marchesi, Maria Rita Mauroni, Sonia Soave, Elisabetta Del Giudice, Elena Ponticelli, Marco Clari, Sandra Cavallero, Pierina Monni, Laura Ottani, Simona Sica, Marco Cioce, Lorella Cappucciati, Francesca Bonifazi, Rosaria Alvaro, Maria Grazia De MarinisGianpaolo Gargiulo

Research output: Contribution to journalArticle

Abstract

Objectives: To identify which factors can influence the patients’ perception of protective isolation following Haematopoietic Stem Cell Transplantation (HSCT). Methods: This is a prospective study conducted in 10 Italian centres, members of the Italian Group of stem cell transplant (GITMO). Patients’ perception of protective isolation was assessed using the ISOLA scale between 7 and 9 days post-transplant. Statistical linear regression analysis was performed. Results: The participants were 182 adult patients receiving autologous (48%) or allogeneic (52%) HSCT in protective isolation. Male sex (β =.152), education level (β = −.245), double room (β =.186), satisfaction with visiting hours (β = −.174) and emotional support from nurses (β = −.169) were independently associated with isolation-related suffering. Significant predictors of the relationship with oneself included body temperature (β = −.179), fatigue (β = −.192) and emotional support from nurses (β = −.292). Factors independently associated with the relationship with others were education (β = −.230), chemotherapy cycles (β = −.218), pain (β =.150) and satisfaction with visiting hours (β = −.162). Conclusion: Healthcare providers should pay greater attention in caring for those patients who are at risk for a negative isolation experience. Nurses should provide emotional support.

Original languageEnglish
Article numbere13148
JournalEuropean Journal of Cancer Care
Volume28
Issue number6
DOIs
Publication statusPublished - Jan 1 2019

Keywords

  • haematopoietic stem cell transplantation
  • hospitalisation
  • loneliness
  • patient isolation
  • risk factors

ASJC Scopus subject areas

  • Oncology

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    Biagioli, V., Piredda, M., Annibali, O., Tirindelli, M. C., Pignatelli, A., Marchesi, F., Mauroni, M. R., Soave, S., Del Giudice, E., Ponticelli, E., Clari, M., Cavallero, S., Monni, P., Ottani, L., Sica, S., Cioce, M., Cappucciati, L., Bonifazi, F., Alvaro, R., ... Gargiulo, G. (2019). Factors influencing the perception of protective isolation in patients undergoing haematopoietic stem cell transplantation: A multicentre prospective study. European Journal of Cancer Care, 28(6), [e13148]. https://doi.org/10.1111/ecc.13148