Determination of the psychiatric symptoms and
psychological resilience levels of hematopoietic
stem cell transplant patients and their relatives
D. ÇUHADAR, PHD, RN, ASSISTANT PROFESSOR, Department of Psychiatric Nursing, Health Science Faculty, Gaziantep
University, Gaziantep, D. TANRIVERDI, PHD, RN, ASSOCI
˙
ATE PROFESSOR, Department of Psychiatric Nursing, Health
Science Faculty, Gaziantep University, Gaziantep, M. PEHLIVAN, MD, PROFESSOR, DOCTOR, Department of Internal
Medicine, Hematology, Gaziantep University Medical School, Gaziantep, G. KURNAZ, RN, NURSE, Bone Marrow
Transplantation Unit, Gaziantep University, Medical School Hospital, Gaziantep, & S. ALKAN, RN, NURSE, Bone
Marrow Transplantation Unit, Gaziantep University, Medical School Hospital, Gaziantep, Turkey
ÇUHADAR D., TANRIVERDI D., PEHLIVAN M., KURNAZ G. & ALKAN S. (201 ) European Journal of
Cancer Care
Determination of the psychiatric symptoms and psychological resilience levels of hematopoietic stem cell
transplant patients and their relatives
This study was performed to evaluate psychiatric symptoms and resilience levels of the hematopoietic stem
cell transplant patients and their relatives. The study enrolled 51 patients and 45 relatives undergoing bone
marrow transplantation. Data were collected using Personal Information Form, Brief Symptom Inventory and
Resilience Scale for Adults. Psychiatric symptoms of both patients and their relatives were negatively asso-
ciated with resilience levels. Patients and their relatives with a higher degree of resilience showed a lower
degree of psychiatric symptoms. The study results demonstrate that haematopoietic stem cell transplantation
is a process that affects patients as well as their families. We suggest that patients and their family members
be evaluated for psychiatric symptoms by nurses during this process and resilience level of patients be
increased by helping them improve their coping and problem-solving skills for adaptation throughout the
process.
Keywords: haematopoietic stem cell transplantation, resilience, psychiatric symptoms, nursing.
INTRODUCTION
Haematopoietic stem cell transplantation (HSCT) is a
frequently applied treatment for a host of malignant
haematological cancers with significant morbidity and
mortality, such as acute leukaemia, lymphomas, multiple
myeloma, as well as severe aplastic anaemia (Pillay et al.
2012; Janicsak et al. 2013). HSCT can either be autologous
(patient’s own stem cells) or allogeneic (donor stem cells)
and donors can be unrelated volunteers or relative of the
donors most commonly siblings of the patients (Pillay
et al. 2012). Allogeneic stem cell transplantation is a type
of treatment to give haematopoietic stem cells taken from
a healthy donor to the recipient in order to kill malignant
cells after high dose chemotherapy. Autologous stem cell
transplantation is a type of treatment to give bone marrow
is taken from the person himself or separated from periph-
eral blood stem cell after high dose chemotherapy (Kapucu
& Karaca 2008). HSCT offers a potential cure for some
patients the treatments also life threatening and intro-
duces many side effects (Beattie & Lebel 2011). These side
effects following HSCT include acute and chronic graft
versus host disease (GVHD), recurrent and secondary
Correspondence address: Döndü Çuhadar, Department of Psychiatric
Nursing, Health Science Faculty, Gaziantep University, 27310,
S ¸ ehitkamil, Gaziantep, Turkey (e-mail: donducuhadar@hotmail.com).
Accepted 18 June 2014
DOI: 10.1111/ecc.12219
Original article
© 2014 John Wiley & Sons Ltd
6
25, 112–121
European Journal of Cancer Care, 2016, 25, 112–121