Psycho-social problems identified by adult bone marrow transplant survivors

dc.contributor.authorRies, Adrienne Sandraen_ZA
dc.date.accessioned2017-01-26T11:22:56Z
dc.date.available2017-01-26T11:22:56Z
dc.date.issued1996en_ZA
dc.date.updated2016-11-22T10:41:21Z
dc.description.abstractBone marrow transplantation (BMT) offers many patients who are diagnosed with leukaemia, lymphoma, myeloma and aplastic anaemia the opportunity of increased survival. Chemotherapy is one of the most common forms of treatment for cancer patients en-route to BMT, which is often a concomitant stressor in the patient's life. Due to the side effects of chemotherapy, patients are often required to remain in a protective isolation unit for several weeks at a time. In most cases, BMT constitutes the final phase of the treatment process. This procedure is not without its risks and may create significant psychosocial stress for patients. Social work intervention in the Department of Haematology at Groote Schuur Hospital has focused primarily on newly diagnosed patients and those patients undergoing transplantation. However, with the increased success of BMT, it is important to address the needs of cancer survivors. An ongoing support group with BMT survivors, provided the opportunity for the researcher to conduct a qualitative exploratory study of how survivors conceptualise and describe their current lives. To this end, fifteen group sessions were tape recorded and the self-identified issues raised by the members were organised into themes. It was ascertained that adjustment post BMT was stressful for most of the survivors. In general, survivors experienced numerous losses in terms of intimate and social relationships, memory and sexual functioning. Anxiety was pervasive and was heightened by an underlying fear of relapse. However, survivors also acknowledged the positive benefits of having been diagnosed with cancer and undergoing a BMT, such as improved family relationships, renewed interest in religion and the changing of attitudes and values. Members utilised numerous coping skills including denial, avoidance, rationalisation, confrontation and problem solving in an attempt to master their situation. The group experience was viewed favourably by members who formed a strong bond as a result of their shared experiences. Some of the survivors were able to use the group to express fears that they felt uncomfortable to express elsewhere. BMT survivors enter a distinct phase of adjustment with the re-entry into their premorbid lifestyles. Preparation is essential if this phase is to mastered. Further research across race and cultural groupings is required in order to ensure that social work intervention is appropriate to all in South Africa.en_ZA
dc.identifier.apacitationRies, A. S. (1996). <i>Psycho-social problems identified by adult bone marrow transplant survivors</i>. (Thesis). University of Cape Town ,Faculty of Humanities ,Department of Social Development. Retrieved from http://hdl.handle.net/11427/23344en_ZA
dc.identifier.chicagocitationRies, Adrienne Sandra. <i>"Psycho-social problems identified by adult bone marrow transplant survivors."</i> Thesis., University of Cape Town ,Faculty of Humanities ,Department of Social Development, 1996. http://hdl.handle.net/11427/23344en_ZA
dc.identifier.citationRies, A. 1996. Psycho-social problems identified by adult bone marrow transplant survivors. University of Cape Town.en_ZA
dc.identifier.ris TY - Thesis / Dissertation AU - Ries, Adrienne Sandra AB - Bone marrow transplantation (BMT) offers many patients who are diagnosed with leukaemia, lymphoma, myeloma and aplastic anaemia the opportunity of increased survival. Chemotherapy is one of the most common forms of treatment for cancer patients en-route to BMT, which is often a concomitant stressor in the patient's life. Due to the side effects of chemotherapy, patients are often required to remain in a protective isolation unit for several weeks at a time. In most cases, BMT constitutes the final phase of the treatment process. This procedure is not without its risks and may create significant psychosocial stress for patients. Social work intervention in the Department of Haematology at Groote Schuur Hospital has focused primarily on newly diagnosed patients and those patients undergoing transplantation. However, with the increased success of BMT, it is important to address the needs of cancer survivors. An ongoing support group with BMT survivors, provided the opportunity for the researcher to conduct a qualitative exploratory study of how survivors conceptualise and describe their current lives. To this end, fifteen group sessions were tape recorded and the self-identified issues raised by the members were organised into themes. It was ascertained that adjustment post BMT was stressful for most of the survivors. In general, survivors experienced numerous losses in terms of intimate and social relationships, memory and sexual functioning. Anxiety was pervasive and was heightened by an underlying fear of relapse. However, survivors also acknowledged the positive benefits of having been diagnosed with cancer and undergoing a BMT, such as improved family relationships, renewed interest in religion and the changing of attitudes and values. Members utilised numerous coping skills including denial, avoidance, rationalisation, confrontation and problem solving in an attempt to master their situation. The group experience was viewed favourably by members who formed a strong bond as a result of their shared experiences. Some of the survivors were able to use the group to express fears that they felt uncomfortable to express elsewhere. BMT survivors enter a distinct phase of adjustment with the re-entry into their premorbid lifestyles. Preparation is essential if this phase is to mastered. Further research across race and cultural groupings is required in order to ensure that social work intervention is appropriate to all in South Africa. DA - 1996 DB - OpenUCT DP - University of Cape Town LK - https://open.uct.ac.za PB - University of Cape Town PY - 1996 T1 - Psycho-social problems identified by adult bone marrow transplant survivors TI - Psycho-social problems identified by adult bone marrow transplant survivors UR - http://hdl.handle.net/11427/23344 ER - en_ZA
dc.identifier.urihttp://hdl.handle.net/11427/23344
dc.identifier.vancouvercitationRies AS. Psycho-social problems identified by adult bone marrow transplant survivors. [Thesis]. University of Cape Town ,Faculty of Humanities ,Department of Social Development, 1996 [cited yyyy month dd]. Available from: http://hdl.handle.net/11427/23344en_ZA
dc.language.isoengen_ZA
dc.publisher.departmentDepartment of Social Developmenten_ZA
dc.publisher.facultyFaculty of Humanitiesen_ZA
dc.publisher.institutionUniversity of Cape Town
dc.subject.otherClinical Social Worken_ZA
dc.titlePsycho-social problems identified by adult bone marrow transplant survivorsen_ZA
dc.typeMaster Thesis
dc.type.qualificationlevelMasters
dc.type.qualificationnameMSocScen_ZA
uct.type.publicationResearchen_ZA
uct.type.resourceThesisen_ZA
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