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عوامل روان‌شناختی تسهیل‌کنندۀ بهبودی بیماران پیوند مغز استخوان: مرور سیستماتیک

نوع مقاله : مروری

نویسندگان

1 گروه روان شناسی، دانشکده علوم انسانی، دانشگاه آزاد اسلامی، واحد علوم و تحقیقات، تهران، ایران

2 استاد مرکز تحقیقات علوم رفتاری، دانشگاه علوم پزشکی بقیه الله، تهران، ایران.

3 استاد مرکز تحقیقات سلول های بنیادی خون ساز، دانشکده پزشکی، دانشگاه شهید بهشتی، تهران، ایران.

4 استادیار، گروه روان شناسی، دانشگاه آزاد اسلامی واحد علوم و تحقیقات. تهران. ایران

5 استاد گروه پرستاری، دانشکده علوم پزشکی، دانشگاه تربیت مدرس، تهران، ایران

چکیده

مقدمه: تعیین عوامل روان‌شناختی تسهیل‌کنندۀ بهبودی بیماران پیوند مغز استخوان برای سیاست‏گذاری‌های مناسب در جهت شناسایی مشکلات احتمالی و توسعه مداخلات مناسب در بهره‏مندی بهتر و افزایش موفقیت در پیوند مغز استخوان، بسیار حائز اهمیت است. هدف این مطالعه مرور عوامل روان‌شناختی تسهیل کنندۀ بهبودی بیماران پیوند مغز استخوان بود.
روش: در مرور سیستماتیک حاضر از موارد گزارش ترجیحی برای بررسی‌های سیستماتیک و متاآنالیز (پریزما) و همچنین پیامدهای احتمالی آن برای خطر سوگیری استفاده شد. در همین راستا، اطلاعات موردنیاز از از پایگاه‏های science Direct, Scopus, PubMed برای انتخاب مقالات لاتین و پایگاه‏های مقالات فارسی، ISC با محدود کردن سال برای انتخاب مقالات انگلیسی به 2009 تا 2022 و سال‌های 1390-1401 جهت انتخاب مقاله‌های فارسی برداشته شدند که بر اساس معیارهای موردنظر محدود شدند. واژه‌هایی همچون پیوند سلول‌های بنیادی خون‌ساز، عوامل روان‌شناختی، تسهیل‌کننده، بهبودی مورد جستجو قرار گرفتند. برای ترکیب داده‏ها از روش سنتز روایتی استفاده شد.
یافته‌ها: در این مطالعه، کیفیت 37 مقاله تأیید شد و عوامل روان‌شناختی تأثیرگذار بر بهبودی بیماران پیوند مغز استخوان شناسایی شدند. پریشانی جسمی، کاهش کیفیت زندگی بیماران، احتمال افزایش علائم اضطراب و افسردگی، از بزرگترین جالش‌های پیش روی بیماران بود. معنویت ورزی، سواد سلامتی، مداخلات ورزشی و روان‌شناختی در جهت پذیرش بیماری و افزایش بهزیستی روان‌شناختی در ارتقای نتایج سلامت روان‌شناختی و پزشکی تاثیر معنادار دارد.
نتیجه‌گیری: شناسایی عوامل روان‌شناختی تأثیرگذار بر بهبودی بیماران پیوند مغز استخوان از جمله؛ سواد سلامتی، برنامه‌های ورزشی، خوش‌بینی، جنسیت، حمایت اجتماعی، سلامت روانی، عوامل سبک زندگی، درک پیوند و پیگیری در تنظیم پروتکل‌هایی جهت افزایش بهداشت روانی بیماران تحت پیوند موثر هستند.

کلیدواژه‌ها

موضوعات

عنوان مقاله [English]

Psychological Factors Facilitating the Recovery of Bone Marrow Transplant Patients: A Systematic Review

نویسندگان [English]

  • Zahra Mohamadifard 1
  • Ali Fathi-Ashtiani 2
  • Abbas HajiFathali 3
  • Bita Nasrollahi 4
  • Fazlollah Ahmadi 5

1 Department of Psychology, Faculty of Humanities, Islamic Azad University, Science and Research Unit, Tehran, Iran

2 Professor, Behavioral Sciences Research Center, Baqiyatallah University of Medical Sciences, Tehran, Iran

3 Professor, Hematopoietic Stem Cell Reasearch Center, Shahid Beheshti University of Medical Sciences, Tehran, Iran

4 Assistant Prof, Science and Research Branch, Islamic Azad University, Tehran, Iran.

5 Professor, Nursing Department, Faculty of Medical Sciences, Tarbiat Modares University, Tehran, Iran

چکیده [English]

Objectives: Investigating the psychological factors that facilitate the recovery of bone marrow transplant patients is crucial for appropriate policymakers to identify potential problems and develop appropriate interventions for the better benefit and increasing success of bone marrow transplantation. The aim of this study was to review the psychological factors facilitating the recovery of bone marrow transplant patients. Method: In this systematic review, the Preferred Reporting Items for Systematic Reviews and Meta-Analysis (PRISMA) utilized, along with their possible implications for risk of bias. In this regard, required information took from Science Direct, Scopus, PubMed databases for the selection of Latin articles and Persian articles databases, ISC with the selection period ranging from 1987 to 2022 for English articles and from the years 1390 to 1401 for selection of Persian articles. Based on the desired criteria, they limited. The narrative synthesis method used for combine the data. Results: In this study, the quality of 37 articles confirmed and psychological factors influencing the recovery of bone marrow transplant patients identified. Physical distress, decrease in patients' quality of life, psychosocial well-being, the possibility of increasing symptoms of anxiety and depression, are among the biggest challenges facing patient. Factors such as spirituality, health literacy, sports and psychological interventions aimed at disease acceptance the disease and increase psychological well-being and healthy coping strategies have a significant impact on improving psychological and medical health outcomes. Depression, homesick, tension, anxiety, post-traumatic stress disorder, delusions and cognitive deficits, feelings of lack of choice, need for special attention, and isolation are inevitable consequences of hematopoietic stem cell transplantation. Some psychosocial variables (depression, anxiety, stress, coping strategies, social support, optimism, rationality, and need for coordination) and clinical parameters indicating immune response after bone marrow transplantation. Conclusion: Identifying psychological factors influencing the recovery of bone marrow transplant patients, including; health literacy, sports programs, optimism, gender, social support, mental health, lifestyle factors, understanding of transplant, and follow-up are influential in setting protocols to increase the mental health and survival of bone marrow transplant patients. Identifying psychological factors that facilitate the treatment process helps psychologists and the medical team to identify and strengthen these factors in patients. To moderate the negative psychological consequences of transplantation, it is desirable to perform psychological interventions and to recognize and strengthen the positive psychological structures within the psyche by the treatment staff and the psychologist. Additionally, regulating the natural day and night cycle, palliative care, antipsychotic medication, disease management, lead to better health outcomes.

کلیدواژه‌ها [English]

  • Bone Marrow Transplant
  • Prisma
  • Psychological Factors
  • Stem Cell
  • Systematic Review
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روانشناسی سلامت
دوره 12، شماره 48
اسفند 1402
صفحه 83-100
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هم رسانی
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