Synthesis of self-management strategies used by young adults who have undergone hematopoietic stem cell transplantation: A narrative review

Can Oncol Nurs J. 2021 Nov 1;31(4):470-475. doi: 10.5737/23688076314470475. eCollection 2021 Fall.

Abstract

Hematopoietic stem cell transplantation is frequently used to treat young adults with hematologic cancer. The treatment can cause a range of side effects that require patients to self-manage their symptoms. However, there do not seem to be any studies that review the literature on self-management strategies used by this group. The purpose of this paper is to summarize the self-management strategies used by young adults (18-39 years old) who have received a hematopoietic stem cell transplant for leukemia or lymphoma. A narrative review conducted in the CINAHL, MEDLINE and PsycINFO databases returned 11 papers. An analysis of these data shows that young adults use self-management strategies, including managing their emotions, turning to spiritual beliefs, seeking support from others and changing their behaviours. The results stress the importance of nursing care in supporting these self-management strategies used by young adults who have undergone hematopoietic stem cell transplantation.

Keywords: hematopoietic stem cell transplantation; leukemia; lymphoma; review; self-management; stem cell transplantation; young adults.