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Synthèse des stratégies d’autogestion employées par de jeunes adultes ayant reçu une greffe de cellules hématopoïétiques : revue narrative
Abstract
La greffe de cellules hématopoïétiques est couramment utilisée pour traiter de jeunes adultes atteints d’un cancer hématologique. Ce traitement peut occasionner de nombreux effets secondaires qui requièrent que les patients utilisent l’autogestion des symptômes. Toutefois, aucune étude ne semble recenser les stratégies d’autogestion mises en place par ce groupe. Le but de cet article est de répertorier les stratégies d’autogestion utilisées par de jeunes adultes (18-39 ans) ayant reçu une greffe de cellules hématopoïétiques lors d’une leucémie ou d’un lymphome. Une revue narrative effectuée dans CINAHL, MEDLINE et PsycINFO a permis de retenir 11 articles. L’analyse des données souligne que les jeunes adultes utilisent des stratégies d’autogestion, dont la gestion des émotions, l’appui sur les croyances spirituelles, l’appel à autrui et la modification de comportements. Les résultats accentuent l’importance des soins infirmiers quant au soutien des stratégies d’autogestion parmi les jeunes adultes affectés par une greffe de cellules hématopoïétiques.
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