Psychological empowerment and quality of life in haematopoietic stem cell transplantation patients: A quantitative study.
Marija Turlinskienė, Raminta Seniūnaitė-Ramanauskienė, Justina Pociūnaitė and 1 others
PMID 37740665WHAT IT FOUND
Before stem cell transplant patients who felt more empowered had better quality of life.
Low depression was linked to better quality of life mainly among more empowered patients. Empowerment was not linked to the anxiety link to quality of life. No intervention was tested.
Key findings
01Patients who reported more empowerment before transplant had better quality of life before and after transplant.
02Empowerment before transplant significantly moderated the link between depression and post-transplant quality of life.
03Empowerment before transplant did not significantly moderate the link between anxiety and post-transplant quality of life.
STILL TO COME
How it was doneWhat they foundWhat it means for RNs
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What it does not show
This was an observational study, so it cannot show that empowerment caused better quality of life or that empowerment interventions would help. The sample was voluntary and from one Lithuanian centre; 150 of 247 patients undergoing HSCT completed baseline, and 29 dropped out. Older patients were more likely to decline participation. Patients who dropped out were more likely to have had autologous transplant than allogeneic transplant. The study is based on patients' subjective experience of empowerment and does not test empowerment methods. The moderation effect was limited to depression and quality of life; it was not seen for anxiety.
The easy way to misread this
Do not conclude that empowerment training improves quality of life after transplant. The study measured patients' own empowerment scores and associations; it did not randomise or test any empowerment intervention.