Caracterización de los mecanismos de afrontamiento de los pacientes hospitalizados en la unidad de trasplante de médula ósea de una institución de alta complejidad en Cali (Colombia) entre febrero y junio de 2022

Abstract

Introduction

Information about coping mechanisms of patients who are taken to bone marrow transplant (BMT) are limited. Besides, the long hospitalization has a high emotional impact. We characterize coping mechanisms and evaluate hopelessness, anxiety and depression of patients who were taken to bone marrow transplant (BMT) in a high complexity health institution in the department of Valle del Cauca between February 1 and June 30, 2022

Methods

Descriptive cross-sectional design, with convenience sampling of patients over 18 years of age who were admitted for BMT. Participants filled out five questionnaires (sociodemographic data, Patient Health Questionnaire 9 (PHQ-9), Generalized Anxiety Disorder (GAD-7), the Beck hopelessness scale and The mental adjustment to cancer scale (MAC-s). The qualitative variables were summarized with absolute frequencies and percentages, the quantitative variables were summarized in medians and interquartile ranges. For the correlation of variables, Spearman's correlation coefficients were used.

Outcomes

From 34 participants, 61.5% were men. The MAC-s scale found fighting spirit as the main coping style, no correlation was found between the scale MAC-s and the clinical variables evaluated. The PHQ-9 and GAD-7 scale showed depressive and anxiety symptoms in 20.8% of the participants. The correlation was positive between those with symptoms of depression (PHQ-9 scale) and those with anxiety (GAD-7 scale) (Spearman's coefficient 0.8).

Conclusion

This study found fighting spirit as the main coping style. High frequency of anxiety and depression. The high frequency of anxiety and depression raises the need for screening and preventive strategies.