Assimilative and Accommodative Behaviors of Children undergoing Bone Marrow Transplantation
Date Issued
2005
Date
2005
Author(s)
Yang, Hsiu-Ling
DOI
zh-TW
Abstract
The purpose of the study was to explore the experience, assimilative and accommodative behaviors of children undergoing bone marrow transplantation, in the framework of a descriptive qualitative study.
Based on the diagram of bone marrow transplantation experiences and the semi-structural interview guide, in-depth interviews were conducted on 11 children who received bone marrow transplantation. Each interview lasted 60-90 minutes and was recorded and later composed into descriptive contexts. Content analysis was further applied to identify and categorize the children’s personal experiences, assimilative and accommodative behaviors.
From the results of quantifying the qualitative data, a total of 849 experience units were coded. Personal experiences can be categorized in to 3 major aspects, physical experience, therapy experience, and interpersonal experience; and the proportions of each aspect are 38%, 41%, and 21% respectively. The physical experiences include physical perception, physical function, and physical structure. The therapy experiences include the process of medical treatment and the environment of medical treatment. And the interpersonal experiences include interactions with medical staffs, peers, teachers, family members, or being alone. The children’s behavioral reactions include assimilative behaviors and accommodative behaviors. The analysis of the interviews shows that assimilative behaviors are in a proportion of 58% and accommodative behaviors 42%. Assimilative behaviors encompass behaviors of identification, comparison, expectation, and evaluation, while accommodative ones contain behaviors of self-preparation, approaching, changing expectations, and expressing emotions. The age of the research subjects and the time between transplantation and interview will affect personal experiences, assimilative and accommodative behaviors. This study provides a reference of clinical nursing care to assist nursing staffs in understanding the subjective perception of children undergoing bone marrow transplantation so that they can provide comprehensive care to make children go through the main development stages in life easily.
Subjects
骨髓移植
同化行為
調整行為
bone marrow transplantation
assimilative behavior
accommodative behavior
Type
other
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