Coping styles and loneliness among patients undergoing hematopoietic stem cell transplantation: the mediating role of self-consistency and congruence

Abstract

Abstract Purpose To evaluate the mediating effect of self-consistency and congruence on the relationship between coping styles and loneliness among patients undergoing hematopoietic stem cell transplantation in protective isolation.Methods This study adopted a cross-sectional descriptive survey. A total of 214 hematopoietic stem cell transplantation of patients in protective isolation were recruited at seven hematological centers in China from January 2022 to May 2022.Results Our results showed that self-consistency and congruence mediated the relationship different coping styles (i.e. confrontation, avoidance, and resignation) and loneliness in the patients. Among participants, coping styles of confrontation and avoidance were negatively associated with loneliness.Conclusion When patients are admitted to laminar flow wards, nurses should be concerned about their loneliness sincerely. We recommend paying particular attention to the role of self-consistency and congruence in alleviating the level of loneliness in the patients. Meanwhile, clinical nurses should be oriented towards encouraging the patients to avoid stress temporarily, in addition to taking a positive approach to coping with stress during protective isolation.