Hematology patients’ metaphorical perceptions of the disease and psychosocial support needs in the treatment process: a phenomenological study from a rural region of Türkiye

Purpose: Although health services and access to these services have increased worldwide, there are still major barriers to access to health services, especially for rural, poor, and disabled individuals. The aim of this study was to evaluate the metaphorical perceptions of hematology patients living in rural areas in Türkiye about the disease and their psychosocial support needs during the treatment process with a phenomenological approach. Methods: In this study, in which the phenomenological research method was used, semi-structured in-depth interviews were conducted with 14 hematology patients receiving treatment in a state hospital in a province in the eastern region of Türkiye. Criterion sampling method, one of the purposive sampling methods, was used to reach the sample group. Interviews continued until data saturation was achieved. The data of the study were evaluated using thematic analysis. The study was conducted and reported according to the COREQ checklist. Results: Data analysis revealed two main themes including the following: metaphorical perceptions towards hematologic cancer with the sub-themes of emotional turmoil, social alienation and stigma and physical debilitation, and pathways to resilience with the sub-themes of disease process management, inner resilience and faith, and psychosocial support. Conclusion: This study revealed that the adaptation process of patients to hematologic cancer is quite difficult, and psychosocial support is an indispensable requirement for them in their lives. In order for patients and their families to cope with this very difficult disease process, it is thought that providing them with a higher level of psychological support will be beneficial in coping with the disease effectively.