{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,2,26]],"date-time":"2026-02-26T15:33:00Z","timestamp":1772119980589,"version":"3.50.1"},"reference-count":26,"publisher":"Springer Science and Business Media LLC","license":[{"start":{"date-parts":[[2025,2,18]],"date-time":"2025-02-18T00:00:00Z","timestamp":1739836800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"},{"start":{"date-parts":[[2025,2,18]],"date-time":"2025-02-18T00:00:00Z","timestamp":1739836800000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"}],"funder":[{"DOI":"10.13039\/100030764","name":"Universidade Cat\u00f3lica Portuguesa","doi-asserted-by":"crossref","id":[{"id":"10.13039\/100030764","id-type":"DOI","asserted-by":"crossref"}]}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["J Cancer Surviv"],"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Introduction<\/jats:title>\n                    <jats:p>Sexuality and fertility are deeply personal and fundamental aspects of human identity and quality of life. For survivors of hematopoietic stem cell transplants (HSCT), these areas can be profoundly affected by the physical, emotional, and social impacts of the treatment. Discomfort or lack of clarity regarding these issues can lead to long-term psychological distress, relationship challenges, and decreased overall well-being. Addressing this discomfort through research helps to fill a critical gap in supportive care, providing survivors with the tools and knowledge they need to navigate these challenges and enhance their post-treatment quality of life.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Purpose<\/jats:title>\n                    <jats:p>To grasp the scope of sexuality and fertility within the lived experiences of comfort and discomfort among allogeneic stem cell transplant survivors.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>We employed a qualitative approach through van Manen\u2019s phenomenology of practice. The phenomenon was revealed via phenomenological interviews, incorporating narratives and illustrative episodes that captured the lived experiences of 20 survivors. We gathered descriptions of these experiences from participants from July 2020 to May 2021. During our phenomenological reflection on these accounts, we adhered to stages like epoch\u00e9, reduction, and vocative, as outlined by van Manen (van Manen 2014).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>The exploration of comfort within the realms of sexuality and fertility yielded several themes: desire and the relationship; immunosuppression as a limitation on sexual activity; the body does not correspond to desire; the future: fertility and the couple\u2019s relationship; the challenges of disclosure and intervention.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>The findings indicate that survivors have long-term challenges with sexual expression and activity, stemming from the physical constraints of graft-versus-host disease (GVHD), perceptions of their immunosuppression, and the significance of their partnership, all of which translate into requirements for nursing care.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Implications for Care and Support Cancer Survivors<\/jats:title>\n                    <jats:p>Considering the experiences of these participants and the observed comfort linked to the sexuality of ASCT survivors, we can contemplate the care practices and recognize sexuality as a field of action for nurses in this context to enhance comfort for these individuals.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1007\/s11764-025-01752-1","type":"journal-article","created":{"date-parts":[[2025,2,18]],"date-time":"2025-02-18T16:16:47Z","timestamp":1739895407000},"update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["Lived experience of comfort with sexuality and fertility for survivors of hematopoietic progenitor cell transplants: phenomenological study"],"prefix":"10.1007","author":[{"given":"L\u00facia","family":"Bacalhau","sequence":"first","affiliation":[]},{"given":"Patr\u00edcia","family":"Pont\u00edfice-Sousa","sequence":"additional","affiliation":[]}],"member":"297","published-online":{"date-parts":[[2025,2,18]]},"reference":[{"key":"1752_CR1","doi-asserted-by":"crossref","unstructured":"Ruan J, Cheng H, Liu Q, Xu F, Yuk Kwok WY, Luo D, et al. Survivorship experiences of allogeneic hematopoietic stem cell transplantation survivors - a qualitative systematic review. Cancer Nurs. 2024.","DOI":"10.1097\/NCC.0000000000001383"},{"issue":"5","key":"1752_CR2","doi-asserted-by":"publisher","first-page":"544","DOI":"10.1188\/13.CJON.544-549","volume":"17","author":"MM Irwin","year":"2013","unstructured":"Irwin MM, Bergman RM, Richards R. The experience of implementing evidence-based practice change: a qualitative analysis. Clin J Oncol Nurs. 2013;17(5):544\u20139. https:\/\/doi.org\/10.1188\/13.CJON.544-549.","journal-title":"Clin J Oncol Nurs"},{"key":"1752_CR3","doi-asserted-by":"crossref","unstructured":"Edgington A, Morgan MA. Looking beyond recurrence. 2010;15(1). Available from: https:\/\/cjon.ons.org\/cjon\/15\/1\/looking-beyond-recurrence-comorbidities-cancer-survivors.\u00a0","DOI":"10.1188\/11.CJON.E3-E12"},{"key":"1752_CR4","doi-asserted-by":"crossref","unstructured":"Hamilton BK, Law AD, Rybicki L, Abounader D, Dabney J, Dean R, et al. Prognostic significance of pre-transplant quality of life in allogeneic hematopoietic cell transplantation recipients. Bone Marrow Transplant. 2015;50:1\u20136. Available from: http:\/\/www.nature.com\/finder\/10.1038\/bmt.2015.122. Accessed 19 May 2024.","DOI":"10.1038\/bmt.2015.122"},{"issue":"3","key":"1752_CR5","first-page":"561","volume":"162","author":"WC Carlyle","year":"2015","unstructured":"Carlyle WC, Mcclain JB, Tzafriri AR, Bailey L, Brett G, Markham PM, et al. Survivorship: introduction and definition. J Natl Compr Canc Netw. 2015;162(3):561\u20137.\u00a0Accessed 19 May 2024.","journal-title":"J Natl Compr Canc Netw"},{"issue":"2","key":"1752_CR6","first-page":"83","volume":"12","author":"MS Islam","year":"2018","unstructured":"Islam MS. Treat patient, not just the disease: holistic needs assessment for haematological cancer patients. Oncol Rev. 2018;12(2):83\u20139.","journal-title":"Oncol Rev"},{"key":"1752_CR7","doi-asserted-by":"crossref","unstructured":"Kolcaba K. de rango medio del confort Case study on the use of instrument of Katherine Kolcab a middle range theory\u202f: from comfort. 2010;9(2):94\u2013104.","DOI":"10.37976\/enfermeria.v9i2.113"},{"key":"1752_CR8","doi-asserted-by":"publisher","unstructured":"Kolcaba K, Steiner R. Empirical evidence for the nature of holistic comfort. 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