Sandrine Letrecher (docteure en psychologie, membre associé LPCN, IGR LPCN) a publié un nouvel article le 24 novembre 2025, dans la revue Frontiers in Psychology.
Référence
Letrecher S, Chemrouk Y and Sani L (2025) Thinking about returning home from a protected haematology unit: confronting healthcare providers’ representations and patients’ experiences in a qualitative study. Front. Psychol. 16:1610567. https://doi.org/10.3389/fpsyg.2025.1610567
Abstract
Background: The psychological impact of protective isolation in haematology has been widely studied during hospitalization, but little is known about what happens when patients return home. Aim: Drawing on two qualitative studies conducted in French hospitals—one with patients and one with healthcare providers—this article explores how both groups experience the transition out of protective isolation. The focus is on the psychological challenges of returning home, shifts in identity and family roles, and the emotional dynamics between patients and staff. Methods: This article presents findings from two qualitative studies in clinical psychology. The first involved 10 non-directive interviews conducted with patients following their discharge from a Protected Haematology unit; the data was analyzed using grounded theory and narrative analysis. The second study comprised 12 semi-structured interviews with healthcare professionals, analyzed through interpretative phenomenological analysis (IPA). Results: Returning home poses significant challenges for patients and their families. Sterile constraints often persist, and hospital discharge does not necessarily signify recovery. At home, patients must navigate ongoing difficulties, including strict hygiene protocols, dependence on others, frequent medical appointments, and profound identity shifts related to illness. Healthcare professionals face a double bind: they are expected to celebrate the patient’s discharge while recognizing that it does not mark the end of isolation. In end-of-life contexts, they may emotionally distance themselves from patients—a defense mechanism that protects them from the grief associated with high mortality rates in oncology and haematology. Conclusion: The findings underscore the importance of dedicated spaces for reflection and dialogue—at home, to support patients and their families, and within hospital settings, to enable healthcare professionals to process potentially traumatic experiences.
Keywords: healthcare providers, haematology, isolation, patient care, home
Celui-ci a été publié dans la revue Frontiers in Psychology (IF: 2.9), une revue scientifique internationale, publiée par l’éditeur Frontiers. Elle couvre l’ensemble des domaines de la psychologie, incluant la psychologie cognitive, sociale, clinique, du développement, ainsi que les neurosciences et les approches interdisciplinaires.
Sandrine Letrecher est docteure en psychologie clinique en service de médecine somatique, elle a soutenu sa thèse de doctorat en psychologie en 2021 au LPCN, sous la direction de Nadine Proia-Lelouey (PR émérite, LPCN). Ses recherches ont pour objet la vulnérabilité sous toutes ses formes et plus particulièrement celle liée à la maladie grave ; selon une double perspective psychodynamique et anthropologique. Elle fait partie des membres associés du LPCN et y est également ingénieure de recherche.
