Quality of Life Immediately After Peripheral Blood Stem Cell Transplantation

This prospective, longitudinal study investigated the quality of life among patients immediately after undergoing peripheral blood stem cell transplantation. The patients were assessed before transplantation (n = 16), immediately before hospital discharge (n = 10), 2 weeks after hospital discharge (...

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Veröffentlicht in:Cancer nursing 2003-08, Vol.26 (4), p.312-322
Hauptverfasser: Hacker, Eileen Danaher, Ferrans, Carol Estwing
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Ferrans, Carol Estwing
description This prospective, longitudinal study investigated the quality of life among patients immediately after undergoing peripheral blood stem cell transplantation. The patients were assessed before transplantation (n = 16), immediately before hospital discharge (n = 10), 2 weeks after hospital discharge (n = 10), and 6 weeks after hospital discharge (n = 8). Patients completed the European Organization for Research and Training Quality of Life Questionnaire-Core 30 and the Ferrans and Powers Quality of Life Index at each assessment point. A brief telephone interview was conducted 6 weeks after hospitalization (n = 7). The study results indicate that patients undergoing peripheral blood stem cell transplantation experience significant appetite loss (P < .01), diarrhea (P < .05), nausea and vomiting (P < .05), and sleep disturbances (P < .01) during the acute posttransplantation period. Other clinically important changes also were identified, so that a general pattern of recovery emerged. These patients reported diminished functional ability, increased symptoms, and poorer quality of life immediately before hospital discharge, with a return to pretransplantation levels by 6 weeks after hospitalization. In contrast, life satisfaction continued to decline 2 weeks after hospitalization, but did improve by 6 weeks. The qualitative data provide further support for this trend.
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The patients were assessed before transplantation (n = 16), immediately before hospital discharge (n = 10), 2 weeks after hospital discharge (n = 10), and 6 weeks after hospital discharge (n = 8). Patients completed the European Organization for Research and Training Quality of Life Questionnaire-Core 30 and the Ferrans and Powers Quality of Life Index at each assessment point. A brief telephone interview was conducted 6 weeks after hospitalization (n = 7). The study results indicate that patients undergoing peripheral blood stem cell transplantation experience significant appetite loss (P &lt; .01), diarrhea (P &lt; .05), nausea and vomiting (P &lt; .05), and sleep disturbances (P &lt; .01) during the acute posttransplantation period. Other clinically important changes also were identified, so that a general pattern of recovery emerged. 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subjects Activities of Daily Living
Aged
Anorexia - etiology
Attitude to Health
Diarrhea - etiology
Female
Health Status
Humans
Illinois
Male
Mental Health
Middle Aged
Nausea - etiology
Nursing
Nursing Methodology Research
Peripheral Blood Stem Cell Transplantation - adverse effects
Peripheral Blood Stem Cell Transplantation - psychology
Prospective Studies
Qualitative Research
Quality of Life
Sickness Impact Profile
Sleep Deprivation - etiology
Social Behavior
Surveys and Questionnaires
Vomiting - etiology
title Quality of Life Immediately After Peripheral Blood Stem Cell Transplantation
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