Factor promoting educational achievement/employment for survivors of childhood acute myeloid leukemia (AML)

DOI
  • Miyashita Kayoko
    Shijonawate Gakuen University
  • Kobayashi Kyoko
    St. Luke’s International University Graduate School of Nursing Science
  • Nakagami-Yamaguchi Etsuko
    Department of Medical Quality and Safety Science, Osaka City University Graduate School of Medicine QOL Subcommittee for the Japan Association of Childhood Leukemia Study
  • Adachi Souichi
    Department of Human Health Science, Kyoto University AML Subcommittee for the Japan Association of Childhood Leukemia Study
  • Hasegawa Daiichiro
    Department of Hematology/Oncology, Hyogo Prefectural Kobe Children’s Hospital AML Subcommittee for the Japan Association of Childhood Leukemia Study
  • Iwamoto Shotaro
    Department of Pediatrics, Mie University AML Subcommittee for the Japan Association of Childhood Leukemia Study
  • Kobayashi Ryouji
    Sapporo Hokuyu Hospital AML Subcommittee for the Japan Association of Childhood Leukemia Study
  • Terui Kiminori
    Department of Pediatrics, Hirosaki University Graduate School of Medicine AML Subcommittee for the Japan Association of Childhood Leukemia Study
  • Imamura Toshihiko
    Department of Pediatrics, Kyoto Prefectural University of Medicine AML Subcommittee for the Japan Association of Childhood Leukemia Study
  • Shimada Akira
    Department of Pediatric Hematology/Oncology, Okayama University Hospital AML Subcommittee for the Japan Association of Childhood Leukemia Study
  • Kanai Rie
    Department of Pediatrics, Simane University Hospital AML Subcommittee for the Japan Association of Childhood Leukemia Study
  • Hayakawa Akira
    Department of Palliative Medicine, Yodogawa Christian Hospital QOL Subcommittee for the Japan Association of Childhood Leukemia Study
  • Rikiishi Takeshi
    Department of Pediatrics, Tohoku University QOL Subcommittee for the Japan Association of Childhood Leukemia Study
  • Tamura Shinichi
    Department of Pediatrics, Kyoto City Hospital QOL Subcommittee for the Japan Association of Childhood Leukemia Study
  • Sato Atsushi
    Department of Hematology/Oncology, Miyagi Children’s Hospital
  • Horibe Keizo
    Department of Pediatrics, National Hospital Organization Nagoya Medical Center
  • Osugi Yuko
    Hyogo College of Medicine Hospital AML Subcommittee for the Japan Association of Childhood Leukemia Study

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Other Title
  • 小児急性骨髄性白血病(AML)経験者の就学・就労促進に関わる要因と支援

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Abstract

<p>Purpose: To determine the factors involved in facilitating the social life (educational achievement and employment) of AML survivors. Participants and Methods: Ten AML survivors aged 15 years or older who were treated in accordance with ANLL91 and AML99 protocols in their childhood and are currently undergoing follow-up at JACLS participating institutions underwent semistructured interviews. A descriptive and qualitative analysis was conducted on the basis of the contents of the interviews. Results: We extracted six categories and 23 subcategories. When AML survivors obtained educational achievement and employment, they “adjust and convince themselves” to have a “sense of purpose” and to “do things cautiously.” During their course of treatment, they also consulted with “those who supported them,” such as doctors, friends, and teachers, as well as “those who guided them,” including their brothers and sisters. “To maintain the wish to return to school and proceed to the next educational level” was an essential element for educational achievement and employment. Discussion: Doctors and nurses need to assess physical and social functioning among childhood cancer survivors and introduce them to those who can provide support, such as social workers and cancer support counselors, aside from providing continuous information and support for returning to school as an essential element for educational achievement and employment.</p>

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