Health-related QOL challenges and coping ability of patients after treatment for acute leukemia: qualitative analysis

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  • Mori Ayako
    Department of Nursing, National Cancer Center Hospital
  • Kurosawa Saiko
    Department of Hematopoietic Stem Cell Transplantation, National Cancer Center Hospital Department of Oncology, Ina Central Hospital
  • Yamaguchi Takuhiro
    Division of Biostatistics, Tohoku University Graduate School of Medicine
  • Mori Takehiko
    Division of Hematology, Department of Medicine, Keio University School of Medicine Department of Hematology, Tokyo Medical and Dental University
  • Kanamori Heiwa
    Department of Hematology, Kanagawa Cancer Center
  • Onishi Yasushi
    Department of Hematology, Tohoku University Hospital
  • Emi Nobuhiko
    Department of Hematology, Fujita Health University School of Medicine Toyohashi Medical Center
  • Fujisawa Shin
    Department of Hematology, Yokohama City University Medical Center
  • Kohno Akio
    Department of Hematology and Oncology, Konan Kosei Hospital
  • Nakaseko Chiaki
    Department of Hematology, Chiba University Hospital Department of Hematology, International University of Health and Welfare School of Medicine
  • Saito Bungo
    Division of Hematology, Department of Medicine, Showa University School of Medicine Mimaki Onsen Clinic
  • Kondo Tadakazu
    Department of Hematology, Kyoto University Hospital
  • Umemoto Yukari
    Department of Nursing, Osaka City University Hospital
  • Nawa Yuichiro
    Division of Hematology, Ehime Prefectural Central Hospital
  • Kato Shunichi
    Division of Cell Transplantation & Regenerative Medicine, Department of Innovative Medical Science, Tokai University School of Medicine
  • Hashimoto Akiko
    NPO Blood Disorder Information & Support Service, “Tsubasa”
  • Fukuda Takahiro
    Department of Hematopoietic Stem Cell Transplantation, National Cancer Center Hospital
  • Yagasaki Kaori
    Faculty of Nursing and Medical Care, Keio University

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  • 急性白血病患者が治療後に経験する生活上の困難感とその対処に関する検討―健康関連QOLの側面に基づく質的分析―

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<p> Improving the post-treatment quality of life (QOL) of patients with acute leukemia is an important treatment outcome. The purpose of this study was to explore how patients with acute leukemia cope post-treatment with challenges presented by chemotherapy and hematopoietic cell transplantation. Four aspects of health-related QOL were examined: physical, emotional, functional, and social. We analyzed open-ended data from a cross-sectional QOL survey of 524 patients treated for acute leukemia to identify challenges and coping ability according to treatment method. Patients in the post-transplant graft-versus-host disease (GVHD) group reported greater physical challenges, while those in the chemotherapy group reported greater emotional challenges. The patients in the chemotherapy group and the post-transplant GVHD group experienced greater challenges related to returning to work, while the patients without post-transplant GVHD experienced greater difficulty continuing to work after returning. It is important to support patients with unpredictable long-term course, their vulnerability to infection, and late post-treatment complications, in gaining confidence in coping with physical and emotional difficulties and uncertainties caused by treatment and complications, and gaining the ability to seek the support they need to return to work.</p>

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