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Symptom burden and ...
Symptom burden and recovery in the first year after allogeneic hematopoietic stem cell transplantation
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- Eriksson, Linda Victoria (författare)
- Karolinska Institutet
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- Holmberg, Katarina (författare)
- Karolinska Institutet,Sophiahemmet Högskola,Karolinska institutet; Sophiahemmet högskola
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- Lundh Hagelin, Carina (författare)
- Karolinska Institutet,Marie Cederschiöld högskola,Palliativt forskningscentrum, PFC,Karolinska institutet
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- Wengström, Yvonne (författare)
- Karolinska Institutet
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- Bergkvist, Karin (författare)
- Sophiahemmet Högskola,Karolinska institutet; Sophiahemmet högskola
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- Winterling, Jeanette (författare)
- Karolinska Institutet
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(creator_code:org_t)
- 2023
- 2023
- Engelska.
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Ingår i: Cancer Nursing. - 0162-220X .- 1538-9804. ; 46:1, s. 77-85
- Relaterad länk:
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https://urn.kb.se/re...
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https://doi.org/10.1...
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https://urn.kb.se/re...
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http://kipublication...
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Abstract
Ämnesord
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- BACKGROUND: Patients are affected by various symptoms after allogeneic hematopoietic stem cell transplantation (allo-HSCT) that can affect recovery. Research has mainly focused on symptom occurrence; thus, little is known about patients' overall symptom burden.OBJECTIVE: The aim of this study was to examine patient-reported symptom burden in the first year after allo-HSCT and whether a high symptom burden 4 months after allo-HSCT predicts recovery, that is, general health and sick leave, 1 year after transplantation.METHODS: Allo-HSCT patients aged 18 to 65 years were included (n = 189). Questionnaire data were collected on admission to the allo-HSCT unit, as well as 4 and 7 months and 1 year after allo-HSCT. Logistic regression evaluated relationships between demographic characteristics, chronic graft-versus-host disease, physical activity, and a high symptom burden.RESULTS: Tiredness, susceptibility to infection, disinterest in sex, and physical weakness remained the most frequent symptoms, while distressing symptoms varied during the first year after allo-HSCT.Poor general health 1 year after allo-HSCT was associated with older age, low physical activity, and a high symptom burden 4 months after allo-HSCT. Full-time sick leave 1 year after allo-HSCT was associated with chronic graft-versus-host disease, low physical activity, and a high symptom burden 4 months after transplantation.CONCLUSIONS: Experiencing a high symptom burden 4 months after allo-HSCT can affect recovery 1 year after transplantation. Furthermore, low physical activity 4 months after allo-HSCT can predict both general health and sick leave 1 year after transplantation.IMPLICATIONS FOR PRACTICE: Repeated symptom assessment, including experienced distress, is central for reducing overall symptom burden and supporting recovery after allo-HSCT.
Ämnesord
- MEDICIN OCH HÄLSOVETENSKAP -- Hälsovetenskap -- Omvårdnad (hsv//swe)
- MEDICAL AND HEALTH SCIENCES -- Health Sciences -- Nursing (hsv//eng)
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