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General health, symptom occurrence, and self-efficacy in adult survivors after allogeneic hematopoietic stem cell transplantation: a cross-sectional comparison between hospital care and home care

Purpose Earlier studies have shown that home care during the neutropenic phase after allogeneic hematopoietic stem cell transplantation (allo-HSCT) is medically safe, with positive outcomes. However, there have been few results on long-term outcomes after home care. The aims of this study were to co...

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Published in:Supportive care in cancer 2015-05, Vol.23 (5), p.1273-1283
Main Authors: Bergkvist, Karin, Winterling, Jeanette, Johansson, Eva, Johansson, Unn-Britt, Svahn, Britt-Marie, Remberger, Mats, Mattsson, Jonas, Larsen, Joacim
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cited_by cdi_FETCH-LOGICAL-c549t-5cf05564be6d48e853894459c83f2867e8d43373b81abe922fbcf55da0cc75d73
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container_issue 5
container_start_page 1273
container_title Supportive care in cancer
container_volume 23
creator Bergkvist, Karin
Winterling, Jeanette
Johansson, Eva
Johansson, Unn-Britt
Svahn, Britt-Marie
Remberger, Mats
Mattsson, Jonas
Larsen, Joacim
description Purpose Earlier studies have shown that home care during the neutropenic phase after allogeneic hematopoietic stem cell transplantation (allo-HSCT) is medically safe, with positive outcomes. However, there have been few results on long-term outcomes after home care. The aims of this study were to compare general health, symptom occurrence, and self-efficacy in adult survivors who received either home care or hospital care during the early neutropenic phase after allo-HSCT and to investigate whether demographic or medical variables were associated with general health or symptom occurrence in this patient population. Methods In a cross-sectional survey, 117 patients (hospital care: n  = 78; home care: n  = 39) rated their general health (SF-36), symptom occurrence (SFID-SCT, HADS), and self-efficacy (GSE) at a median of 5 (1–11) years post-HSCT. Results No differences were found regarding general health, symptom occurrence, or self-efficacy between groups. The majority of patients in both hospital care (77 %) and home care (78 %) rated their general health as “good” with a median of 14 (0–36) current symptoms. Symptoms of fatigue and sexual problems were among the most common. Poor general health was associated with acute graft-versus-host disease (GVHD), low self-efficacy, and cord blood stem cells. A high symptom occurrence was associated with female gender, acute GVHD, and low self-efficacy. Conclusions No long-term differences in general health and symptom occurrence were observed between home care and hospital care. Thus, home care is an alternative treatment method for patients who for various reasons prefer this treatment option. We therefore encourage other centers to offer home care to patients.
doi_str_mv 10.1007/s00520-014-2476-9
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However, there have been few results on long-term outcomes after home care. The aims of this study were to compare general health, symptom occurrence, and self-efficacy in adult survivors who received either home care or hospital care during the early neutropenic phase after allo-HSCT and to investigate whether demographic or medical variables were associated with general health or symptom occurrence in this patient population. Methods In a cross-sectional survey, 117 patients (hospital care: n  = 78; home care: n  = 39) rated their general health (SF-36), symptom occurrence (SFID-SCT, HADS), and self-efficacy (GSE) at a median of 5 (1–11) years post-HSCT. Results No differences were found regarding general health, symptom occurrence, or self-efficacy between groups. The majority of patients in both hospital care (77 %) and home care (78 %) rated their general health as “good” with a median of 14 (0–36) current symptoms. Symptoms of fatigue and sexual problems were among the most common. Poor general health was associated with acute graft-versus-host disease (GVHD), low self-efficacy, and cord blood stem cells. A high symptom occurrence was associated with female gender, acute GVHD, and low self-efficacy. Conclusions No long-term differences in general health and symptom occurrence were observed between home care and hospital care. Thus, home care is an alternative treatment method for patients who for various reasons prefer this treatment option. We therefore encourage other centers to offer home care to patients.</description><identifier>ISSN: 0941-4355</identifier><identifier>ISSN: 1433-7339</identifier><identifier>EISSN: 1433-7339</identifier><identifier>DOI: 10.1007/s00520-014-2476-9</identifier><identifier>PMID: 25322970</identifier><language>eng</language><publisher>Berlin/Heidelberg: Springer Berlin Heidelberg</publisher><subject>Adult ; Aged ; Allogeneic hematopoietic stem cell transplantation ; Analysis ; Cross-Sectional Studies ; Female ; General health ; Graft vs Host Disease - epidemiology ; Health - statistics &amp; numerical data ; Hematopoietic stem cell transplantation ; Hematopoietic Stem Cell Transplantation - adverse effects ; Home care ; Home Care Services ; Home health care ; Hospital care ; Hospitalization ; Humans ; Leukemia - therapy ; Male ; Medicine ; Medicine &amp; Public Health ; Middle Aged ; Nursing ; Nursing Research ; Oncology ; Original Article ; Pain Medicine ; Rehabilitation Medicine ; Self Care ; Self Efficacy ; Stem cells ; Surveys ; Surveys and Questionnaires ; Survivors - psychology ; Symptom occurrence ; Transplants &amp; implants ; Young Adult</subject><ispartof>Supportive care in cancer, 2015-05, Vol.23 (5), p.1273-1283</ispartof><rights>Springer-Verlag Berlin Heidelberg 2014</rights><rights>COPYRIGHT 2015 Springer</rights><rights>Springer-Verlag Berlin Heidelberg 2015</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c549t-5cf05564be6d48e853894459c83f2867e8d43373b81abe922fbcf55da0cc75d73</citedby><cites>FETCH-LOGICAL-c549t-5cf05564be6d48e853894459c83f2867e8d43373b81abe922fbcf55da0cc75d73</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.proquest.com/docview/1668192730/fulltextPDF?pq-origsite=primo$$EPDF$$P50$$Gproquest$$H</linktopdf><linktohtml>$$Uhttps://www.proquest.com/docview/1668192730?pq-origsite=primo$$EHTML$$P50$$Gproquest$$H</linktohtml><link.rule.ids>230,314,776,780,881,21373,21374,27901,27902,33588,33589,34507,34508,43709,44091,73964,74382</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/25322970$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink><backlink>$$Uhttps://urn.kb.se/resolve?urn=urn:nbn:se:du-45776$$DView record from Swedish Publication Index$$Hfree_for_read</backlink><backlink>$$Uhttps://urn.kb.se/resolve?urn=urn:nbn:se:shh:diva-1721$$DView record from Swedish Publication Index$$Hfree_for_read</backlink><backlink>$$Uhttp://kipublications.ki.se/Default.aspx?queryparsed=id:131001457$$DView record from Swedish Publication Index$$Hfree_for_read</backlink></links><search><creatorcontrib>Bergkvist, Karin</creatorcontrib><creatorcontrib>Winterling, Jeanette</creatorcontrib><creatorcontrib>Johansson, Eva</creatorcontrib><creatorcontrib>Johansson, Unn-Britt</creatorcontrib><creatorcontrib>Svahn, Britt-Marie</creatorcontrib><creatorcontrib>Remberger, Mats</creatorcontrib><creatorcontrib>Mattsson, Jonas</creatorcontrib><creatorcontrib>Larsen, Joacim</creatorcontrib><title>General health, symptom occurrence, and self-efficacy in adult survivors after allogeneic hematopoietic stem cell transplantation: a cross-sectional comparison between hospital care and home care</title><title>Supportive care in cancer</title><addtitle>Support Care Cancer</addtitle><addtitle>Support Care Cancer</addtitle><description>Purpose Earlier studies have shown that home care during the neutropenic phase after allogeneic hematopoietic stem cell transplantation (allo-HSCT) is medically safe, with positive outcomes. However, there have been few results on long-term outcomes after home care. The aims of this study were to compare general health, symptom occurrence, and self-efficacy in adult survivors who received either home care or hospital care during the early neutropenic phase after allo-HSCT and to investigate whether demographic or medical variables were associated with general health or symptom occurrence in this patient population. Methods In a cross-sectional survey, 117 patients (hospital care: n  = 78; home care: n  = 39) rated their general health (SF-36), symptom occurrence (SFID-SCT, HADS), and self-efficacy (GSE) at a median of 5 (1–11) years post-HSCT. Results No differences were found regarding general health, symptom occurrence, or self-efficacy between groups. The majority of patients in both hospital care (77 %) and home care (78 %) rated their general health as “good” with a median of 14 (0–36) current symptoms. Symptoms of fatigue and sexual problems were among the most common. Poor general health was associated with acute graft-versus-host disease (GVHD), low self-efficacy, and cord blood stem cells. A high symptom occurrence was associated with female gender, acute GVHD, and low self-efficacy. Conclusions No long-term differences in general health and symptom occurrence were observed between home care and hospital care. Thus, home care is an alternative treatment method for patients who for various reasons prefer this treatment option. 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However, there have been few results on long-term outcomes after home care. The aims of this study were to compare general health, symptom occurrence, and self-efficacy in adult survivors who received either home care or hospital care during the early neutropenic phase after allo-HSCT and to investigate whether demographic or medical variables were associated with general health or symptom occurrence in this patient population. Methods In a cross-sectional survey, 117 patients (hospital care: n  = 78; home care: n  = 39) rated their general health (SF-36), symptom occurrence (SFID-SCT, HADS), and self-efficacy (GSE) at a median of 5 (1–11) years post-HSCT. Results No differences were found regarding general health, symptom occurrence, or self-efficacy between groups. The majority of patients in both hospital care (77 %) and home care (78 %) rated their general health as “good” with a median of 14 (0–36) current symptoms. Symptoms of fatigue and sexual problems were among the most common. Poor general health was associated with acute graft-versus-host disease (GVHD), low self-efficacy, and cord blood stem cells. A high symptom occurrence was associated with female gender, acute GVHD, and low self-efficacy. Conclusions No long-term differences in general health and symptom occurrence were observed between home care and hospital care. Thus, home care is an alternative treatment method for patients who for various reasons prefer this treatment option. We therefore encourage other centers to offer home care to patients.</abstract><cop>Berlin/Heidelberg</cop><pub>Springer Berlin Heidelberg</pub><pmid>25322970</pmid><doi>10.1007/s00520-014-2476-9</doi><tpages>11</tpages></addata></record>
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1433-7339
1433-7339
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source Social Science Premium Collection; Springer Nature; Sociology Collection
subjects Adult
Aged
Allogeneic hematopoietic stem cell transplantation
Analysis
Cross-Sectional Studies
Female
General health
Graft vs Host Disease - epidemiology
Health - statistics & numerical data
Hematopoietic stem cell transplantation
Hematopoietic Stem Cell Transplantation - adverse effects
Home care
Home Care Services
Home health care
Hospital care
Hospitalization
Humans
Leukemia - therapy
Male
Medicine
Medicine & Public Health
Middle Aged
Nursing
Nursing Research
Oncology
Original Article
Pain Medicine
Rehabilitation Medicine
Self Care
Self Efficacy
Stem cells
Surveys
Surveys and Questionnaires
Survivors - psychology
Symptom occurrence
Transplants & implants
Young Adult
title General health, symptom occurrence, and self-efficacy in adult survivors after allogeneic hematopoietic stem cell transplantation: a cross-sectional comparison between hospital care and home care
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