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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 |
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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 |
format | article |
fullrecord | <record><control><sourceid>gale_swepu</sourceid><recordid>TN_cdi_swepub_primary_oai_swepub_ki_se_518219</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><galeid>A423835980</galeid><sourcerecordid>A423835980</sourcerecordid><originalsourceid>FETCH-LOGICAL-c549t-5cf05564be6d48e853894459c83f2867e8d43373b81abe922fbcf55da0cc75d73</originalsourceid><addsrcrecordid>eNqNks1u1DAUhSMEoqXwAGyQJTZINMU_cZywGxUoSJXYAFvLca5nXBI72E6reT5eDGdmqAqiEsrC8fV3j66PT1E8J_iMYCzeRIw5xSUmVUkrUZftg-KYVIyVgrH2YXGM24qUFeP8qHgS4xXGRAhOHxdHlDNKW4GPi58X4CCoAW1ADWlziuJ2nJIfkdd6DgGchlOkXI8iDKYEY6xWeousQ6qfh4TiHK7ttQ8RKZMgIDUMfp0lrc6Ko0p-8hZS3sUEI9IwDCgF5eI0KJdUst69RQrp4GMsI-ilkIfRfpxUsNE71EG6AXBo4-Nk03KmAuwm2vgRdrunxSOjhgjPDutJ8fXD-y_nH8vLzxefzleXpeZVm0quDea8rjqo-6qBhrOmrSre6oYZ2tQCmj57J1jXENVBS6nptOG8V1hrwXvBTopyrxtvYJo7OQU7qrCVXll5KH3PfyA5aShpM__6Xv6d_baSPqxl3GwkEZT8H93PsuJC1Jl-taen4H_MEJMcbVzsVQ78HCWpa9HypsY4oy__Qq_8HLLNO6ohLRXsDrVWA0jrjM_vpBdRuaooaxhvm4U6-weVvx5Gq70DY3P9jwayb9g9cQBzey-C5RJiuQ-xzCGWS4jl4tuLw8BzN0J_2_E7tRmgB6vykVtDuHOje1V_AS8EAHw</addsrcrecordid><sourcetype>Open Access Repository</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>1668192730</pqid></control><display><type>article</type><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><source>Social Science Premium Collection</source><source>Springer Nature</source><source>Sociology Collection</source><creator>Bergkvist, Karin ; Winterling, Jeanette ; Johansson, Eva ; Johansson, Unn-Britt ; Svahn, Britt-Marie ; Remberger, Mats ; Mattsson, Jonas ; Larsen, Joacim</creator><creatorcontrib>Bergkvist, Karin ; Winterling, Jeanette ; Johansson, Eva ; Johansson, Unn-Britt ; Svahn, Britt-Marie ; Remberger, Mats ; Mattsson, Jonas ; Larsen, Joacim</creatorcontrib><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.</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 & 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</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. We therefore encourage other centers to offer home care to patients.</description><subject>Adult</subject><subject>Aged</subject><subject>Allogeneic hematopoietic stem cell transplantation</subject><subject>Analysis</subject><subject>Cross-Sectional Studies</subject><subject>Female</subject><subject>General health</subject><subject>Graft vs Host Disease - epidemiology</subject><subject>Health - statistics & numerical data</subject><subject>Hematopoietic stem cell transplantation</subject><subject>Hematopoietic Stem Cell Transplantation - adverse effects</subject><subject>Home care</subject><subject>Home Care Services</subject><subject>Home health care</subject><subject>Hospital care</subject><subject>Hospitalization</subject><subject>Humans</subject><subject>Leukemia - therapy</subject><subject>Male</subject><subject>Medicine</subject><subject>Medicine & Public Health</subject><subject>Middle Aged</subject><subject>Nursing</subject><subject>Nursing Research</subject><subject>Oncology</subject><subject>Original Article</subject><subject>Pain Medicine</subject><subject>Rehabilitation Medicine</subject><subject>Self Care</subject><subject>Self Efficacy</subject><subject>Stem cells</subject><subject>Surveys</subject><subject>Surveys and Questionnaires</subject><subject>Survivors - psychology</subject><subject>Symptom occurrence</subject><subject>Transplants & implants</subject><subject>Young Adult</subject><issn>0941-4355</issn><issn>1433-7339</issn><issn>1433-7339</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2015</creationdate><recordtype>article</recordtype><sourceid>ALSLI</sourceid><sourceid>HEHIP</sourceid><sourceid>M2R</sourceid><sourceid>M2S</sourceid><recordid>eNqNks1u1DAUhSMEoqXwAGyQJTZINMU_cZywGxUoSJXYAFvLca5nXBI72E6reT5eDGdmqAqiEsrC8fV3j66PT1E8J_iMYCzeRIw5xSUmVUkrUZftg-KYVIyVgrH2YXGM24qUFeP8qHgS4xXGRAhOHxdHlDNKW4GPi58X4CCoAW1ADWlziuJ2nJIfkdd6DgGchlOkXI8iDKYEY6xWeousQ6qfh4TiHK7ttQ8RKZMgIDUMfp0lrc6Ko0p-8hZS3sUEI9IwDCgF5eI0KJdUst69RQrp4GMsI-ilkIfRfpxUsNE71EG6AXBo4-Nk03KmAuwm2vgRdrunxSOjhgjPDutJ8fXD-y_nH8vLzxefzleXpeZVm0quDea8rjqo-6qBhrOmrSre6oYZ2tQCmj57J1jXENVBS6nptOG8V1hrwXvBTopyrxtvYJo7OQU7qrCVXll5KH3PfyA5aShpM__6Xv6d_baSPqxl3GwkEZT8H93PsuJC1Jl-taen4H_MEJMcbVzsVQ78HCWpa9HypsY4oy__Qq_8HLLNO6ohLRXsDrVWA0jrjM_vpBdRuaooaxhvm4U6-weVvx5Gq70DY3P9jwayb9g9cQBzey-C5RJiuQ-xzCGWS4jl4tuLw8BzN0J_2_E7tRmgB6vykVtDuHOje1V_AS8EAHw</recordid><startdate>20150501</startdate><enddate>20150501</enddate><creator>Bergkvist, Karin</creator><creator>Winterling, Jeanette</creator><creator>Johansson, Eva</creator><creator>Johansson, Unn-Britt</creator><creator>Svahn, Britt-Marie</creator><creator>Remberger, Mats</creator><creator>Mattsson, Jonas</creator><creator>Larsen, Joacim</creator><general>Springer Berlin Heidelberg</general><general>Springer</general><general>Springer Nature B.V</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>0-V</scope><scope>3V.</scope><scope>7RV</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>88J</scope><scope>8AO</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>ALSLI</scope><scope>AZQEC</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>GNUQQ</scope><scope>HEHIP</scope><scope>K9.</scope><scope>KB0</scope><scope>M0S</scope><scope>M1P</scope><scope>M2R</scope><scope>M2S</scope><scope>NAPCQ</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>Q9U</scope><scope>7X8</scope><scope>ADTPV</scope><scope>AOWAS</scope><scope>DF4</scope></search><sort><creationdate>20150501</creationdate><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><author>Bergkvist, Karin ; Winterling, Jeanette ; Johansson, Eva ; Johansson, Unn-Britt ; Svahn, Britt-Marie ; Remberger, Mats ; Mattsson, Jonas ; Larsen, Joacim</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c549t-5cf05564be6d48e853894459c83f2867e8d43373b81abe922fbcf55da0cc75d73</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2015</creationdate><topic>Adult</topic><topic>Aged</topic><topic>Allogeneic hematopoietic stem cell transplantation</topic><topic>Analysis</topic><topic>Cross-Sectional Studies</topic><topic>Female</topic><topic>General health</topic><topic>Graft vs Host Disease - epidemiology</topic><topic>Health - statistics & numerical data</topic><topic>Hematopoietic stem cell transplantation</topic><topic>Hematopoietic Stem Cell Transplantation - adverse effects</topic><topic>Home care</topic><topic>Home Care Services</topic><topic>Home health care</topic><topic>Hospital care</topic><topic>Hospitalization</topic><topic>Humans</topic><topic>Leukemia - therapy</topic><topic>Male</topic><topic>Medicine</topic><topic>Medicine & Public Health</topic><topic>Middle Aged</topic><topic>Nursing</topic><topic>Nursing Research</topic><topic>Oncology</topic><topic>Original Article</topic><topic>Pain Medicine</topic><topic>Rehabilitation Medicine</topic><topic>Self Care</topic><topic>Self Efficacy</topic><topic>Stem cells</topic><topic>Surveys</topic><topic>Surveys and Questionnaires</topic><topic>Survivors - psychology</topic><topic>Symptom occurrence</topic><topic>Transplants & implants</topic><topic>Young Adult</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><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><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Social Sciences Premium Collection</collection><collection>ProQuest Central (Corporate)</collection><collection>ProQuest Nursing and Allied Health Journals</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>Social Science Database (Alumni Edition)</collection><collection>ProQuest Pharma Collection</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni)</collection><collection>ProQuest Central</collection><collection>Social Science Premium Collection</collection><collection>ProQuest Central Essentials</collection><collection>ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>ProQuest Central</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Central Student</collection><collection>Sociology Collection</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Database (Alumni Edition)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>Social Science Database</collection><collection>Sociology Database</collection><collection>Nursing & Allied Health Premium</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>ProQuest Central Basic</collection><collection>MEDLINE - Academic</collection><collection>SwePub</collection><collection>SwePub Articles</collection><collection>SWEPUB Sophiahemmet Högskola</collection><jtitle>Supportive care in cancer</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Bergkvist, Karin</au><au>Winterling, Jeanette</au><au>Johansson, Eva</au><au>Johansson, Unn-Britt</au><au>Svahn, Britt-Marie</au><au>Remberger, Mats</au><au>Mattsson, Jonas</au><au>Larsen, Joacim</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>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</atitle><jtitle>Supportive care in cancer</jtitle><stitle>Support Care Cancer</stitle><addtitle>Support Care Cancer</addtitle><date>2015-05-01</date><risdate>2015</risdate><volume>23</volume><issue>5</issue><spage>1273</spage><epage>1283</epage><pages>1273-1283</pages><issn>0941-4355</issn><issn>1433-7339</issn><eissn>1433-7339</eissn><abstract>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.</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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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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