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Self-Reported Symptoms and Concerns in Long-Term Survivors Attending Follow-Up Visits after Hematopoietic Stem Cell Transplantation: A Cross-Sectional Single Center Evaluation in Switzerland | Abstract
ISSN: 2167-1168

Journal of Nursing & Care
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Review Article

Self-Reported Symptoms and Concerns in Long-Term Survivors Attending Follow-Up Visits after Hematopoietic Stem Cell Transplantation: A Cross-Sectional Single Center Evaluation in Switzerland

Monika Kirsch1,3, Jörg Halter1 and Sabina De Geest2,3*
1Department of Hematology, University Hospital Basel, Petersgraben 4, 4031 Basel, Switzerland
2Center for Health Services and Nursing Research, Katholieke Universiteit Leuven, Kapucijnenvoer 35, 3000 Leuven, Belgium
3Institute of Nursing Science, University of Basel, Bernoullistrasse 28, 4056 Basel, Switzerland
Corresponding Author : Sabina De Geest
Institute of Nursing Science, University of Basel
Bernoullistrasse 28, CH-4056 Basel
Tel: +41(0)61 267 30 40
Fax : +41(0)61 267 09 55
E-mail: [email protected]
Received May 10, 2012; Accepted June 25, 2012; Published June 27, 2012
Citation: Kirsch M, Halter J, De Geest S (2012) Self-Reported Symptoms and Concerns in Long-Term Survivors Attending Follow-Up Visits after Hematopoietic Stem Cell Transplantation: A Cross-Sectional Single Center Evaluation in Switzerland. J Nurs Care 1:116. doi:10.4172/2167-1168.1000116
Copyright: © 2012 Kirsch M, et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.

Abstract

Background: Health status self-reports are increasingly recognized as an important source of key follow-up data after hematopoietic stem cell transplantation (HSCT).
Purpose: The purpose of this study was to evaluate the occurrence of self-reported symptoms and concerns in longterm survivors and compare their prevalence’s between allogeneic and autologous transplant recipients with various post-HSCT follow-up lengths.
Interventions/Methods: This cross-sectional survey included a convenience sample of 226 autologous and allogeneic HSCT recipients (54% male; 1 to 26 (median 6) years post-transplant) treated as outpatients by the multidisciplinary team of a Swiss stem cell transplant ambulatory. Symptoms and concerns were measured by a self developed self-report questionnaire.
Results: The median number of self-reported physical symptoms per patient was 5 (IQR 4-10), the most frequent being dry skin (47.8%), tiredness (42%), and dry eyes (42%). The most commonly cited concerns were difficulties managing stressful emotional situations (23.9%), anxiety regarding relapse (22.1%) and memory disturbance (21.2%). There were no notable differences in appraisal of performance and number of symptoms between different time groups.
Conclusion: The high frequency of self-reported symptoms and concerns in long-term survivors indicates a need for continuous monitoring by stem cell transplant follow up clinics, which would allow timely and effective interventions to prevent or alleviate late effects.
Implications for Practice: There seems to be good opportunity for health professionals to support long-term survivors by using self-report as clinical tool in follow-up care. Sharing information about problems and symptoms patients face post-treatment will benefit both professionals and patients.

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