|
Sign In to gain access to subscriptions and/or personal tools.
|
Quality of Life among Childhood Leukemia Patients
Julie Hicks, MSN, RN, CS, FNP, CPON
Children's Mercy Hospital and Clinics, Kansas City, MO juhicks{at}cmh.edu.
Joy Bartholomew, MSN, RN, CS, FNP, CPON
Children's Mercy Hospital and Clinics, Kansas City, MO
Peggy Ward-Smith, PhD, RN
University of Missouri-Kansas City, Kansas City, MO.
CJ Hutto, BS, RN
Children's Mercy Hospital and Clinics, Kansas City, MO
The purpose of this qualitative descriptive study was to allow childhood leukemia patients to describe their quality of life (QoL) in their own words. These personal accounts provide an opportunity for health care personnel to understand the impact that leukemia has on these children. A total of 13 children in three focus group interviews participated. They ranged in age from 5 to 9 years and were either off therapy or had completed at least 6 months of treatment. Four semistructured interview questions were used to guide the interviews. Each question related to a domain identified in previous research as having an effect on QoL. Thus, the areas explored in this study were (a) physical well-being and symptoms, (b) psychological well-being, (c) social well-being, and (d) spiritual well-being. Five themes were identified: (a) fatigue, (b) the effect on activities, (c) medication and treatment effects, (d) relationship changes, and (e) hair loss.
Key Words: quality of life child leukemia
References
- Aaronson, N. (1988). Quality of life. What is it? How should it be measured? Oncology, 2, 69-76.[Medline]
[Order article via Infotrieve]
- American Cancer Society. (2002). Surveillance research. Cancer Facts and Figures, 10-11.
- Anderson, R. B., & Testa, M. A. (1994). Symptom distress checklists as a component of quality of life measurement: Comparing prompted reports by patient and physician with concurrent adverse events reports via the physician. Drug Information Journal, 28, 89-114.
- Berner, M. (1989). Measurement of health status. Medical Care, 23, 696-704.
- Bradlyn, A. S., Ritchey, A. K., Harris, C. V., Moore, I. M., & O'Brien, R. T. (1996). Quality of life research in pediatric oncology. Cancer, 78, 1333-1338.[CrossRef][Medline]
[Order article via Infotrieve]
- Cella, D., & Tulsky, D. (1990). Measuring quality of life today: Methodological aspects. Oncology, 4, 29-38.[Medline]
[Order article via Infotrieve]
- Colaizzi, P. (1978). Psychological research as the phenomenologist views it. In K. Valle & I. King (Eds.), Existential phenomenological alternatives for psychology (pp. 114-121). New York: Oxford University Press.
- Davies, B., Whitsett, S. F., Bruce, A., & McCarthy, P. (2002). A typology of fatigue in children with cancer. Journal of Pediatric Oncology Nursing, 19(1), 12-21.
- Docherty, S., & Sandelowski, M. (1999). Focus on qualitative methods: Interviewing children. Research in Nursing & Health, 22, 177-185.
- Dow, K. H., Ferrell. B. R., & Anello, C. (1997). Balancing demands of cancer surveillance among thyroid cancer survivors. Cancer Practice, 5, 289-295.[Medline]
[Order article via Infotrieve]
- Drotar, D. (Ed.). (1998). Measuring health-related quality of life in children and adolescence. London: Lawrence Erlbaum.
- Eisner, C., & Jenny, M. (1996). Choices in measuring quality of life in children with cancer: A comment. Psychooncology, 4, 121-131.
- Eisner, C., & Morse, R. (2000). A review of measures of quality of life for children with chronic illness. Archives of Diseases in Children, 84, 205-211.
- Engelking, C. (1998). Editorial: The leukemias: A spectrum of illnesses, and array of problems. Developments in Supportive Cancer Care, 2, 64-65.
- Feeney, D., Juniper, E. F., Ferrie, P. J., & Griffith, L. E. (1998). Why not just as the kids? In D. Drotar (Ed.), Measuring health-related quality of life in children and adolescents (pp. 1330-1334). London: Lawrence Erlbaum.
- Ferrell, B. R. (1996). Quality of life among long-term cancer survivors. Oncology, 11, 565-571.
- Ferrell, B. R., Dow, K. H., & Grant, M. (1995). Measurement of quality of life in cancer survivors. Quality of Life Research, 4, 523-531.
- Ferrell, B. R., Dow, K. H., Leigh, S., Ly, J., & Gulasekaram, P. (1995). Quality of life in long-term cancer survivors. Oncology Nursing Forum, 22, 915-922.[Medline]
[Order article via Infotrieve]
- Ferrell, B., Grant, M., & Padilla, G. (1991). Experience of pain and perceptions of quality of life: Validation of a conceptual model. Hospice Journal, 7, 9-24.
- Goodinson, S. M., & Singleton, J. (1989). Quality of life: A critical review of current concepts, measures and their clinical implications. International Journal of Nursing Studies, 26, 327-341.[CrossRef][Medline]
[Order article via Infotrieve]
- Haberman, M. R., & Bush, N. (1998). Quality of life: Methodological and measurement issues. In C. R. King & P. S. Hinds (Eds.), Quality of life: From nursing and patient perspectives (pp. 117-139). Sudbury, MA: Jones & Bartlett.
- Hesse-Biber, S. (1999). HyperRESEARCH: A content analysis tool for the qualitative researcher. Randolph, MA: Researchware.
- Hinds, P. S., & Gattuso, J. S. (1999). Nursing care. In C. H. Pui (Ed.), Childhood leukemias (pp. 542-552). New York: Cambridge University Press.
- Leigh, S., & Logan, C. (1991). The cancer survivorship movement. Cancer Investigation, 9, 571-579.[Medline]
[Order article via Infotrieve]
- Merkens, M. J., Perrin, E. C., & Perrin, J. M. (1989). The awareness of primary care physicians in the psychological adjustment of children with a chronic illness. Developmental Behavior of Pediatrics, 10, 1-6.
- Merleau-Ponty, M. (1965). What is phenomenology? Cross Currents, 6, 59-70.
- Munhill, P. L. (1993). Nursing research: A qualitative prespective (2nd ed.). (Publication Number 19-2535). New York: National League for Nursing Press.
- Revicki, D. A., Osoba, D., & Fairclough, D. L. (2000). Hopefullness and its characteristics in adolescents with cancer. Western Journal of Nursing Research, 21, 600-620.
- Ronen, G. M., Rosenbaum, P., Law, M., & Streiner, D. L. (1999). Health-related quality of life in childhood epilepsy: The results of children's participation in identifying the components. Developmental Medicine & Child Neurology, 41(8), 554-559.[CrossRef][Medline]
[Order article via Infotrieve]
- Smith, M. A., Ries, L. A., Gurney, J. G., & Ross, J. A. (1999). Leukemia. SEER Pediatric Monograph. Bethesda, MD: National Cancer Institute.
- Spiker, B. (1990). Introduction. In B. Spiker (Ed.), Quality of life assessments in clinical trials (pp. 3-9). New York: Raven.
Journal of Pediatric Oncology Nursing, Vol. 20, No. 4,
192-200 (2003)
DOI: 10.1177/1043454203253969

CiteULike Complore Connotea Del.icio.us Digg Reddit Technorati Twitter What's this?
This article has been cited by other articles:

|
 |

|
 |
 
J. I. Rheingans
Pediatric Oncology Nurses' Management of Patients' Symptoms
Journal of Pediatric Oncology Nursing,
November 1, 2008;
25(6):
303 - 311.
[Abstract]
[PDF]
|
 |
|

|
 |

|
 |
 
J. I. Rheingans
Relationship Between Pediatric Oncology Nurses' Management of Patients' Symptoms and Job Satisfaction
Journal of Pediatric Oncology Nursing,
November 1, 2008;
25(6):
312 - 322.
[Abstract]
[PDF]
|
 |
|

|
 |

|
 |
 
D. Fochtman
Phenomenology in Pediatric Cancer Nursing Research
Journal of Pediatric Oncology Nursing,
July 1, 2008;
25(4):
185 - 192.
[Abstract]
[PDF]
|
 |
|

|
 |

|
 |
 
S. F. Whitsett, M. Gudmundsdottir, B. Davies, P. McCarthy, and D. Friedman
Chemotherapy-Related Fatigue in Childhood Cancer: Correlates, Consequences, and Coping Strategies
Journal of Pediatric Oncology Nursing,
April 1, 2008;
25(2):
86 - 96.
[Abstract]
[PDF]
|
 |
|

|
 |

|
 |
 
V. Hendricks-Ferguson
Hope and Spiritual Well-Being in Adolescents With Cancer
West J Nurs Res,
April 1, 2008;
30(3):
385 - 401.
[Abstract]
[PDF]
|
 |
|

|
 |

|
 |
 
P. Ward-Smith, J. Hamlin, J. Bartholomew, and K. Stegenga
Quality of Life Among Adolescents With Cancer
Journal of Pediatric Oncology Nursing,
May 1, 2007;
24(3):
166 - 171.
[Abstract]
[PDF]
|
 |
|

|
 |

|
 |
 
M. Bjork, B. Nordstrom, and I. Hallstrom
Needs of Young Children With Cancer During Their Initial Hospitalization: An Observational Study
Journal of Pediatric Oncology Nursing,
July 1, 2006;
23(4):
210 - 219.
[Abstract]
[PDF]
|
 |
|
|
|