While hematopoietic stem cell transplantation (HSCT) has led to higher survival rates, the number of patients experiencing adverse reactions is also increasing. Based on the symptom management model, we aimed to analyze the relationships between symptom experience, symptom management strategies, self-management behavior, and quality of life among patients undergoing HSCT in South Korea and to identify the factors affecting their quality of life. The data of 67 conveniently sampled patients undergoing HSCT at a university-affiliated hospital, for the period from March 23 to June 7, 2016, were collected using a self-reported structured questionnaire. Data were analyzed using Pearson’s correlations and multiple regression analysis. Quality of life showed a significant negative correlation with symptom experience and significant positive correlations with symptom management strategies. Factors influencing quality of life included symptom distress, symptom management strategies, and self-management behavior; these explained 39.4% of the variance. To improve quality of life in patients undergoing HSCT, the efficient management of multiple co-existing symptoms is important. There is a need for tailored nursing interventions based on a patient-focused and person-centered approach for patients undergoing HSCT.

Based on symptom management model, to analyze the relationships among symptom experience, symptom management strategies, self-management behavior, and quality of life among patients undergoing hematopoietic stem cell transplantation(HSCT) in Korea and to identify factors affecting quality of life. Data of adult 67 patients of undergoing HSCT by convenience sampling at the university-affiliated hospital in Korea were analyzed. Using a self-reported structured questionnaire, date on symptom experience, symptom management strategies, self-management behavior, and quality of life were analyzed using Pearson’s correlation. Factor affecting quality of life were investigated using multiple regression analysis. Quality of life showed significant negative correlation with symptom experience and significant positive correlations with symptom management strategies Factors influencing the quality of life included distress of symptom experience, symptom management strategies, and self-management behavior and explained 39.4% of all such factors. To improve quality of life in patients undergoing HSCT, important to manage symptoms well for simultaneous symptoms in HSCT. So, providing tailored nursing intervention based on a patient-focused and person-centered care approach for HSCT patients.

We aimed to investigate the inter- and intra-individual relationships between early adolescents’ achievement goals, metacognitive monitoring, and academic outcomes. Korean sixth graders responded to achievement goal questionnaires, solved four quizzes, monitored their own confidence in these four quizzes, and took a final exam. Given the nested data structure, we conducted multi-level path modeling, which can distinguish between inter- and intra-individual effects in a single model. We found significant between-person indirect effects of mastery goals on the final exam score via individual’s average scores for the four calibrations and for the four quizzes. We also found a positive within-person relationship between the calibration and quiz scores. The students’ pursuit of personal mastery goals positively moderated this within-person relationship. These findings indicate that pursuing mastery goals can be more effective for metacognitive monitoring and knowledge acquisition, particularly for early adolescents.

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