Correlates of quality of life in South Korean patients undergoing hematopoietic stem cell transplantation based on the symptom management model

Abstract

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.

Psychological empowerment and quality of life in haematopoietic stem cell transplantation patients: A quantitative study

“…The literature on HSCT contains studies that describe a positive association between empowerment intrapersonal components, such as self‐efficacy (O'Sullivan et al, 2018 ) and resilience (Campo et al, 2017 ) and patients’ QoL, and behavioural components, such as active involving in symptoms management and better QoL (Jo et al, 2022 ). As self‐efficacy and QoL have been shown to be positively associated, it is possible that psychological empowerment could also be related to QoL.…”