Quality of life, quality of care, and patient satisfaction: Perceptions of patients undergoing outpatient autologous stem cell transplantation

摘要: Purpose/objectives To further expand the limited body of knowledge perceptions quality life (QOL), care, and patient satisfaction among patients who receive high-dose chemotherapy with an autologous stem cell transplant (ASCT) on outpatient basis. Design Descriptive longitudinal. Setting Nine clinical sites associated a national oncology practice management network in locations across United States. Sample 36 scheduled to ASCT selected by nonprobability consecutive sampling. Methods Subjects completed Functional Assessment Cancer Therapy Bone Marrow Transplant (FACT-BMT) before chemotherapy, four six weeks postchemotherapy, months postchemotherapy. An independent nurse researcher conducted telephone interviews about treatment experience, care. FACT-BMT data were analyzed using descriptive statistics multivariate analysis variance, qualitative care Giorgis methodologic reduction. Bivariate associations made between overall degree QOL as measured FACT-BMT. Main research variables Clinical outcome, QOL, satisfaction, quality. Findings Mean scores lower one month post-treatment than at baseline highest post-treatment. progressive disease reported post-treatment, noted more complaints, ranked their subjects no evidence disease. offered program improvement recommendations areas communication, information, nursing ancillary needs assistance, agencies, survivor support. Conclusions In this study, undergoing decreased but increased levels higher those found pretreatment months. A good outcome following was greater Implications for Knowledge experience its effect can be used refine content timing educational supportive interventions ASCT. Information provides insight expectations perceived redesign programs.