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Hong, Park, Kim, and Choi: Late Effects, Social Adjustment, and Quality of Life in Adolescent Survivors of Childhood Leukemia
Original Article

Journal of Korean Academy of Nursing 2014; 44(1): 55-63.

Published online: 28 February 2014

DOI: https://doi.org/10.4040/jkan.2014.44.1.55

Late Effects, Social Adjustment, and Quality of Life in Adolescent Survivors of Childhood Leukemia

Sung Sil Hong1, Ho Ran Park2, Kwang Sung Kim3, Sun Hee Choi3

1Graduate School, The Catholic University of Korea, Seoul, Korea.

2College of Nursing, The Catholic University of Korea, Seoul, Korea.

3BMT Center, Seoul St. Mary's Hospital, The Catholic University of Korea, Seoul, Korea.

Address reprint requests to: Park, Ho Ran. College of Nursing, The Catholic University of Korea, 222 Banpo-daero, Seocho-gu, Seoul 137-701, Korea. Tel: +82-2-2258-7406, Fax: +82-2-2258-7772, hrpark@catholic.ac.kr

Received 15 October 2013       Revised 5 November 2013       Accepted 2 January 2014

© 2014 Korean Society of Nursing Science

(open-access):

This is an Open Access article distributed under the terms of the Creative Commons Attribution NoDerivs License. (http://creativecommons.org/licenses/by-nd/4.0/) If the original work is properly cited and retained without any modification or reproduction, it can be used and re-distributed in any format and medium.

Abstract

Purpose

This study was conducted to examine the late effects, social adjustment, and quality of life in adolescents who had been completely treated for childhood leukemia and their parents.

Methods

Participants consisted of 41 pairs of adolescent survivors (13-18 years) and their parents. Parents checked for their child's physical late effects. The Korean Version of Post-Traumatic Symptoms for psychological late effects, social functioning questionnaire for social adjustment and the PedsQL 4.0 Generic Core Scales for quality of life were completed by adolescents and parents. Data were analyzed using SPSS.

Results

Twenty out of 41 adolescents had one or more physical late effects. Adolescents showed more serious psychological late effect than parents. Five children and seven parents had above cut-off scores and they were considered the high risk group for posttraumatic symptoms. Parent-reported scores were significantly higher than child-reported scores in terms of social adjustment and emotional functioning of quality of life. Low school functioning in adolescents was associated with physical late effects.

Conclusion

The results indicate that long-term and systematic management for childhood leukemia survivors affect positive social adjustment and can further improve quality of life.

Keywords: Leukemia, Survivors, Late effect, Social adjustment, Quality of life

Figures and Tables

Figure 1
BMI at study according to transplantation.
jkan-44-55-g001
Table 1
Socio-demographic and Disease-specific Characteristics
jkan-44-55-i001

BMI=Body Mass Index.

Table 2
Physical Late Effects (N=41)
jkan-44-55-i002

*Multiple response questions; †Hyperlipidemia, precocious puberty, etc.; ‡Hallux valgus, anemia, depression, ovarian cyst (s), febrile seizure, etc.

Table 3
Comparison of Psychological Late Effects, Social Adjustment and Quality of Life between Adolescents and Patents (N=41)
jkan-44-55-i003

*Number of above cut-off scores in adolescents and parents.

Table 4
Intercorrelation Coefficients among Psychological Late Effect, Social Adjustment and Quality of Life in Adolescents (N=41)
jkan-44-55-i004

Notes

This study was supported by a part of research fund from College of Nursing, The Catholic University of Korea in 2013.

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