Purpose/objectives: To examine a comprehensive view of quality of life (QOL) post-bone marrow transplant (post-BMT) and to evaluate the psychometric properties of an instrument designed to measure QOL in this population.
Design: Cross-sectional, descriptive, mailed survey.
Setting: A large, major BMT referral center for central, eastern, and southern Kentucky.
Sample: 41 BMT survivors with an age range of 18-71 years who were an average of 30 months post-BMT.
Methods: Seven mailed questionnaires, including an investigator-developed demographic questionnaire and the Quality of Life in Bone Marrow Transplant Survivors Tool (QOL-BMT-ST).
Main research variables: QOL, BMT treatment, sexual activities, employment, and uncertainty.
Findings: Global QOL was good (x = 6.4 on a 0-10 scale). Subjects experienced several long-term areas of concern: physical strength, sexual activities, fear of cancer recurrence, fear of developing a secondary cancer, unemployment, family distress, and uncertainty toward the future. Psychometric testing of the QOL-BMT-ST revealed adequate to excellent reliability and validity.
Conclusions: Most BMT survivors reported few long-term disruptions and above average QOL. The QOL-BMT-ST has a promising utility in clinical trials.
Implications for nursing practice: Individually structured pre- and post-BMT assessment of physical, psychosocial, and spiritual functioning is significant in identifying vulnerable patients and treating them accordingly.