Quality of life one year following bone marrow transplantation: psychometric evaluation of the quality of life in bone marrow transplant survivors tool

Oncol Nurs Forum. 2001 Oct;28(9):1457-64.

Abstract

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.

Publication types

  • Evaluation Study
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adaptation, Psychological*
  • Adolescent
  • Adult
  • Aged
  • Bone Marrow Transplantation / nursing*
  • Bone Marrow Transplantation / psychology*
  • Female
  • Humans
  • Male
  • Middle Aged
  • Neoplasms / nursing
  • Neoplasms / therapy
  • Oncology Nursing
  • Psychometrics
  • Quality of Life*
  • Reproducibility of Results
  • Surveys and Questionnaires / standards*
  • Survivors / psychology*