‘Trying to catch up with life’: The expectations and views of adolescent survivors of childhood acute lymphoblastic leukaemia about long-term follow-up care: A qualitative research


Arpaci T., ALTAY N., KOCA YOZGAT A., Yaralı H. N., ÖZBEK N. Y.

European Journal of Cancer Care, cilt.31, sa.6, 2022 (SCI-Expanded, SSCI, Scopus)

  • Yayın Türü: Makale / Tam Makale
  • Cilt numarası: 31 Sayı: 6
  • Basım Tarihi: 2022
  • Doi Numarası: 10.1111/ecc.13667
  • Dergi Adı: European Journal of Cancer Care
  • Derginin Tarandığı İndeksler: Science Citation Index Expanded (SCI-EXPANDED), Social Sciences Citation Index (SSCI), Scopus, Academic Search Premier, Biotechnology Research Abstracts, CINAHL, EMBASE, MEDLINE, Psycinfo
  • Anahtar Kelimeler: acute lymphoblastic leukaemia, adolescent, long-term follow-up care, psychosocial supports, qualitative research, survivors
  • Sağlık Bilimleri Üniversitesi Adresli: Evet

Özet

Objective: The aim of this study was to explore adolescent survivors' views and expectations about long-term follow-up care. Methods: Semi-structured, in-depth interviews were conducted with 16 adolescent survivors of childhood acute lymphoblastic leukaemia. Survivors who had completed treatment at least 2 years ago were involved in the study. Interviews were audio-recorded and transcribed verbatim. An inductive thematic approach was used to analyse the data. Results: Four main themes and sub-themes were identified from the analysis as follows: information needs with three sub-themes ‘long-term follow-up, healthy life and social life’, support needs with three sub-themes ‘psychosocial (peer relations etc.), school related and social–emotional (fear of relapse, body image, self-esteem, etc.)’, perceived benefits with two sub-themes ‘social–emotional and related to long-term follow-up’ and perceived barriers ‘medical-hospital related and social life’. Conclusions: Adolescent survivors mainly need support in terms of psychosocial aspects: self-esteem–body image, school, peer relations and social activities during follow-up. Identified barriers related to follow-up were school absence and not able to participate social activities. Adolescents specify health promotion approaches as benefits aspects of follow-up. The findings of this study will guide nurses in the long-term follow-up care of adolescent survivors of acute lymphoblastic leukaemia and provide an opportunity to plan individualised follow-up care.