Navigating Survival: Quality of Life Following Bone Marrow Transplantation.
AIR FORCE INST OF TECH WRIGHT-PATTERSON AFB OH
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This study explored the quality of life of adult Bone Marrow Transplantation BMT survivors and processes involved in maintaining or enhancing life quality were identified. Ground theory methodology was used to explore quality of life from the survivors perspective. Five adults, 87 to 578 days post BMT, were selected using theoretical sampling and interviewed. A theory of Navigating Survival emerged from data analysis as a series of coping processes employed by BMT survivors to manage quality of life disruptions. BMT survivors identified disruptions in quality of life during the rapid decision- making period after discharge when limitations on physical activity must be managed and as activities resume but fears of recurrence became stronger. Coping mechanisms used varied but were directed toward three areas adapting to transplant, searching for meaning, and discovering a difference. Identifying unique quality of life aspects will enable oncology nurses to design interventions to enhance life quality of BMT survivors.
- Medicine and Medical Research