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Assessment of problems and symptoms in survivors of childhood acute lymphoblastic leukaemia
T Arpaci1, E Kilicarslan Toruner2
1Nursing Department, Health Sciences Faculty, Gazi University, Ankara, Turkey. tubaarpaci@gazi.edu.tr.
Insights
Childhood acute lymphoblastic leukemia (ALL) survivors frequently experience physical issues like infections and fatigue, alongside social challenges such as educational problems. These findings highlight the need for targeted nursing interventions to improve long-term health outcomes for these young patients.
Area of Science:
- Pediatric Oncology
- Hematology
- Child Health
Background:
- Cancer survivors, including those treated for childhood cancers, often face significant physical and psychosocial challenges.
- Acute lymphoblastic leukemia (ALL) is a common childhood cancer, and understanding the long-term effects on survivors is crucial.
Purpose of the Study:
- To assess the physical and psychosocial problems and symptoms experienced by survivors of childhood acute lymphoblastic leukemia (ALL).
- To identify common health issues and social difficulties in this survivor population.
Main Methods:
- A study involving 91 children diagnosed and treated for ALL and their families across three hospitals in Ankara, Turkey.
- Data collection using a researcher-developed form, with statistical analysis employing Mann-Whitney U and chi-square tests.
Main Results:
- Common physical problems included respiratory infections (40.7%), reduced bone mineral density (26.4%), exercise intolerance (45.1%), pain (41.8%), and fatigue (29.7%).
- Educational problems (19.8%) were the most frequent social issue.
- Increased therapy duration correlated with higher rates of urinary system infections, anorexia, and pain.
Conclusions:
- Childhood ALL survivors encounter numerous physical and psychological issues stemming from their disease and treatment.
- Effective nursing interventions are essential for maintaining and improving the health status of ALL survivors.
Abstract:
Significant physical and psychosocial problems and related symptoms are observed in cancer survivors after treatment as well as during the treatment period. This study was aimed to assess problems and symptoms in childhood acute lymphoblastic leukaemia (ALL) survivors. Study was applied in three hospitals in Ankara/Turkey with 91 children who were diagnosed and treated with ALL and with their family. Data were collected using the data collection form developed by the researchers. The variables were investigated using the Mann-Whitney U and chi-square test. The most common physical problems and symptoms seen in survivors are respiratory system infections (40.7%), reduction in bone mineral density (26.4%), exercise intolerance (45.1%), pain (41.8%) and fatigue (29.7%). Among the most frequent social problems experienced, educational problems (19.8%) is indicated. In children carrying increased duration of therapy, urinary system infections (p = .016), anorexia (0.020) and pain (p = .007) rates are increasing. Many problems and symptoms related to disease and treatment in survivors of ALL have been realised. Therefore, planning and implementation of nursing interventions required to sustaining and developing survivor's health status are important.
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