Factors Related to Health Promoting Behaviors in Persons with Hematologic Malignancies after Stem Cell Transplantation

Main Article Content

Yossawadee Yindee
Pinhatai Supametaporn

Abstract

This study aimed to examine the relationship between gender, age, education level,depression, perceived benefits of action, perceived self-efficacy, social support, and health-promoting behaviors in persons with hematologic malignancies after stem cell transplantation. Pender’s Health Promotion Model was used as a conceptual framework. The sample consisted of 105 individuals who had undergone hematopoietic stem cell transplantation within the past year. These individuals received follow-up treatment at the outpatient departments of state-affiliated hospitals with blood stem cell transplantation centers located in the Bangkok metropolitan area. Data were collected between September 2023 and November 2023 using six sets of questionnaires. The questionnaires elicited personal information, depression, perceived benefits, perceived self-efficacy, social support, and health-promoting behaviors. Data analysis was conducted using descriptive statistics, including percentages, means, standard deviations, Eta correlation, Spearman rank correlation, and Pearson’s product-moment correlation coefficient. The results indicated that the overall health-promoting behaviors in persons with hematologic malignancies after stem cell transplantation were at a high level. Perceived self-efficacy, perceived benefits of action, social support, and female gender were positively associated with health-promoting behaviors at a significant level. Depression had a statistically significant negative correlation with health-promoting behaviors. Age and education level were not significantly associated with health-promoting behaviors. The results highlight the importance of health-promoting behaviors in persons with hematologic malignancies after stem cell transplantation and the factors that support or hinder these behaviors. Therefore, nurses should provide healthpromoting activities that align with the related factors and health-promoting experiences of individuals with hematologic malignancies after stem cell transplantation to maintain continuous health-promoting behaviors and well-being.
Keywords: Health-promoting behaviors, Hematologic malignancies, Stem cell transplantation

Article Details

How to Cite
1.
Yindee Y, Supametaporn P. Factors Related to Health Promoting Behaviors in Persons with Hematologic Malignancies after Stem Cell Transplantation. Nurs Res Inno J [Internet]. 2024 Dec. 20 [cited 2024 Dec. 21];30(3). Available from: https://he02.tci-thaijo.org/index.php/RNJ/article/view/267765
Section
Research Articles

References

Batista JL, Birmann BM, Epstein MM. Epidemiology of hematologic malignancies. In Loda M, Mucci LA,Mittelstadt ML, Hemelrijck MV, Cotter MB, editors.Pathology and epidemiology of cancer. Switzerland:Springer International Publishing; 2017. p.542-69.

World Health Organization. Global health estimates 2020:deaths by cause, age, sex, by country and by region;2000-2019 [cited 2024 March 14]. Available from Web site: https://www.who.int/data/gho/data/themes/mortality-and-global-health-estimates/ghe-leading-causes-of-death

National Cancer Institute. Cancer statistics; 2019 November [cited 2019 November 1]. Available from cancer statistics 2019 Web site: https://www.nci.go.th/th/New_web/index.html

Office of Policy and Strategy Office of the Permanent Secretary, Ministry of Public Health. Public health statistics; 2022 [cited 2024 March 14]. Available from the strategy and planning division of the office of the permanent secretary ministry of public health Web site:

https://spd.moph.go.th/public-health-statistics/

Jirasiri N, Panarong K, Euaprasert N. Handbook of hematology. 4th ed. Bangkok: Chulalongkorn University Publishing House; 2024. (in Thai)

Brown M, Cutler T. Haematology nursing. John Wiley &Sons; 2012.

Bevans M, El-Jawahri A, Tierney DK, Wiener L, Wood WA, Hoodin F, et al. National institutes of health hematopoietic cell transplantation late effects initiative:the patient-centered outcomes working group report. Biol Blood Marrow Transplant. 2017;23 (4): 538-51.

Enric C, Carlo D, Mohamad M, Nicolaus K. The EBMT handbook hematopoietic stem cell transplantation and cellular therapies. Springer; 2019.

Pender NJ, Murdaugh CL, Parsons MA. Health promotion in nursing practice. 6th ed. Pearson Education; 2011.

Bersvendsen HS, Haugnes HS, Fagerli UM, Fluge Ø, Holte H, Smeland KB, et al. Lifestyle behavior among lymphoma survivors after high-dose therapy with autologous hematopoietic stem cell transplantation:assessed by patient-reported outcomes. Acta Oncol.

;58(5):690-9.

Ferreira ÉE, Guerra DC, Baluz K, Furtado WDR, Bouzas LFDS. Nutritional status of patients submitted to transplantation of allogeneic hematopoietic stem cells: a retrospective study. Revista Brasileira de Hematologia e Hemoterapia. 2014;36:414-9.

Farhadfar N, Kelly DL, Mead L, Nair S, Colee J, Gatell VI, et al. Dietary intake and diet quality of hematopoietic stem cell transplantation survivors. Biol Blood Marrow Transplant. 2021;26(6):1154-9.

Utta P, Thongkrajai U. Endurance, and pain in patients with bone cancer. Journal of Nursing and Health.2016;39(3):137-46. (in Thai)

Yodmongkol, P. Palliative care for terminally ill patients.Pimdee Company Limited; 2013. (in Thai)

Pereira DB, Christian LM, Patidar S, Bishop MM, Dodd SM, Athanason R, et al. Spiritual absence and 1-year mortality after hematopoietic stem cell transplant. Biol Blood Marrow Transplant. 2010;16(8):1171-9.

Margolis M, Austin J, Wu L, Valdimarsdottir H, Stanton AL, Rowley SD, et al. Effects of social support source and effectiveness on stress buffering after stem cell transplant.Int J Behav Med. 2019;26:391-400.

Amonoo HL, Massey CN, Freedman ME, El-Jawahri A,Vitagliano HL, Pirl WF, et al. Psychological considerations in hematopoietic stem cell transplantation. Psychosomatics.2019;60(4):331-42.

Bishop MM, Lee SJ, Beaumont JL, Andrykowski MA,Rizzo JD, Sobocinski KA, et al. The preventive health behaviors of long-term survivors of cancer and hematopoietic stem cell transplantation: compared with matched controls. Biol Blood Marrow Transplant.

;16(2):207-14.

Khera N, Chow EJ, Leisenring WM, Syrjala KL, Baker KS, Flowers ME, et al. Factors associated with adherence to preventive care practices among hematopoietic cell transplantation survivors. Biol Blood Marrow Transplant.2011;17(7):995-1003.

Ice LL, Bartoo GT, McCullough KB, Wolf RC,Dierkhising RA, Mara KC, et al. A prospective survey of outpatient medication adherence in adult allogeneic hematopoietic stem cell transplantation patients. Biol Blood Marrow Transplant. 2020;26(9):1627-34.

Sukrapat W, Taksin P, Chaismithkul R. The relationship between sense of coherence and health promoting behaviors among patients with ovarian cancer receiving chemotherapy.Nursing Journal of The Ministry of Public Health.2021;31(1):189-98. (in Thai)

Tesamut L, Vannarit T, Tantiworawit A. Factors predicting health behaviors among persons with acute myeloblastic leukemia receiving chemotherapy. Journal of Nursing Science. 2017;44(1):45-56. (in Thai)

Phongpradit P, Apananthikul M, Sirapo-ngam Y. Selected factors that related to health promotion behaviors of women

with breast cancer who receive chemotherapy complementary therapy. Ramathibodi Nursing Journal.2012;18(1):70-83. (in Thai)

Pomklang J, Tato R. Factors predicting health-promoting behaviors of breast cancer survivors after complete treatment. Kuakarun Journal of Nursing. 2014;21(2):155-67. (in Thai)

Jinakab J, Ketpichayawattana J, Phatthong N. Lived experiences of patients receiving allogeneic stem cell transplantation. Journal of Thailand Nursing and Midwifery Council. 2021;36(04):60-79. (in Thai)

Wiratchai N. Accurate and modern methods for determining sample size. Bangkok: National Research Council of Thailand; 2012. (in Thai)

Zigmond AS, Snaith RP. The hospital anxiety and depression scale. Acta Psychiatr Scand. 1983;67:361-70.

Nilchaikowit T, Sukying J, Silapakij C. Reliability, and accuracy direct from the Thai version of the general health questionnaire. Journal of the Psychiatric Association of Thailand. 1996;41(1):2-17. (in Thai)

Pender NJ, Murdaugh CL, Parsons MA. Health promotion in nursing practice. Pearson Education; 2006.

House JS. Work stress and social support. New Jersey:Prentice Hall; 1981.

Craike MJ, Hose K, Courneya KS, Harrison SJ, Livingston PM. Perceived benefits and barriers to exercise for recently treated patients with multiple myeloma: a qualitative study.BMC Cancer. 2013;13(1):1-10.

Yi M, Kim J. Factors influencing health-promoting behaviors in Korean breast cancer survivors. Eur J Oncol Nurs. 2013;17(2):138-45.

Bandura A. Self-efficacy: Toward a unifying theory of behavioral change. Psychological Review. 1997;84(2):191-215. doi:10.1037/ 0033-295X.84.2.191.