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KMID : 0806120140440010055
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대한간호학회지
2014 Volume.44 No. 1 p.55 ~ p.63
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Late Effects, Social Adjustment, and Quality of Life in Adolescent Survivors of Childhood Leukemia
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Hong Sung-Sil
Park Ho-Ran
Kim Kwang-Sung
Choi Sun-Hee
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Abstract
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Purpose: This study was conducted to examine the late effects, social adjustment, and quality of life in adolescents who had been completelytreated for childhood leukemia and their parents.
Methods: Participants consisted of 41 pairs of adolescent survivors (13-18years) and their parents. Parents checked for their child’s physical late effects. The Korean Version of Post-Traumatic Symptoms for psychologicallate effects, social functioning questionnaire for social adjustment and the PedsQL 4.0 Generic Core Scales for quality of lifewere completed by adolescents and parents. Data were analyzed using SPSS.
Results: Twenty out of 41 adolescents had one or morephysical late effects. Adolescents showed more serious psychological late effect than parents. Five children and seven parents hadabove cut-off scores and they were considered the high risk group for posttraumatic symptoms. Parent-reported scores were significantlyhigher than child-reported scores in terms of social adjustment and emotional functioning of quality of life. Low school functioningin adolescents was associated with physical late effects.
Conclusion: The results indicate that long-term and systematic managementfor childhood leukemia survivors affect positive social adjustment and can further improve quality of life.
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KEYWORD
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Leukemia, Survivors, Late effect, Social adjustment, Quality of life
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