4.2 Article

A Qualitative Study of the Experiences of Living With Multiple Myeloma

Journal

ONCOLOGY NURSING FORUM
Volume 48, Issue 2, Pages 151-160

Publisher

ONCOLOGY NURSING SOC
DOI: 10.1188/21.ONF.151-160

Keywords

multiple myeloma; treatment; survival; symptom burden; quality of life

Funding

  1. American Cancer Society [DSCN-19-045-01]
  2. National Institute of Nursing Research National Research Service Award [F31NR018576]
  3. Duke University School of Nursing Student Pilot Fund
  4. Duke Palliative Care: Pilot Awards to Integrate Palliative Care into Duke Health
  5. National Institute of Nursing Research of the National Institutes of Health [F31NR018576]

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This study aimed to explore the impact of multiple myeloma on individuals' lives in terms of treatment, including social, financial, and relationship issues. The findings suggest that the treatment journey for those with multiple myeloma can be lifelong, with far-reaching and long-term effects. Nurses play a key role in mitigating the negative effects of multiple myeloma and its treatment by providing thorough assessment, care planning, and education.
PURPOSE: To explore the ways in which multiple myeloma affects an individual's life in the modern treatment era. PARTICIPANTS & SETTING: 15 individuals with multiple myeloma and 10 clinicians were recruited from two academic medical centers in the southeastern United States. METHODOLOGIC APPROACH: Semistructured interviews were conducted with individuals with multiple myeloma and clinicians to explore the effect of a multiple myeloma diagnosis and treatment on individuals' lives. Transcribed interviews were analyzed using conventional content analysis. FINDINGS: The following four themes emerged from the analysis: treatment without end, social impacts and isolation, ongoing financial pressure, and relationship impacts. IMPLICATIONS FOR NURSING: The treatment journey for those with multiple myeloma can be lifelong and may require frequent visits to an oncologist and, potentially, many successive lines of therapy. Life effects are far-reaching and long-term. Nurses should be aware of the interprofessional resources to help meet these individuals' needs. With thorough assessment, care planning, and education, nurses can play a key role in mitigating the negative effects of multiple myeloma and its treatment.

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