Physical Function and Mobility in Older Adults Receiving Treatment for Acute Myeloid Leukemia: A Longitudinal Qualitative Study.

PURPOSE: To explore perspectives of older adults (aged 60 years or older) with acute myeloid leukemia (AML) on their physical function and mobility, assessed at three time points during treatment with a hypomethylating agent and venetoclax (HMA + VEN). PARTICIPANTS & SETTING: Participants were older...

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Publicado en:Oncology Nursing Forum Vol. 52; no. 5; pp. 382 - 393
Autores principales: Ahrang Jung, Crowder, Victoria, Ya-Ning Chan, Klemm, Dawn, Tan, Kelly R., Poor, Elissa Herman, Bankole, Ayomide Okanlawon, Anderson, Danielle Steele, Coppola, Susan, Pergolotti, Mackenzi, Schwartz, Todd A., Richardson, Daniel R., Bryant, Ashley Leak
Formato: research tables/charts Journal Article
Publicado: Oncology Nursing Society Sep2025
Acceso en línea:Ver este registro en EBSCOhost
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      dt: Sep2025
      vid: 52
      iid: 5
      pid: 12496
      pub: Oncology Nursing Society
      place: Pittsburgh, Pennsylvania
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        10.1188/25.ONF.382-392
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        atl: Physical Function and Mobility in Older Adults Receiving Treatment for Acute Myeloid Leukemia: A Longitudinal Qualitative Study.
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          Ahrang Jung
          Crowder, Victoria
          Ya-Ning Chan
          Klemm, Dawn
          Tan, Kelly R.
          Poor, Elissa Herman
          Bankole, Ayomide Okanlawon
          Anderson, Danielle Steele
          Coppola, Susan
          Pergolotti, Mackenzi
          Schwartz, Todd A.
          Richardson, Daniel R.
          Bryant, Ashley Leak
        affil: Research specialist at the University of North Carolina (UNC) Lineberger Comprehensive Cancer Center in Chapel Hill
      sug:
        subj:
          Physical Mobility In Old Age
          Functional Status In Old Age
          Leukemia, Myeloid, Acute Drug Therapy
          Patient Attitudes In Old Age
          Cancer Patients In Old Age
          DNA Antagonists and Inhibitors
          Antineoplastic Agents Therapeutic Use
          Gerontologic Care
          Oncology Nursing
          Human
          Funding Source
          Male
          Female
          Middle Age
          Aged
          Aged, 80 and Over
          Prospective Studies
          Qualitative Studies
          Semi-Structured Interview
          Chemotherapy, Cancer
          Thematic Analysis
          Oncology Nurses
          North Carolina
          Cancer Care Facilities
          Purposive Sample
          Descriptive Statistics
          Middle Aged: 45-64 years
          Aged: 65+ years
          Aged, 80 & over
          Male
          Female
      ab: PURPOSE: To explore perspectives of older adults (aged 60 years or older) with acute myeloid leukemia (AML) on their physical function and mobility, assessed at three time points during treatment with a hypomethylating agent and venetoclax (HMA + VEN). PARTICIPANTS & SETTING: Participants were older adults with AML (N = 17) receiving HMA + VEN at a comprehensive cancer center. Most were male and aged 64-89 years (median age = 75 years). METHODOLOGIC APPROACH: This study used a longitudinal qualitative approach with semistructured interviews at cycles 1, 2, and 7 of chemotherapy. Interviews were audio recorded, transcribed, coded, and analyzed using thematic analysis. FINDINGS: Four themes were identified: reduced mobility and limited options for physical activities (cycle 1), periodic changes in mobility and energy level (cycle 2), acceptance and adaptation to changed mobility (cycle 7), and strategies to stay active. IMPLICATIONS FOR NURSING: Substantial challenges with physical function and mobility exist for older adults undergoing treatment for AML. Oncology nurses should anticipate patient needs, provide appropriate care, and make referrals to address physical and functional needs before and during HMA + VEN treatment.
      pubtype: Academic Journal
      doctype:
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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