{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,1]],"date-time":"2026-07-01T14:57:40Z","timestamp":1782917860019,"version":"3.54.5"},"reference-count":68,"publisher":"Akademiai Kiado Zrt.","issue":"2","content-domain":{"domain":["www.akjournals.com"],"crossmark-restriction":true},"short-container-title":["PHYSINT"],"published-print":{"date-parts":[[2026,7,1]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>We explored the effects of continuation care based on trans-theoretical model (TTM) in adult patients with acute leukemia (AL).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>\n                      Patients with AL who had been discharged from our hospital were randomly assigned to the control group (\n                      <jats:italic>n<\/jats:italic>\n                      = 68) and intervention group (\n                      <jats:italic>n<\/jats:italic>\n                      = 74). The control group received routine nursing, while the intervention group received a structured psychoeducational follow-up program based on the Transtheoretical Model (TTM). 2 months after intervention, the quality of life (QoL), mood, self-care ability, and incidence of complications were assessed and compared. The patients were then followed up for 18 months to observe their long-term survival.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      The incidence of complications was significantly lower in the intervention group than in the control group, whereas the QoL scores, positive mood scores, and self-nursing ability scores were higher (\n                      <jats:italic>P<\/jats:italic>\n                      \u00a0&lt;\u00a00.05). At a median follow-up of 18 months, the overall survival was significantly better in the intervention group than in the control group (\n                      <jats:italic>P<\/jats:italic>\n                      = 0.013).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>The Program effectively reduced the incidence of complications and improved the QoL, emotional well-being, and self-nursing ability, thereby offering certain advantages in enhancing the AL patients' survival rates.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Implications for Practice<\/jats:title>\n                    <jats:p>The TTM-based continuation care can be implemented to improve the QoL in patients with AL, and is worth promoting.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1556\/2060.2026.00817","type":"journal-article","created":{"date-parts":[[2026,6,1]],"date-time":"2026-06-01T10:16:09Z","timestamp":1780308969000},"page":"221-235","update-policy":"https:\/\/doi.org\/10.1556\/policypage.crossmark.crossref.2","source":"Crossref","is-referenced-by-count":0,"title":["Effects of a trans-theoretical model-based structured psychoeducational continuing care program in adult patients with acute Leukemia"],"prefix":"10.1556","volume":"113","author":[{"given":"Xuemei","family":"Jiang","sequence":"first","affiliation":[{"name":"Department of Hematology, the Second Affiliated Hospital of Chongqing Medical University, Chongqing, 400072, China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0009-0949-9729","authenticated-orcid":true,"given":"Haixia","family":"Ma","sequence":"additional","affiliation":[{"name":"Department of Hematology, the Second Affiliated Hospital of Chongqing Medical University, Chongqing, 400072, China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0002-5935-878X","authenticated-orcid":true,"given":"Lian","family":"Li","sequence":"additional","affiliation":[{"name":"Department of Hematology, the Second Affiliated Hospital of Chongqing Medical University, Chongqing, 400072, China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Congying","family":"Yang","sequence":"additional","affiliation":[{"name":"Department of Hematology, the Second Affiliated Hospital of Chongqing Medical University, Chongqing, 400072, China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Xia","family":"Wu","sequence":"additional","affiliation":[{"name":"Department of Hematology, the Second Affiliated Hospital of Chongqing Medical University, Chongqing, 400072, China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Han","family":"Li","sequence":"additional","affiliation":[{"name":"Department of Hematology, the Second Affiliated Hospital of Chongqing Medical University, Chongqing, 400072, China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jiali","family":"Tang","sequence":"additional","affiliation":[{"name":"Department of Hematology, the Second Affiliated Hospital of Chongqing Medical University, Chongqing, 400072, China"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"425","reference":[{"issue":"3","key":"B1","series-title":"R I Med J (2013)","first-page":"38","article-title":"Acute myeloid leukemia: a review","volume":"103","author":"Pelcovits A","year":"2020","unstructured":"Pelcovits A, Niroula R. Acute myeloid leukemia: a review. R I Med J (2013) 2020; 103(3): 38\u201340."},{"issue":"3","key":"B2","series-title":"Curr Treat Options Oncol","first-page":"23","article-title":"Recent advances in the management of acute lymphoblastic leukaemia","volume":"21","author":"Hodby KA","year":"2020","unstructured":"Hodby KA, Marks DI. Recent advances in the management of acute lymphoblastic leukaemia. Curr Treat Options Oncol 2020; 21(3): 23."},{"issue":"9","key":"B3","series-title":"Curr Oncol","first-page":"6245","article-title":"Management of acute Myeloid leukemia: a review for general practitioners in oncology","volume":"29","author":"Stubbins RJ","year":"2022","unstructured":"Stubbins RJ, Francis A, Kuchenbauer F, Sanford D. Management of acute Myeloid leukemia: a review for general practitioners in oncology. 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