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International Journal of Hematology-Oncology and Stem Cell Research، جلد ۱۶، شماره ۲، صفحات ۱۰۳-۱۱۰
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عنوان انگلیسی Association between Perceived Stress and Neutropenia in Patients with Leukemia under Chemotherapy
چکیده انگلیسی مقاله   Background: The most prominent part of the cellular response of the immune system is driven by neutrophils. These cells tend to decline following chemotherapy in patients with leukemia. Neutropenia is an influential factor in the prognosis of cancer patients. Stress reduces white blood cells (WBC) and neutrophils leading to an increased risk of infectious diseases after chemotherapy. We investigated the association between neutropenia and perceived stress following chemotherapy. Materials and Methods: We performed a cross-sectional study on 60 patients with leukemia in a university hospital. Participants completed self-report measures including the demographic data and perceived stress scale (PSS) questionnaire. We compared rates of neutropenia, as a measure of chemotherapy prognosis, 10 days after chemotherapy in different stress levels. Moreover, the number of patients with polymorphonuclear (PMN) under 1000/microl was compared at different stress levels.    Results: We found that neutropenia is directly correlated with negative stress perception and inversely correlated with positive stress perception. These effects appear more prominent in patients with PMN under 1000/microl as the number of these patients was significantly more in groups with higher negative stress and less in groups with higher positive stress scores. Conclusion: It can be concluded that stress is correlated with neutropenia and stress management in patients with leukemia will be accompanied by better recovery outcomes and reduced risk of infectious disease.  
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نویسندگان مقاله | Mohsen Esfandbod
Department of Hematology and Oncology, Imam Khomeini Hospital Complex, Tehran University of Medical Sciences, Tehran, Iran


| Maryam Tehrani
Department of Psychosomatics, University of Tehran, Tehran, Iran


| Maryam Haghshomar
Department of Internal Medicine, Tehran University of Medical Sciences, Tehran, Iran


| Pantea Arya
Department of Psychology, Tehran University of Medical Sciences, Tehran, Iran


| Bahareh Shateri Amiri
Department of Internal Medicine, Imam Khomeini Hospital Complex, Tehran University of Medical Sciences, Tehran, Iran


| Gholamreza Toogeh
Department of Hematology and Oncology, Imam Khomeini Hospital Complex, Tehran University of Medical Sciences, Tehran, Iran


| Manoucheh Keyhani
Department of Hematology and Oncology, Imam Khomeini Hospital Complex, Tehran University of Medical Sciences, Tehran, Iran
نشانی اینترنتی https://ijhoscr.tums.ac.ir/index.php/ijhoscr/article/view/1550
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