Malak Malakeh Z, Tawalbeh Loai I, Abu Sharour Loai M
Assistant Professor, Faculty of Nursing, Al-Zaytoonah University of Jordan, Jordan.
Associate Professor, Faculty of Nursing, Al-AlBayt University, Jordan.
J Res Nurs. 2018 Nov;23(7):598-611. doi: 10.1177/1744987118785939. Epub 2018 Oct 26.
Improving quality of life in older patients with cancer has become an important goal of healthcare providers.
The purpose of this study was to identify the predictors of quality of life among older patients with cancer, aged 60 years and over during the treatment period.
A descriptive correlational study was conducted among 150 patients. The Functional Assessment of Cancer Therapy Scale, Herth Hope Index and Hospital Anxiety and Depression Scale were used.
The results showed that the total quality-of-life mean score was 58.50 (SD = 7.44), indicating low overall quality of life. The social-family well-being subscale had the highest mean (20.50, SD = 3.79) among all subscales of quality of life, while the emotional well-being subscale had the lowest mean (8.06, SD = 4.23). Hope and educational level had statistically significant positive relationships with all subscales of quality of life. However, anxiety was associated negatively with physical, social-family and functional well-being subscales, but positively with the emotional well-being subscale. Anxiety, income, marital status, health insurance, duration of treatment, educational level, gender and hope were identified as predictors of quality-of-life subscales.
The results could help to develop specific programmes that may improve quality of life among older patients with cancer during treatment.
提高老年癌症患者的生活质量已成为医疗服务提供者的一项重要目标。
本研究的目的是确定60岁及以上老年癌症患者在治疗期间生活质量的预测因素。
对150名患者进行了描述性相关性研究。使用了癌症治疗功能评估量表、赫思希望指数和医院焦虑抑郁量表。
结果显示，生活质量总平均分是58.50（标准差=7.44），表明总体生活质量较低。在生活质量的所有子量表中，社会家庭幸福感子量表的平均分最高（20.50，标准差=3.79），而情感幸福感子量表的平均分最低（8.06，标准差=4.23）。希望和教育水平与生活质量的所有子量表在统计学上有显著的正相关关系。然而，焦虑与身体、社会家庭和功能幸福感子量表呈负相关，但与情感幸福感子量表呈正相关。焦虑、收入、婚姻状况、医疗保险、治疗时间、教育水平、性别和希望被确定为生活质量子量表的预测因素。
这些结果有助于制定特定的方案，可能改善老年癌症患者在治疗期间的生活质量。
