Demirağ Hatice, Kulakaç Nurşen, Hintistan Sevilay, Çilingir Dilek
Department of Medical Services and Techniques, First and Emergency Aid Program, Gümüşhane University, Gümüşhane, Turkey.
Nursing Department, Faculty of Health Sciences, Gümüşhane University, Gümüşhane, Turkey.
Asia Pac J Oncol Nurs. 2021 Aug 27;8(5):547-554. doi: 10.4103/apjon.apjon-2135. eCollection 2021 Sep-Oct.
This study aims to determine the effects of cachexia, causing major problems in the world and Turkey, on self-care agency and quality of life in cancer patients.
The population of this cross-sectional and relationship-seeking study consisted of cancer patients in Turkey from April 1 to April 20, 2021. Using the snowball sampling method, 174 patients were sampled. "Patient Information Form," "The European Organization for Research and Treatment of Cancer C30 Cancer Quality of Life Scale," and "Exercise of Self-Care Agency Scale" were used as data collection tools.
In the study, 52 patients (29.9%) were found to have cachexia. Function, general well-being, symptom (except insomnia), and self-care agency, which are subdimensions of the quality-of-life scale, were found to be significantly lower in patients with cachexia than patients without cachexia ( < 0.001). It was determined that there was a significant negative correlation between the cachexia status of the patients and the five basic functions in the functional scale (physical, role, emotional, cognitive, and social function), general well-being, and self-care agency, and there was a significant positive correlation between the cachexia status of the patients and the symptom scale ( < 0.001). According to the results of multiple linear regression analysis, it was found that the factor that significantly affected the cachexia status of the patients was their self-care agency ( < 0.001).
It was determined that cachexia caused significantly lower self-care agency and quality of life in cancer patients. Furthermore, quality of life was related to self-care agency.
本研究旨在确定恶病质(在全球和土耳其都引发重大问题)对癌症患者自我护理能力和生活质量的影响。
这项横断面且旨在探寻关系的研究的研究对象为2021年4月1日至4月20日期间土耳其的癌症患者。采用滚雪球抽样法,抽取了174名患者。“患者信息表”、“欧洲癌症研究与治疗组织C30癌症生活质量量表”和“自我护理能力量表”用作数据收集工具。
在该研究中,发现52名患者(29.9%)患有恶病质。生活质量量表的子维度,即功能、总体健康状况、症状(失眠除外)和自我护理能力,在患有恶病质的患者中显著低于未患恶病质的患者(<0.001)。确定患者的恶病质状态与功能量表中的五项基本功能(身体、角色、情感、认知和社会功能)、总体健康状况和自我护理能力之间存在显著负相关,且患者的恶病质状态与症状量表之间存在显著正相关(<0.001)。根据多元线性回归分析结果,发现显著影响患者恶病质状态的因素是其自我护理能力(<0.001)。
确定恶病质会导致癌症患者的自我护理能力和生活质量显著降低。此外,生活质量与自我护理能力有关。