Cancer Diagnosis Disclosure and Quality of Life in Elderly Cancer Patients
Abstract
:1. Introduction
2. Materials and Methods
2.1. Sample
2.2. Instruments
2.2.1. Medical Coping Modes Questionnaire
2.2.2. Generic Quality of Life Inventory-74
2.2.3. Caregiver Quality of Life Scale
2.3. Intervention
2.3.1. Selecting the Informed Person
2.3.2. Cancer Diagnosis Disclosure Steps
2.3.3. Psychological Care after the Diagnosis Disclosure
2.4. Statistical Analysis
3. Results
3.1. Sample Characteristics
3.2. Changes in the Psychological Function and Social Function
3.3. Changes in the Physical Function and Physical/Spiritual Life
3.4. Changes in the Quality of Life
4. Discussion
5. Conclusions
Author Contributions
Funding
Acknowledgments
Conflicts of Interest
References
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Timeline | Intervention |
---|---|
At admission | Coping skill evaluation |
One day before diagnosis disclosure | Quality of life evaluation |
One day after diagnosis disclosure | Quality of life evaluation |
Two day after diagnosis disclosure to one day before discharge | Weekly psychological consultation, group activity Biweekly ‘talking treatment’ service and spiritual support |
At discharge | Quality of life evaluation |
Item | Categories | N | Percentage |
---|---|---|---|
Gender | Male | 72 | 60% |
Female | 48 | 40% | |
Age | 60–70 y | 77 | 64.2% |
70 y above | 43 | 35.8% | |
Diagnosis | Lung cancer | 35 | 29.2% |
Liver cancer | 21 | 17.5% | |
Breast cancer | 16 | 13.3% | |
Gastric cancer | 15 | 12.5% | |
Colony cancer | 9 | 7.5% | |
Other cancers | 24 | 20% | |
Education level | College and above | 45 | 37.5% |
High school | 62 | 51.7% | |
Middle school | 10 | 8.3% | |
Elementary school | 3 | 2.5% | |
Marital status | Married | 64 | 53.3% |
Divorced, widowed or single | 56 | 46.7% |
Time | Before Disclosure | After Disclosure | p Value | Discharge | p Value 1 |
---|---|---|---|---|---|
Physical Function | 61.32 ± 5.7 | 61.26 ± 4.6 | 0.069 | 61.40 ± 4.3 | 0.078 |
Psychological Function | 60.33 ± 3.3 | 59.72 ± 3.1 | 0.060 | 68.56 ± 5.5 | 0.044 |
Social Function | 60.36 ± 5.5 | 59.21 ± 4.7 | 0.074 | 70.23 ± 4.2 | 0.037 |
Physical Life | 32.53 ± 5.1 | 31.37 ± 5.3 | 0.067 | 33.43 ± 3.5 | 0.075 |
Total Score | 213.74 ± 5.2 | 210.37 ± 4.2 | 0.065 | 219.77 ± 5.4 | 0.049 |
Time | Before Disclosure | After Disclosure | p Value | Discharge | p Value 1 |
---|---|---|---|---|---|
Physical Function | 63.37 ± 5.9 | 62.46 ± 4.8 | 0.083 | 64.34 ± 5.7 | 0.073 |
Psychological Function | 61.38 ± 3.7 | 59.78 ± 3.6 | 0.065 | 70.51 ± 5.0 | 0.049 |
Social Function | 63.36 ± 5.1 | 62.23 ± 4.1 | 0.069 | 72.23 ± 4.0 | 0.045 |
Spiritual Life | 33.51 ± 5.07 | 32.31 ± 5.39 | 0.088 | 33.52 ± 3.57 | 0.097 |
Total Score | 224.9 ± 5.3 | 223.9 ± 4.2 | 0.074 | 226.3 ± 4.7 | 0.047 |
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Zheng, Y.; Lei, F.; Liu, B. Cancer Diagnosis Disclosure and Quality of Life in Elderly Cancer Patients. Healthcare 2019, 7, 163. https://doi.org/10.3390/healthcare7040163
Zheng Y, Lei F, Liu B. Cancer Diagnosis Disclosure and Quality of Life in Elderly Cancer Patients. Healthcare. 2019; 7(4):163. https://doi.org/10.3390/healthcare7040163
Chicago/Turabian StyleZheng, Ying, Fang Lei, and Bao Liu. 2019. "Cancer Diagnosis Disclosure and Quality of Life in Elderly Cancer Patients" Healthcare 7, no. 4: 163. https://doi.org/10.3390/healthcare7040163