Functional Status, Supportive Care Needs, and Health-Related Quality of Life in Advanced Lung Cancer Patients Aged 50 and Older
Objective: This study aimed to examine the levels of functional status, supportive care needs, and health-related quality of life (HRQOL), and their relationships reported by advanced lung cancer patients aged 50 and older. Methods: A cross-sectional descriptive correlational study was conducted wit...
| Main Authors: | , , , |
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| Format: | Article |
| Language: | English |
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Elsevier
2020-01-01
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| Series: | Asia-Pacific Journal of Oncology Nursing |
| Subjects: | |
| Online Access: | http://www.apjon.org/article.asp?issn=2347-5625;year=2020;volume=7;issue=2;spage=151;epage=160;aulast=Huang |
| _version_ | 1797763472120872960 |
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| author | Zhe-Peng Huang Hui-Lin Cheng Soon Yue Loh Karis Kin Fong Cheng |
| author_facet | Zhe-Peng Huang Hui-Lin Cheng Soon Yue Loh Karis Kin Fong Cheng |
| author_sort | Zhe-Peng Huang |
| collection | DOAJ |
| description | Objective: This study aimed to examine the levels of functional status, supportive care needs, and health-related quality of life (HRQOL), and their relationships reported by advanced lung cancer patients aged 50 and older. Methods: A cross-sectional descriptive correlational study was conducted with 103 participants recruited from a cancer center in Singapore. Functional status, supportive care needs, and HRQOL were measured using validated instruments. Descriptive statistics were used to describe the sample profiles. Univariate and multivariate regression analyses were adopted to determine factors that were associated with HRQOL. Results: About 70.9% of participants were dependent in at least one instrumental activities of daily living (IADL). The mean number of unmet needs rated by participants was 9 (range = 0–28). The top three ranked items with moderate-to-severe unmet needs were “not being able to do things you used to do” (28.2%), “fear about cancer spreading” (25.3%), and “lack of energy/tiredness” (25.2%). Higher IADL scores were significantly associated with better HRQOL, whereas higher levels of supportive care needs, particularly in psychological domain significantly predicted poorer HRQOL in most domains. Conclusions: This study found that poor functional status and unmet supportive care needs are common in advanced lung cancer patients. Psychological needs and functional status are associated with patients' HRQOL. Future interventions incorporating functional assistance and psychological support may increase HRQOL in this population. |
| first_indexed | 2024-03-12T19:42:01Z |
| format | Article |
| id | doaj.art-1da2c42d12b445dc8ba4d9785e98ff10 |
| institution | Directory Open Access Journal |
| issn | 2347-5625 2349-6673 |
| language | English |
| last_indexed | 2024-03-12T19:42:01Z |
| publishDate | 2020-01-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Asia-Pacific Journal of Oncology Nursing |
| spelling | doaj.art-1da2c42d12b445dc8ba4d9785e98ff102023-08-02T03:44:39ZengElsevierAsia-Pacific Journal of Oncology Nursing2347-56252349-66732020-01-017215116010.4103/apjon.apjon_50_19Functional Status, Supportive Care Needs, and Health-Related Quality of Life in Advanced Lung Cancer Patients Aged 50 and OlderZhe-Peng HuangHui-Lin ChengSoon Yue LohKaris Kin Fong ChengObjective: This study aimed to examine the levels of functional status, supportive care needs, and health-related quality of life (HRQOL), and their relationships reported by advanced lung cancer patients aged 50 and older. Methods: A cross-sectional descriptive correlational study was conducted with 103 participants recruited from a cancer center in Singapore. Functional status, supportive care needs, and HRQOL were measured using validated instruments. Descriptive statistics were used to describe the sample profiles. Univariate and multivariate regression analyses were adopted to determine factors that were associated with HRQOL. Results: About 70.9% of participants were dependent in at least one instrumental activities of daily living (IADL). The mean number of unmet needs rated by participants was 9 (range = 0–28). The top three ranked items with moderate-to-severe unmet needs were “not being able to do things you used to do” (28.2%), “fear about cancer spreading” (25.3%), and “lack of energy/tiredness” (25.2%). Higher IADL scores were significantly associated with better HRQOL, whereas higher levels of supportive care needs, particularly in psychological domain significantly predicted poorer HRQOL in most domains. Conclusions: This study found that poor functional status and unmet supportive care needs are common in advanced lung cancer patients. Psychological needs and functional status are associated with patients' HRQOL. Future interventions incorporating functional assistance and psychological support may increase HRQOL in this population.http://www.apjon.org/article.asp?issn=2347-5625;year=2020;volume=7;issue=2;spage=151;epage=160;aulast=Huangfunctional statushealth-related quality of lifeinstrumental activities of daily livinglung cancersupportive care needs |
| spellingShingle | Zhe-Peng Huang Hui-Lin Cheng Soon Yue Loh Karis Kin Fong Cheng Functional Status, Supportive Care Needs, and Health-Related Quality of Life in Advanced Lung Cancer Patients Aged 50 and Older Asia-Pacific Journal of Oncology Nursing functional status health-related quality of life instrumental activities of daily living lung cancer supportive care needs |
| title | Functional Status, Supportive Care Needs, and Health-Related Quality of Life in Advanced Lung Cancer Patients Aged 50 and Older |
| title_full | Functional Status, Supportive Care Needs, and Health-Related Quality of Life in Advanced Lung Cancer Patients Aged 50 and Older |
| title_fullStr | Functional Status, Supportive Care Needs, and Health-Related Quality of Life in Advanced Lung Cancer Patients Aged 50 and Older |
| title_full_unstemmed | Functional Status, Supportive Care Needs, and Health-Related Quality of Life in Advanced Lung Cancer Patients Aged 50 and Older |
| title_short | Functional Status, Supportive Care Needs, and Health-Related Quality of Life in Advanced Lung Cancer Patients Aged 50 and Older |
| title_sort | functional status supportive care needs and health related quality of life in advanced lung cancer patients aged 50 and older |
| topic | functional status health-related quality of life instrumental activities of daily living lung cancer supportive care needs |
| url | http://www.apjon.org/article.asp?issn=2347-5625;year=2020;volume=7;issue=2;spage=151;epage=160;aulast=Huang |
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