Asian Nursing Research
Volume 1, Issue 2 , Pages 125-135, September 2007

Comfort and Quality of Life of Cancer Patients

  • Keum-Soon Kim, PhD, RN

      Affiliations

    • Professor, Researcher, The Research Institute of Nursing Science, Seoul National, University, Seoul, Korea
    • Corresponding Author InformationCorrespondence to: Keum-Soon Kim, RN, PhD, Professor, Suite 511, Seoul National University, 28 Yeongeon-dong, Jongro-gu, Seoul 110-799, South Korea
  • ,
  • So-Hi Kwon, BC-PCM, MSN

      Affiliations

    • Associate Researcher, The Research Institute of Nursing Science, Seoul National, University, Seoul, Korea

Article Outline

Purpose

This study aimed to quantify the comfort level and quality of life (QoL) of cancer patients, to identify the variables associated with comfort level and QoL, and to identify the relationship between comfort level and QoL.

Methods

This was a cross-sectional descriptive study. The participants comprised 100 cancer patients, of which 98 were analyzed. Participants completed a self-reporting questionnaire that included the Hospice Comfort Questionnaire and the European Organization for Research and Treatment of Cancer Quality of Life Core Questionnaire-C30 at outpatient clinics, inpatient units, at home, and a day-care chemotherapy unit.

Results

The mean age of the participants was 53.36 years, and 56.1% of them were female. The mean ± standard deviation score for total comfort was 61.50 ± 12.02, with the sociocultural comfort score being the highest (71.05 ± 16.01), followed by physical comfort (60.30 ± 16.71), psychospiritual comfort (57.65 ± 16.81), and environmental comfort (56.32 ± 16.86). There were significant subgroup differences in educational attainment, the site where they completed the questionnaire, and perceived disease status and prognosis. The QoL score for global health status was 46.34 ± 20.76, and comfort was significantly correlated with all dimensions of QoL (r = –.549 – .581).

Conclusion

This study showed lower comfort level in psychospiritual and environmental comfort than physical and sociocultural comfort in cancer patients. Improvement in environment and psychospiritual support is suggested as strategies to enhance the comfort of cancer patients.

Key Words:  cancer , comfort , quality of life

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References 

  1. European Organization for Research and Treatment of Cancer  . EORTC QLQ-C30 scoring manual . Brussels, Belgium: Author; 2001;
  2. Han KJ , Lee EO , Kim MJ , Hah YS , Park YS , Song MS , et al.   Cancer patients' needs when chemotherapy ends . Journal of Korean Oncology Nursing . 2005;5:107–115
  3. Jo ES , Kim KH . A study on the social support and the comfort of patients in admission . ChungAng Journal of Nursing . 2003;7:11–23
  4. Kang KA . Development of a tool to measure suffering in patients with cancer . Journal of Korean Academy of Nursing . 1999;29:1365–1378
  5. Kim KH , Kim KS , Kang KS , Kim WO , Paik HJ , Won JS , et al.   A grounded theory approach to the comfort experience of hospitalized patients . Journal of Korean Academy of Nursing . 2000;30:750–763
  6. Kim KS , Byun YS , Gu MO , Jang HJ . A study of the level of comfort in Korean adults: Comparison between healthy people and in-patients . The Korean Journal of Fundamentals of Nursing . 1996;3:201–212
  7. Kolcaba KY . Comfort theory and practice . New York, NY: Springer; 2003;
  8. Kolcaba KY , Fisher EM . A holistic perspective on comfort care as an advance directive . Critical Care Nursing Quarterly . 1996;18:66–76
  9. Kolcaba KY , Kolcaba RJ . An analysis of the concept of comfort . Journal of Advanced Nursing . 1991;16:1301–1310
  10. Kolcaba KY , Dowd T , Steiner R , Mitzel A . Efficacy of hand massage for enhancing the comfort of hospice patients . Journal of Hospice Palliative Nursing . 2004;6:91–102
  11. Miaskowski C , Cooper BA , Paul SM , Dodd M , Lee K , West C , et al.   Subgroups of patients with cancer with different symptom experiences and qualityof-life outcomes: A cluster analysis . Oncology Nursing Forum . 2006;33:E79–E89
  12. Morse JM , Mitcham C , Hupcey JE , Tason MC . Criteria for concept evaluation . Journal of Advanced Nursing . 1996;24:385–390
  13. Oken MM , Creech RH , Tormey DC , Horton J , Davis TE , McFadden ET , et al.   Toxicity and response criteria of the Eastern Cooperative Oncology Group . American Journal of Clinical Oncology . 1982;5:649–655
  14. Parker PA , Baile WF , de Moor C , Cohen L . Psychosocial and demographic predictors of quality of life in a large sample of cancer patients . PsychoOncology . 2003;12:183–193
  15. Schreier AM , Williams SA . Anxiety and quality of life of women who receive radiation or chemotherapy for breast cancer . Oncology Nursing Forum . 2004;31:127–130
  16. Tutton E , Seers K . An exploration of the concept of comfort . Journal of Clinical Nursing . 2003;12:689–696
  17. Williams AM , Irurita VF . Enhancing the therapeutic potential of hospital environments by increasing the personal control and emotional comfort of hospitalized patients . Applied Nursing Research . 2005;18:22–28
  18. Williams AM , Irurita VF . Emotional comfort: The patient's perspective of a therapeutic context . International Journal of Nursing Studies . 2006;43:405–415
  19. Yang MJ , Jeon YW , Han SI , Han CW , Eom HS . Depression and pain in patients with cancer: A preliminary study . Journal of Korean Neuropsychiatry Association . 2000;39:1122–1131
  20. Yun YH , Park YS , Lee ES , Bang SM , Heo DS , Park SY , et al.   Validation of the Korean version of the EORTC QLQ-C30 . Quality of Life Research . 2004;13:863–868

PII: S1976-1317(08)60015-8

doi:10.1016/S1976-1317(08)60015-8

Asian Nursing Research
Volume 1, Issue 2 , Pages 125-135, September 2007