Comfort and Quality of Life of Cancer Patients
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
- . EORTC QLQ-C30 scoring manual . Brussels, Belgium: Author; 2001;
- Cancer patients' needs when chemotherapy ends . Journal of Korean Oncology Nursing . 2005;5:107–115
- . A study on the social support and the comfort of patients in admission . ChungAng Journal of Nursing . 2003;7:11–23
- . Development of a tool to measure suffering in patients with cancer . Journal of Korean Academy of Nursing . 1999;29:1365–1378
- A grounded theory approach to the comfort experience of hospitalized patients . Journal of Korean Academy of Nursing . 2000;30:750–763
- . 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
- . Comfort theory and practice . New York, NY: Springer; 2003;
- . A holistic perspective on comfort care as an advance directive . Critical Care Nursing Quarterly . 1996;18:66–76
- . An analysis of the concept of comfort . Journal of Advanced Nursing . 1991;16:1301–1310
- . Efficacy of hand massage for enhancing the comfort of hospice patients . Journal of Hospice Palliative Nursing . 2004;6:91–102
- Subgroups of patients with cancer with different symptom experiences and qualityof-life outcomes: A cluster analysis . Oncology Nursing Forum . 2006;33:E79–E89
- . Criteria for concept evaluation . Journal of Advanced Nursing . 1996;24:385–390
- Toxicity and response criteria of the Eastern Cooperative Oncology Group . American Journal of Clinical Oncology . 1982;5:649–655
- . Psychosocial and demographic predictors of quality of life in a large sample of cancer patients . PsychoOncology . 2003;12:183–193
- . Anxiety and quality of life of women who receive radiation or chemotherapy for breast cancer . Oncology Nursing Forum . 2004;31:127–130
- . An exploration of the concept of comfort . Journal of Clinical Nursing . 2003;12:689–696
- . 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
- . Emotional comfort: The patient's perspective of a therapeutic context . International Journal of Nursing Studies . 2006;43:405–415
- . Depression and pain in patients with cancer: A preliminary study . Journal of Korean Neuropsychiatry Association . 2000;39:1122–1131
- 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
© 2007 Korean Society of Nursing Science. Published by Elsevier Inc. All rights reserved.
