The quality of life of patients with cancer receiving hospice care.

Abstract:

PURPOSE/OBJECTIVES:To evaluate the outcomes of hospice services and explore factors that affect the quality of life (QOL) of patients with cancer receiving hospice care. DESIGN:Descriptive. SETTING:Two homecare hospices in the southeastern United States. SAMPLE:Convenience sample of 118 hospice patients with a diagnosis of cancer and their primary caregivers. METHODS:The Hospice Quality of Life Index (HQLI) was administered to patients and caregivers within 48 hours of admission and after three weeks of hospice care. MAIN RESEARCH VARIABLE:QOL. FINDINGS:HQLI scores could range from a low of 25 to a high of 250. Mean HQLI scores of the patients ranged from 168-173.7; the caregivers' means ranged from 157-158. Factor analysis confirmed four subscales: physical/functional, social/spiritual, psychological, and financial well-being. The social/spiritual subscale resulted in the highest mean scores (74.9), and the physical/functional subscale had the lowest (23.9). Correlations between patient and caregiver HQLI scores were only moderate (r = 0.51-0.55) CONCLUSIONS:Overall QOL remained stable during the study period when measured by an apparently valid and reliable instrument. QOL is characterized by multidimensionality and subjectivity. IMPLICATIONS FOR NURSING PRACTICE:Nurses need to design interventions to support the QOL of people who are terminally ill, with a particular focus on the physical/functional aspects of care. QOL assessment data should be collected from patients whenever possible, and outcomes of care should continue to be studied using valid and reliable tools.

journal_name

Oncol Nurs Forum

journal_title

Oncology nursing forum

authors

McMillan SC

subject

Has Abstract

pub_date

1996-09-01 00:00:00

pages

1221-8

issue

8

eissn

0190-535X

issn

1538-0688

journal_volume

23

pub_type

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