DOI: http://dx.doi.org/10.18203/2394-6040.ijcmph20182603

Factors associated with quality of life among cancer patients in Sri Lanka

Dilka Rukshani, Pabasara Kahandawala, Kasun Jayawardana, Dilan Karunarathne, Lahiru S. Galgamuwa, Chandima Kumara, Charuni Gamage

Abstract


Background: Quality of life (QOL) is individuals’ perception of their position in life in the context of the culture and value systems in which they live and in relation to their goals, expectations, standards and concerns. It is an effective modern method of early identification of chronic incurable disease patients. This study was designed to determine the level and the possible contributory factors of quality of life in heterogeneous groups of cancer patients in Sri Lanka.

Methods: This study was conducted at National Cancer Institute of Sri Lanka. WHOQOL-BREF questionnaire was used to assess QOL of cancer patients. Multivariate linear regression model was used to evaluate the associations of demographic variables, clinical characteristics, and social support status with the quality of life measures.

Results: 167 of cancer patients were participated. The mean overall QOL score was 53.07±SD 12.68. Higher QOL was associated with patients who were married, higher educated, employed, had good family support and longer duration of illness. Significantly lower QOL was found in those who involved on radiotherapy treatments and feeling alone. Marital status, education status, comorbidity, family support and feeling alone were identified as predictors for QOL among the study group.

Conclusions: The overall QOL score was considerably low in our study. Continuous family support and good education may significantly improve the QOL of cancer patients. Psychosocial and awareness programs to the family members and neighbours should be implemented to enhance the quality of life of cancer patients.

 


Keywords


Quality of life, Cancer patients, Sri Lanka

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References


Ferlay J, Soerjomataram I, Dikshit R, Eser S, Mathers C, Rebelo M, et al. Cancer incidence and mortality worldwide: sources, methods and major patterns in GLOBOCAN 2012. Int J Cancer. 2015;136(5):359-86.

White MC, Holman DM, Boehm JE, Peipins LA, Grossman M, Henley SJ. Age and Cancer Risk: A Potentially Modifiable Relationship. Am J Prevent Med. 2014;46(3):7–15.

Taechaboonsermsak P, Kaewkungwal J, Singhasivanon P, Fungladda W, Wilailak S. Causal relationship between health promoting behavior and quality of life in cervical cancer patients undergoing radiotherapy. Southeast Asian J Trop Med Public Health. 2005;36:1568-75.

Penson R, Cella D, Wenzel L. Quality of life in ovarian cancer. J Repro Med. 2005;50:407-16.

Jayasekara H, Rajapaksa LC, Aaronson NK. Quality of life in cancer patients in South Asia: psychometric properties of the Sinhala version of the EORTC QLQ-C30 in cancer patients with heterogeneous diagnoses. Quality of Life Res. 2008;17:783-91.

Skevington SM, Lotfy M, O' Connell KA. The WHOQOL group: The World Health Organization's WHOQOL–Bref quality of life assessment: psychometric properties and results of the international field trial. A report from the WHOQOL group. Quality of life Res. 2004;13:299-310.

Park BW, Hwang SY. Depression and coping in breast cancer patients. J Breast Cancer. 2009;12:199-209.

Søgaard M, Thomsen RW, Bossen KS, Sorensen HT, Norgaard M. The impact of comorbidity on cancer survival: A review. J Clin Epidemiol. 2013;5(1):3-29.

Ahn SH, Park BW, Noh DY, Nam SJ, Lee ES, Lee MK, et al. Health related quality of life in disease-free survivors of breast cancer with the general population. Ann Oncol. 2007;18:173-82.

Nair MG. Quality of life in cancer of the cervix patients. Int Clin Psychopharmacol. 2000;15(3):47-9.

Baker F, Denniston M, Smith T, West MM. Adult cancer survivors: how are they faring? Cancer. 2005;104(11):2565–76.

Saegrow SHealth, quality of life and cancer. Int Nursing Rev. 2005;52:233-40.

Neyt M, Albrecht J. The long-term evolution of quality of life for disease-free breast cancer survivors: a comparative study in Belgium. J Psychosoc Oncol. 2006;24:89-123.

Chandwani KD, Ryan JL, Peppone LJ. Cancer-related Stress and complementary andalternative medicine: a review. Evidence-Based Complement Alternative Med. 2012;979213:15.

De Graeff A, de Leeuw JRJ, Ros WJG, Hordijk GJ, Blijham GH, Winnubst JAM. Long-term quality of life of patients with head and neck cancer. Laryngoscope. 2000;110(1):98–106.

Guyatt G, Feeny DH, Patrick DL. Measuring health-related quality of life. Ann Inter Med. 1993;118:622–9.