Skip Navigation LinksHome > January/February 2014 - Volume 37 - Issue 1 > Measurement of Quality of Life in Patients With End-Stage Ca...
Cancer Nursing:
doi: 10.1097/NCC.0b013e31827b5bdc
Articles

Measurement of Quality of Life in Patients With End-Stage Cancer

Kim, Kyeong Uoon PhD, RN

Collapse Box

Abstract

Background: Cancer is the leading cause of death in Korean adults. A good quality of life for patients at end life can control pain and symptoms and help maintain well-being.

Objective: The aim of this study was to measure quality of life in end-stage cancer patients using the Korean version of the McMaster Quality of Life (K-MQOL).

Methods: The K-MQOL was administered to adult end-stage cancer patients from 4 Korean university hospitals. We hypothesized quality-of-life differences between participants by daily activity level, number of symptoms, and participant status (alive or not) at end of study.

Results: Participants’ mean age was 49.2 years, and 74.5% were men. As hypothesized for discriminant validity, Pearson correlation coefficients among the K-MQOL were less than 0.4, with the exceptions of emotion (0.25–0.52) and cognition (0.33–0.51). A higher Eastern Cooperative Oncology Group Performance States Rating score was significantly associated with a lower quality of life (F = 2.840, P = 0.034). The mean score of those within 21 days of death was significantly lower than that of patients who were alive at the end of the study (t = −2.48, P = .04). Patients with a smaller number of symptoms other than pain had significantly higher quality-of-life scores than did those with more symptoms (F = 5.059, P = .004).

Conclusions: The K-MQOL provided reliable and valid scores of quality of life in end-stage cancer patients.

Implications for Practice: Assessing end-stage cancer patients’ quality of life helps to identify each patient’s condition and aspects that could benefit from nursing care. We anticipate that the K-MQOL will be useful for patient assessment in clinical and community settings.

© 2014 Wolters Kluwer Health | Lippincott Williams & Wilkins

Login

Article Level Metrics

Search for Similar Articles
You may search for similar articles that contain these same keywords or you may modify the keyword list to augment your search.