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Correlation Between Postoperative Health-Related Quality of Life and Care Needs of Oral Cancer Patients

Wang, Tze-Fang, MSN, RN; Li, Yu-Jie, MSN, RN; Chen, Lee-Chen, MSN, RN; Chou, Chyuan, DDS, DrPH; Yang, Su-Chen, MSN, RN

doi: 10.1097/NCC.0000000000000677
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Background Oral cancer is the fifth most common form of cancer in Taiwan in terms of incidence and death rate and results in at least 2700 deaths each year.

Objective The aims of this study were to assess the postoperative health-related quality of life (QOL) and care needs of oral cancer patients comprehensively and to evaluate the correlation between health-related QOL and care needs.

Interventions/Methods This cross-sectional study enrolled 126 oral cancer patients who had received surgical treatment within the previous 2 years and were without cognitive impairment. Each patient completed a demographic questionnaire, the European Organisation for Research and Treatment of Cancer Head and Neck Cancer Quality of Life Scale, and the Short-Form Cancer Needs Questionnaire.

Results Female patients and patients receiving 3 or more chemotherapy treatments were significantly associated with increased Short-Form Cancer Needs Questionnaire scores (higher level of care needs) (β = 0.177 and 28.49, both P < .05) and patients receiving 3 or more chemotherapy treatments were significantly associated with increased Head and Neck Cancer Quality of Life Scale scores (higher level of symptoms and problems) (β = 27.77, P = .007). Results of stepwise multiple linear regression analysis indicated that 4 oral cancer–related symptoms and problems, “trouble with social contacts,” “swallowing problems,” “teeth problems,” and “feeling ill,” were significantly associated with higher care needs in oral cancer patients (all P ≤ .05).

Conclusion A significant correlation exists between health-related QOL and care needs.

Implications for Practice Using a valid health-related QOL scale may help nurses determine their perceived physical and psychological care needs.

This is an open access article distributed under the Creative Commons Attribution License 4.0 (CCBY), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Author Affiliations: School of Nursing, National Yang Ming University, Taipei (Ms Wang and Mr Li); Department of Nursing, Far Eastern Memorial Hospital, New Taipei (Mss Chen and Yang); and Excellent Dental Center, Taipei (Dr Chou), Taiwan.

This study was supported by National Yang-Ming University–Far Eastern Memorial Hospital Joint Research Program (105FN01).

The authors have no conflicts of interest to disclose.

Correspondence: Su-Chen Yang, MSN, RN, Department of Nursing, Far Eastern Memorial Hospital, No. 21, Sec. 2, Nanya S. Rd, Banciao District, New Taipei City 22061, Taiwan, Republic of China (suchen6@foxmailvip.com).

This is an open access article distributed under the Creative Commons Attribution License 4.0 (CCBY), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Accepted for publication August 22, 2018.

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