Significant improvement in quality of life of patients with incurable cancer after designation to a palliative homecare team

C. Melin-Johansson, B. Axelsson, F. Gaston-Johansson, E. Danielson

Research output: Contribution to journalArticlepeer-review

Abstract

The aims of this study were to describe and compare quality of life before and after designation to a palliative homecare team in patients with different cancer diagnoses and to identify pre-designation predictors of post-designation global quality of life. We measured patients' quality of life 1 week before designation and 11 days (median time) after with the Assessment of Quality of life at the End of Life (Axelsson & Sjödén 1999). Of 163 eligible patients 63 participated without attrition. Patients' quality of life improved in the physical, psychological, medical and global areas. Six items significantly improved: hours recumbent during the day (P = 0.009), nausea (P = 0.008), anxiety (P = 0.007), getting hold of staff (P = 0.000), received care (P = 0.003) and global quality of life (P = 0.023). Depression/low in mood (r = 0.55) and meaningfulness (r = 0.70) associated to global quality of life. Furthermore, pain (P = 0.028) and meaningfulness (P = 0.028) predicted global quality of life. In the existential area, it is important to further explore how meaningfulness is associated to and predicts global quality of life.

Original languageEnglish (US)
Pages (from-to)243-250
Number of pages8
JournalEuropean Journal of Cancer Care
Volume19
Issue number2
DOIs
StatePublished - Mar 1 2010

Keywords

  • Cancer
  • Nursing
  • Palliative care
  • Questionnaires
  • Terminal care

ASJC Scopus subject areas

  • Oncology

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