Which Cancer Patients Benefit Most from a Brief, Group, Coping Skills Program?

1993 ◽  
Vol 23 (4) ◽  
pp. 383-398 ◽  
Author(s):  
Alastair J. Cunningham ◽  
Gina A. Lockwood ◽  
Claire V. I. Edmonds

Objective: The purpose of this study was to explore the influence of a number of variables on the improvements in quality of life of some 400 cancer patients who completed a brief, group program providing psychosocial support and training in coping skills. Method: The factors tested were: patient gender, age, marital status, religion, education level, diagnostic site, recurrence status, expectations of the course, previous experience in self-help techniques, and different group leaders. Three assessment instruments were used, the Profile of Mood States (POMS), the Functional Living Index for Cancer (FLIC), and the Stanford Inventory of Cancer Patient Adjustment (SICPA). Assessments were made at three time points. Results: The overall finding was that the program improved mood and enhanced quality of life for most cancer patients: there was no evidence that it was more or less effective for subgroups based on gender, marital status, religious orientation, education level, and previous experience with mental self-help techniques. It was also found that several different group leaders with widely varying experience facilitated similar improvements. However, there was a significant tendency for patients under fifty to improve more by the end of the program, than older patients, although this difference disappeared at the three month follow-up. In addition, patients with recurrent disease showed less improvement in quality of life than those with primary cancer. Conclusions: The beneficial effects on quality of life of a seven-session group psychoeducational program were seen across a wide range of categories of cancer patients. The generalizability and implications of these findings are briefly discussed.

Author(s):  
Hadi Sadighiyan ◽  
Mehdi Abbasian ◽  
Mahmood Yousefi ◽  
Narjes Maasoumi ◽  
Reza Nikanfar ◽  
...  

Introduction: Quality of life (QoL) is known to be one of the main challenges of the present century in the growing heterogeneous elder population. Therefore, determining the affecting factors of QoL among older people could be imperative. The present study aims at the comparative investigation of the QoL the old people covered by the various pension funds in the city of Tabriz, Iran. Methods: A cross-sectional study was conducted among 212 older people in Tabriz, Iran. All of the participants were selected based on a stratified sampling considering the study population’s preliminary distribution in three kinds of funds (the State, Armed forces, and Social security). A reliable Iranian LEIPAD questionnaire was used in a comparative investigation of the older adult’s QoL. Data were analyzed with SPSS 21 using t-test, ANOVA, person corellation tests and multiple linear regression. Results: The majority of the participants were male (84.4%) and married (94.8%). One-third of older people possessed academic qualifications. The average age of pensioners in the State fund was 8 years older than other funds. Social security pensioners received the lowest wages (i.e. 0.76 of State and 0.71 of Armed forces pensioners). The total mean score of QoL was 65.63 ± 12.27 (range: 0-93). The relationship between QoL and education level (β = 0.30) and marital status (β = 0.22) was positive and significant. Moreover, a significant difference was observed between scores of QoL and type of pension funds, marital status, education level (p < 0.05). Conclusion: Pension funds can improve the QoL among older people by increasing the pension amount, quality of services and payment benefits of those covered retirees.


2015 ◽  
Vol 3 (1) ◽  
pp. 57
Author(s):  
Nilla Retnowati ◽  
Prijono Satyabakti

Diabetes mellitus is a disease that will accompany a lifetime and require long term treatment so that it can reduce quality of life of the patients. This study aim to analyze the correlation between family support with the quality of life of patients with diabetes mellitus. This study was analytic observational with cross-sectional design. The population was all patients with diabetes mellitus who visited Tanah Kalikedinding Health Center in January to March 2014. Patients was diagnosed diabetes mellitus through laboratory test using blood serum venous plasma. The number of respondents was 45 respondents that were chosen using simple random sampling method. Variables studied were family support, respondent’s characteristics (age, gender, education level, income, marital status and employment status), duration of diabetes, diabetes complications and quality of life. The results of Chi-square test with continuity correction Fisher’s exact test showed that variables that were significantly correlated with the quality of life such as family support (p=0.000), education level (p=0.039), income (p=0.034), marital status (p=0.003) and diabetes complications (p=0.007). The results of Mantel- Haenszel test showed that all the studied variables were confounding the correlation between family support with the quality of life. Confounding variable that have the greatest contribution was diabetes complications. The conclusion is that family support is significantly correlated with the quality of life of patients with diabetes mellitus in Tanah Kalikedinding Health Center. Health centers are expected to carry out health promotion and health education programs for patients with diabetes mellitus and their families to improve the quality of life of the patients.Keywords: diabetes mellitus, quality of life, family support, diabetes complications, marital status


2020 ◽  
Author(s):  
Toshimi Takano ◽  
Ayako Matsuda ◽  
Noriko Ishizuka ◽  
Yukinori Ozaki ◽  
Koichi Suyama ◽  
...  

Abstract Background: A self-help workbook is expected to support cancer patients to cope with physical and psychosocial distress, to facilitate communication with medical staff, and to improve quality of life (QOL). We conducted a randomized controlled trial to evaluate the effectiveness of a self-help workbook intervention on QOL and survival. Methods: From June 2014 to March 2015, patients with breast, colorectal, gastric, and lung cancer receiving outpatient chemotherapy were randomized into an intervention group (n = 100) or control group (n = 100). Intervention group participants received workbooks originally made for this study, read advice on how to cope with distress, and filled out questionnaires on the workbooks periodically. EORTC QLQ-C30 was evaluated at baseline, at 12 weeks, and at 24 weeks. The primary endpoint was Global Health Status / QOL scale (GQOL). Results: No significant interaction was observed between the intervention and time in terms of GQOL or any of the functional scales. Among the 69 patients who continued cytotoxic chemotherapy at 24 weeks, the intervention was significantly associated with improved emotional functioning scores (P = 0.0007). Overall survival was not significantly different between the two groups. Conclusions: Self-help workbook intervention was feasible in cancer patients receiving chemotherapy. Although the effect of the intervention was limited, the intervention may improve emotional functioning among patients who receive long-term cytotoxic chemotherapy.Trial registration: UMIN Clinical Trials Registry, UMIN000012842. Registered 14 January 2014, https://upload.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000015002


2019 ◽  
Vol 5 (1) ◽  
pp. 30-39
Author(s):  
Yanita Trisetiyaningsih

Background:Physical and psychological changes during climacterium phase could influence quality of life in climacteric women. Eightypercent of womenreported anydiscomfortthat occurs as climactericsymptomssuch asheadaches, sexual problems, tachycardia, hot flushes, sweatingandinsomniathat can significantlydegrade the quality oflive. Factorsthat determinethe quality of lifeare age, menopauseduration, marital status, education level, income, employment status, healthstatus, health insurance, and parity. Objective: The purpose of the study was to determine thefactorsassociated withthe quality of life ofclimactericwomen. Methods: The study wasa quantitave research with cross sectional design. The samples were 88 subjects. Data collection used Menopause Rating Scale (MRS) and the WHOQOL-BREF.The data analysis used Spearman rank correlation test and contingency coefficient. Result: There was a significant relationship between parity and employment status with quality of life (p<0.05), but not to the variables of age, duration of menopause, marital status, education level, income, and health insurance. Conclusion: There was a significant relationship between parity and employment status with quality of lifein climacteric women. Keyword: Quality of life, climacteric women


2015 ◽  
Vol 3 (1) ◽  
pp. 57
Author(s):  
Nilla Retnowati ◽  
Prijono Satyabakti

ABSTRACTDiabetes mellitus is a disease that will accompany a lifetime and require long term treatment so that it can reduce quality of life of the patients. This study aim to analyze the correlation between family support with the quality of life of patients with diabetes mellitus. This study was analytic observational with cross-sectional design. The population was all patients with diabetes mellitus who visited Tanah Kalikedinding Health Center in January to March 2014. Patients was diagnosed diabetes mellitus through laboratory test using blood serum venous plasma. The number of respondents was 45 respondents that were chosen using simple random sampling method. Variables studied were family support, respondent’s characteristics (age, gender, education level, income, marital status and employment status), duration of diabetes, diabetes complications and quality of life. The results of Chi-square test with continuity correction Fisher’s exact test showed that variables that were significantly correlated with the quality of life such as family support (p=0.000), education level (p=0.039), income (p=0.034), marital status (p=0.003) and diabetes complications (p=0.007). The results of Mantel- Haenszel test showed that all the studied variables were confounding the correlation between family support with the quality of life. Confounding variable that have the greatest contribution was diabetes complications. The conclusion is that family support is significantly correlated with the quality of life of patients with diabetes mellitus in Tanah Kalikedinding Health Center. Health centers are expected to carry out health promotion and health education programs for patients with diabetes mellitus and their families to improve the quality of life of the patients.Keywords: diabetes mellitus, quality of life, family support, diabetes complications, marital status


Author(s):  
Ni K. Kardiyudiani ◽  
Apri N. Wulandari ◽  
Brigitta A. D. Susanti

Background: The therapy of cancer treatment for patient affects the significant of physic, psychology, and information and social, so that it needs to support the adequate care. The supporting for adequate care is the way to improve the quality life of patients. One of the cares that given is self-help group therapy (SHG), it is a group treatment to share about the experiences of each other for cancer patient. This research is conducted to know the influences of self-help group therapy towards the quality of life of cancer patients that have a palliative care.Methods: The research uses a quantitative approach with quasi-experimental method with pre-test and post-test with control group design. The sample of this research is 14 respondents in control group and 14 respondents in intervention group.Results: There was significant difference value of quality of life pre-test rather than post-test in the intervention group, p=0.033, and there was no significant difference in the control group before and after intervention, p=0.190. The comparison between post-test intervention and post-test control group showed that there was significant difference of quality of life value. P value in intervention group was 0.002, while p value for the control group was 0.221.Conclusions: There was influence by giving self-help group (SHG) therapy towards the quality of life of cancer patients that have palliative treatment. The patient can expand the social networking, to accept the information, get the emotional supporting from their own group.


2014 ◽  
Vol 15 (13) ◽  
pp. 5287-5291 ◽  
Author(s):  
Kyu-Tae Han ◽  
Sun Jung Kim ◽  
Haiyan Song ◽  
Sung-Youn Chun ◽  
Chan Ok Kim ◽  
...  

2018 ◽  
Vol 1 (3) ◽  
Author(s):  
Arunima Datta ◽  
Rimi Sharma

Background: Breast cancer patients experience a variety of psychological symptoms such as anxiety, depression that affect their quality of life. The present study probed whether the socioeconomic status had any significance on psychological distress and quality of life of breast cancer patients in India. Method: This was a cross-sectional and observational study, conducted over 111 breast cancer patients in a tertiary cancer hospital, Kolkata. Subjects were eligible to participate and they were of over 23rd years of age and had a histologically confirmed diagnosis of breast cancer had no history of recurrence or metastasis, and had no previous psychological problems. Age, marital status, residence, education, occupation and family income were assesses for patients’ socio economic status. Psychological symptoms and quality of life were assessed by using validated tools. Means and standard deviations of each outcome were compared by socioeconomic status and multivariate linear regression models for evaluating the association between socioeconomic status, psychological distress and quality of lifeResults: The patient group was categorized into three groups based on their income level as follows:  ≤500=27.9%), 500-1000=51.4% and high income = ≥1000=20.7%. A total of 111 breast cancer patients participated in the study; the mean age of participants was 49.7 (SE=1.31).  After using multivariate logistic regression with fully adjusted models, the patients who were living alone had significantly higher level of depression and poor quality of life compared to those who are employed. Higher education  and family income  both positively associated with quality of life after adjusting for age, marital status and occupation. Conclusion: The findings revealed that the family income have a significant impact on the psychological distress of the cancer patients.


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