scholarly journals Emotions, Quality of Life and Games in Oncology Outpatient Clinic

2021 ◽  
Vol 3 (1) ◽  
pp. 73-78
Author(s):  
Raphaela Espanha Corrêa ◽  
Paulo Eduardo Neves Ferreira Velho ◽  
Maria Imaculada de Lima Montebello ◽  
Rute Estanislava Tolocka
Keyword(s):  
Quality Of Life ◽  
Medical Care ◽  
Cancer Patients ◽  
Outpatient Clinic ◽  
Board Game ◽  
Social Domain ◽  
Board Games ◽  
The Social ◽  
The Mean

A cancer diagnoses and treatment can trigger unpleasant emotions, which may affect the Quality of Life (QoL). Games are known to promote wellness. The aim of this study was to evaluate emotions and QoL of adult cancer patients in medical care waiting rooms and to identify changes in patient emotions after playing board games. A total of 150 patients were included. Emotions were assessed using emojis and QoL with WHOOL-BREF. The mean age was 64.8 ± 9.6 years. QoL was measured as ‘good’ just in the social domain (score 72.38 ± 13.24). The most frequently reported emotion before playing was joy (58.0%), followed by neutral (21.3%), sadness (8.7%) and fear (6.7%); 34.0% of the patients accepted to play a board game. Emotions of neutrality and sadness in these patients significantly changed to joy after playing the game (p<0.05). We conclude that participation in games might positively change emotions in waiting rooms.

scholarly journals Quality of life among cancer patients approaching healthcare facilities in United Arab Emirates

2021 ◽  
Vol 8 (6) ◽  
pp. 2677
Author(s):  
Omar Jarrah ◽  
Halah S. Al Maatooq ◽  
Dana A. Hamadeh ◽  
Majed Al Ghoul ◽  
Salma M. El Shawish ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Cancer Patients ◽  
United Arab Emirates ◽  
Healthy Subjects ◽  
Healthy Adults ◽  
Social Domain ◽  
Environmental Domain ◽  
The Social ◽  
Medical University

Background: The main aim of the study was to compare the quality of life (QOL) of cancer patients and healthy adults according to different domains.Methods: The study was conducted in Gulf medical university, Tawam hospital, Al Ain and Thumbay hospital, Ajman from March 2018 until January 2019. In addition, our study was a cross sectional study that included 250 cancer patients and 250 healthy adults. The WHOQOL-BREF questionnaire and a self-administered questionnaire were used. The research was conducted in Tawam hospital, Gulf medical university and Thumbay hospitals/clinics over a period of 9 months. SPSS version 24 was used for analysis. F test and t test were used to assess the difference between mean QOL levels in various groups.Results: The highest mean score for healthy subjects accounts for the social domain followed by physical, then psychological and the lowest is the environmental domain with values of (73.9, 70.7, 70.3 and 68.9 respectively). While the highest mean score of QOL for cancer patients was related to psychological domain followed by environmental, then social and lastly the lowest domain is associated with physical accounting for values of (66.6, 66.5, 66.2 and 60.6 accordingly). Over all the mean scores regarding all the domains of healthy adults with is higher than in cancer patients.Conclusions: Healthy adults had higher mean QOL score levels than cancer patients. Moreover, cancer patients have a 1.65-fold risk of having poor QOL. It has been concluded that the highest mean score for healthy subjects accounts for the social domain (73.9) followed by physical (70.7), then psychological (70.3) and the lowest is the environmental domain (68.9).

scholarly journals Comparison of the Quality of Life of Patients with Breast or Colon Cancer with an Arm Vein Port (TIVAD) Versus a Peripherally Inserted Central Catheter (PICC)

2021 ◽  
Vol 28 (2) ◽  
pp. 1495-1506
Author(s):  
Brent Burbridge ◽  
Hyun Lim ◽  
Lynn Dwernychuk ◽  
Ha Le ◽  
Tehmina Asif ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Cancer Patients ◽  
Well Being ◽  
Venous Access ◽  
Peripherally Inserted Central Catheter ◽  
Central Catheter ◽  
Access Device ◽  
The Mean ◽  
Venous Access Device

Introduction: Venous access is a crucial element in chemotherapy delivery. It remains unclear whether cancer patients prefer a port to a peripherally inserted central catheter (PICC). Our study aimed to assess cancer patients’ satisfaction with their venous access device and to compare the quality of life (QoL) of subjects with a PICC to those with a port. Methods: In this prospective cohort study, EORTC QLQ-C30, and a locally developed quality of life survey (QLAVD), designed to assess satisfaction with venous access devices, were administered to breast or colorectal cancer patients over a one-year period following the device insertion. Mixed effects models were used to assess changes on mean scores at different time points. Results: A total of 101 patients were recruited over a three-year period, (PICC group, n = 50; port group, n = 51). Survey response rates for months one and three were 72% and 48%, respectively. Overall, no significant differences were noted between the two groups in relation to EORTC QOL. At three months, the mean pain scores were 3.5 ± 2.3 for the port and 1.3 ± 0.75 for PICC (<0.001). The mean score for a negative effect of the venous access device on psychosocial well-being was 6.0 ± 4.1 for PICC and 3.0 ± 2.7 for the port (p = 0.005). Complications related to PICCs occurred in 38% patients versus 41% with a port (p > 0.24). Conclusions: Although subjects with a port experienced more pain during the device insertion or access for chemotherapy, it had a smaller negative impact on psychosocial scores than the PICC. No significant differences in complications rates were observed between the two devices.

scholarly journals Filipino head and neck cancer patients and their quality of life

2020 ◽  
Vol 6 (3) ◽  
pp. 439
Author(s):  
Frederic Ivan L. Ting ◽  
Aylmer Rex B. Hernandez ◽  
Reno Eufemon P. Cereno ◽  
Irisyl B. Orolfo-Real ◽  
Corazon A. Ngelangel
Keyword(s):  
Quality Of Life ◽  
Head And Neck Cancer ◽  
Head And Neck ◽  
Cancer Patients ◽  
Neck Cancer ◽  
The Philippines ◽  
Head And Neck Cancers ◽  
The Social ◽  
The University

<p class="abstract"><strong><span lang="EN-US">Background: </span></strong>In the management of head and neck cancer (HNC), assessment of quality of life (QoL) is imperative because of the potentially debilitating effect of treatment toxicities. Currently, there are no published data assessing the QoL in Filipino HNC patients, thus this study.</p><p class="abstract"><strong><span lang="EN-US">Methods: </span></strong>This cross-sectional study utilized the University of the Philippines - Department of Health Quality of Life scale. Patients with head and neck cancers at the University of the Philippines - Philippine General Hospital from February to September 2019 were invited to participate.  </p><p class="abstract"><strong><span lang="EN-US">Results: </span></strong>A total of 418 patients were included in the study with a mean age of 42 years old (range 18 to 73 years old). In general, Filipino head and neck cancer patients had moderate QoL (mean score of 4.59±0.79). All of the QoL domains (physical, emotional, cognitive, and related functions) had a score of 3-5 (moderate), except for the social status domain which had a mean score of 5.51±0.83 (high). Among socio-demographic factors, patients who are employed and with additional funding sources on top of their income have better global QoL (p&lt;0.01). Clinically, patients with higher stages of disease, fungating tumors, post-laryngectomy, have a feeding tube, with a tracheostomy, and had chemotherapy have lower global QoL (p&lt;0.01).</p><p class="abstract"><strong><span lang="EN-US">Conclusions: </span></strong>Filipino patients with head and neck cancers have an overall moderate quality of life, with high scores in the social domain. Patients with higher tumor burdens and have been exposed to chemotherapy have lower QoL scores, while patients with financial stability and aid have better QoL scores.</p><p class="abstract"><span lang="EN-US"> </span></p>

scholarly journals Improving quality of life in cancer patients through higher participation and health literacy: study protocol for evaluating the oncological social care project (OSCAR)

2019 ◽  
Vol 19 (1) ◽  
Author(s):  
Johann Frick ◽  
Daniel Schindel ◽  
Pimrapat Gebert ◽  
Ulrike Grittner ◽  
Liane Schenk
Keyword(s):  
Quality Of Life ◽  
Cancer Patients ◽  
Patient Reported Outcomes ◽  
Social Care ◽  
The Social ◽  
Patient Reported ◽  
Mixed Method Design ◽  
Insurance Funds ◽  
Health Insurance Funds

Abstract Background Cancer patients experience psychological and social distress due to their medical treatment and social issues. However, continuous and specialized social support is still lacking. In Germany, a group of company health insurance funds has developed an approach to support cancer patients with monthly structured interviews conducted by specially trained Social Care Nurses. The nurses will identify patient needs in order to provide help with medical, personal, and social matters. One aim of the scientific evaluation is to analyze the effect of the consultations on various patient-reported outcomes, especially quality of life. The evaluation concept will be described in this study protocol. Methods/design The evaluation is a non-randomized, controlled, multi-center intervention study with a mixed-method design. It consists of three research modules which include primary data from questionnaires, and claims data from the health insurance funds. In Module 1, cancer patients will be recruited to form an intervention group (OSCAR, n = 150) and a control group (n = 200) in four study centers for a period of 1 year. One baseline and three follow-up questionnaires will be conducted to survey the patient-reported outcomes. Relevant secondary outcomes are health literacy, participation, and physician-patient communication. In Module 2, claims data will be used to analyze cost effects and thereby assess effectivity and hospitalization. Module 3 will involve a qualitative analysis of project diaries kept by the Social Care Nurses. The diaries will record the nurses’ practical experiences and the benefits of deploying OSCAR across the German healthcare system. Discussion OSCAR is an innovative way of providing cancer patients with continuous support to improve their quality of life. The evaluation concept aims to assess the effects of the monthly consultations by the Social Care Nurses on the patients, and will use a mixed-method design. The results are important for assessing the transferability of OSCAR to the healthcare system as a whole. Trial registration German Clinical Trials Register (DRKS-ID: DRKS00013640). Registered 29 December 2017.

scholarly journals Health-related quality of life and its predictors among patients with breast cancer at Tikur Anbessa Specialized Hospital, Addis Ababa, Ethiopia

2019 ◽  
Vol 17 (1) ◽  
Author(s):  
Selamawit Gebrehiwot Sibhat ◽  
Teferi Gedif Fenta ◽  
Beate Sander ◽  
Gebremedhin Beedemariam Gebretekle
Keyword(s):  
Breast Cancer ◽  
Quality Of Life ◽  
Cancer Patients ◽  
Addis Ababa ◽  
Breast Cancer Patients ◽  
Specialized Hospital ◽  
Tikur Anbessa Specialized Hospital ◽  
The Mean ◽  
Eortc Qlq

Abstract Background Breast cancer is the second most prevalent malignancy in Ethiopia and severely affects patients’ health-related quality of life (HRQOL). We aimed to assess HRQoL, factors influencing HRQoL, and utilities among breast cancer patients at Tikur Anbessa Specialized Hospital, Addis Ababa, Ethiopia. Methods A hospital-based cross-sectional study was conducted in Tikur Anbessa Specialized Hospital from December 2017 to February, 2018. A total of 404 breast cancer patients were interviewed using the validated Amharic version of the European Organization for Research and Treatment of Cancer module (EORTC QLQ-C30), EORTC QLQ-BR23, and Euro Quality of Life Group’s 5-Domain Questionnaires 5 Levels (EQ-5D-5 L) instruments. Mean scores and mean differences of EORTC- QLQ-C30 and EORTC- QLQ-BR23 were calculated. One-way ANOVA test was employed to determine the significance of mean differences among dependent and independent variables while stepwise multivariate logistic regression was used to identify factors associated with the global quality of life (GQOL). Coefficients and level specific utility values obtained from a hybrid regression model for the Ethiopian population were used to compute utility values of each health state. Data was analyzed using SPSS version 23. Results The mean age of patients was 43.94 ± 11.72 years. The mean score for GQoL and visual analog scale was 59.32 ± 22.94 and 69.94 ± 20.36, respectively while the mean utility score was 0.8 ± 0.25. Predictors of GQoL were stage of cancer (AOR = 7.94; 95% CI: 1.83–34.54), cognitive functioning (AOR = 2.38; 95% CI: 1.32–4.31), pain (AOR = 7.99; 95% CI: 4.62–13.83), financial difficulties (AOR = 2.60; 95% CI: 1.56–4.35), and future perspective (AOR = 2.08; 95% CI: 1.24–3.49). Conclusions The overall GQoL of breast cancer patients was moderate. Targeted approaches to improve patients’ HRQoL should consider stage of cancer, cognitive functioning, pain, financial status and worries about the patient’s future health. This study also provides estimates of EQ-5D utility scores that can be used in economic evaluations.

The study of cancer patients’ distress

2014 ◽  
Vol 21 (2) ◽  
pp. 51-56 ◽  
Author(s):  
Ūla Lunevičiūtė ◽  
Egidija Masteikienė
Keyword(s):  
Quality Of Life ◽  
Cancer Patients ◽  
Physical Problem ◽  
Distress Thermometer ◽  
Problem List ◽  
Distress Score ◽  
The Mean

Background. Distress of cancer patients is often left unnoticed and it induces various problems: it is harder for patients to adjust to the illness, the quality of life is poorer, it causes much distress for the team of oncologists. 1 year before in the VU Institute of Oncology the Distress Thermometer was started to be used for all patients in the hospital. Purpose. To explore distress prevalence and features of cancer patients’ in the hospital. Participants and methods. There were 488 participants. The Distress Thermometer (DT) was used to evaluate distress of the participants. DT consists of a Likert type scale from 0 to 10 that assesses the strength of experienced distress, and a problem list that includes practical, family, emotional, spiritual and physical problem groups. Results. The mean score of distress of all participants was 3.47 (SD = 2.47). 82% of participants pointed from 0 to 5 scores, 18% of participants indicated from 6 to 10 scores. There was a statistically significant corellation between the distress score and the number of problems (r = 0.43, p 

QOL assessment in head and neck cancer patients undergoing neoadjuvant chemotherapy and its impact on overall survival.

2019 ◽  
Vol 37 (15_suppl) ◽  
pp. e17519-e17519
Author(s):  
Sachin Dhumal ◽  
Vijay Maruti Patil ◽  
Vanita Noronha ◽  
Amit Joshi ◽  
Atanu Bhattacharjee ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Head And Neck Cancer ◽  
Neoadjuvant Chemotherapy ◽  
Head And Neck ◽  
Cancer Patients ◽  
Neck Cancer ◽  
Treatment Options ◽  
Life Assessment ◽  
The Mean

e17519 Background: NACT (neoadjuvant chemotherapy) is one of the treatment options in advanced head and neck cancer (H&N cancer); however there is limited quality of life data available in these patients. Methods: Between August 2013- April 2014, 90 technically unresectable H&N cancer patients who were underwent NACT at our centre were selected for this analysis. EORTC QLQ-C30 and HN35 version 3.0 was used for quality of life assessment at baseline and after 02 cycles of NACT. PFS and OS was estimated by Kaplan Meier method. The mean change in QOL at various domains was calculated with 95% CI. The relationship between change in QOL domain and OS was analysed. Results: The median age of the cohort was 45 years (Range 21-65 years). The predominant subsite was oral cavity, in 62 patients (68.9%).The median PFS and OS was 10.53 months (95%CI 8.1-13.0) and 20.8 months (95%CI 15.1-26.5). The mean scores for all domains of QOL are shown in table 1. Conclusions: NACT leads to improvement in QOL in patients treated with head and neck cancers and its has impact on OS.[Table: see text]

scholarly journals CORRELATION OF POTENTIAL FACTOR THAT AFFECT THE QUALITY OF LIFE OF OSTEOARTHRITIS PATIENT IN RSUD DR. SOETOMO, SURABAYA BASED ON TRANSLATED AND TRANSADAPTED OF THE KNEE OSTEOARTHRITIS OUTCOME SCORE (KOOS) QUESTIONNAIRE

2018 ◽  
Vol 18 (1) ◽  
Author(s):  
Ahmad Naqib bin Baharom ◽  
Sulis Bayu Sentono
Keyword(s):  
Quality Of Life ◽  
Outpatient Clinic ◽  
Physical Activities ◽  
Main Role ◽  
Research Subjects ◽  
Cross Sectional ◽  
Osteoarthritis Patient ◽  
History Of ◽  
The Mean

Abstract. Background: Osteoarthritis is a degenerative process disease and is a leading cause of pain and disability. It is also ranked as 11th highest contributor to disability worldwide. Many risk factors have been known that can speed the progression of osteoarthritis.Purpose: To study the correlation between age, gender, BMI, physical activities and history of trauma with quality of life in clinically diagnosed osteoarthritis patients in Orthopaedic and Traumatology Outpatient Clinic between January 2015 until December 2016.Method: This research is a hospital-based cross-sectional analytic study. The samples are clinically diagnosed osteoarthritis patients in Orthopaedic and Traumatology Outpatient Clinic in RSUD Dr. Soetomobetween January 2015 until December 2016.Results: There were 43 patients that can be reach in Orthopaedic and Traumatology Outpatient Clinic in RSUD Dr. Soetomo between January 2015 until December 2016. The mean age is 54.35 ± 5.32 years old and the most gender in the subjects are female (72.1%). The mean BMI of the subjects are 26.20 ± 3.75 and most of them are overweight (60.5%). Most of the subjects never have history of trauma (76.7%) and also have an inactive physical activities (65.1%). The quality of life of the research subjects have a mean score of 42.86 ± 12.54. After that, the correlation between the age, gender, BMI, physical activities, history of trauma and quality of life is tested. It is found that there is a significant correlation between gender, BMI and physical activities with quality of life but no significant correlation between age and history of trauma with quality of life.Conclusion: Gender still a main role in osteoarthritis development with women have a higher risk. Also patients with higher BMI and inactive patients will have a decrease quality of life. Most of the patients have an moderate quality of life.Keywords: osteoarthritis, quality of life, age, gender, physical activities, BMI, history of trauma

scholarly journals Effects and Implementation of a Mindfulness and Relaxation App for Cancer Patients: Mixed-Methods Feasibility Study (Preprint)

2019 ◽  
Author(s):  
Michael Mikolasek ◽  
Claudia Margitta Witt ◽  
Jürgen Barth
Keyword(s):  
Quality Of Life ◽  
Mixed Methods ◽  
Medical Care ◽  
Cancer Patients ◽  
Feasibility Study ◽  
Health Professionals ◽  
Controlled Trial ◽  
Standard Medical Care ◽  
Related Quality

BACKGROUND A cancer diagnosis and cancer treatment can cause high levels of distress, which is often not sufficiently addressed in standard medical care. Therefore, a variety of supportive non-pharmacological treatments have been suggested to reduce cancer patients’ distress. However, not all patients use those interventions because of limited access or being unaware. To overcome these barriers, mHealth might be a promising way to deliver respective supportive treatments. OBJECTIVE The aim of this study was to evaluate effects and the implementation of a mindfulness and relaxation app intervention for cancer patients as well as patients’ adherence to such an intervention. METHODS In this observational feasibility study with a mixed-methods approach, cancer patients were recruited online and through hospitals in Switzerland. All enrolled patients received access to a mindfulness and relaxation app. Patients completed self-reported outcomes (general health, health-related quality of life, anxiety, depression, distress, mindfulness, and fear of progression) at baseline, week 4, 10, and 20. The frequency of app exercise usage was gathered directly through the app in order to assess the adherence of patients. In addition, we conducted interviews with 5 health professionals for their thoughts on the implementation of the app intervention into standard medical care. We analyzed patients’ self-reported outcomes with linear mixed models (LMM) and qualitative data with content analysis. RESULTS A total of 100 cancer patients (74 female) with a mean age of 53.2 (SD 11.6) participated in the study, of which 25 patients used the app regularly until week 20. LMM analyses revealed an improvement in anxiety (P=.04), distress (P<.001), fatigue (P=.01), sleep disturbance (P=.02), quality of life (P=.03), and mindfulness (P<.001) over the course of 20 weeks. Further LMM analyses revealed a larger improvement of distress (P<.001), a moderate improvement of anxiety (P=.001), and depression (P=.03) in patients with high symptom levels at baseline in the respective domains. The interviews revealed that the health professionals perceived the app as a helpful addition to standard care. They also made suggestions for improvements, which could facilitate the implementation and adherence to such an app. CONCLUSIONS This study indicates that a mindfulness and relaxation app for cancer patients can be a feasible and effective way to deliver a self-care intervention, especially for highly distressed patients. Future studies should investigate if the appeal of the app can be increased with more content and the effectiveness of such an intervention needs to be tested in a randomized controlled trial. CLINICALTRIAL

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