Treatment-related decisional conflict, quality of life, and comorbid illness in older adults with cancer
Visits vs Downloads
Visitors - World Map
Top Visiting Countries
Top Visiting Cities
Visits (last 6 months)
Downloads (last 6 months)
Popular Works for Kates, Jeannette M. by View
Popular Works for Kates, Jeannette M. by Download
As the aging population the nation increases, cancer diagnoses in this age group will also increase. The many chronic medical conditions associated with older adults will be confounded by a diagnosis of cancer. Older adults with cancer are at risk for physical, psychological, and functional decline as a result of not only the cancer, but also the cancer treatment. This study utilized a cross-sectional, descriptive, correlational study design to explore the relationships between and among treatment-related decisional conflict, quality of life and comorbidity in older adults with cancer. An anonymous survey method was employed. The criteria for inclusion in this study were: (a) 65 years of age or older, (b) English-speaking, (c) ability to read English at an eighth grade level, (d) having a current cancer diagnosis, and (e) currently receiving cancer treatment. A sample size of 200 was recruited for this study from outpatient medical oncology, radiation oncology and palliative care practices in New Jersey. The participants completed four instruments including: (a) Decisional Conflict Scale (DCS), (b) Self- Administered Comorbidity Questionnaire (SCQ), (c) European Organization for Research and Treatment of Cancer Quality of Life Questionnaire (EORTC QLQ-C30), and (d) Demographic Information Form (DIF). Bivariate relationships existed between increased levels of decisional conflict and increased quality of life (p = .009) and quality of life and comorbidity (p = .001). All six regression models achieved significance (p < .001). Three to five statistically significant relationships were identified in each of the six regression models. Positive relationships existed between decisional conflict and financial problems, physical function, and global health status/quality of life. Increased emotional function may be predictive of decreased decisional conflict in all of the regression models. Other negative relationships existed between decisional conflict and cognitive function, diarrhea, spiritual support, insomnia, year diagnosed, fatigue, and nausea/vomiting. With their focus on patient-centered care, nurses are a crucial component of the multidisciplinary cancer team that can empower older cancer patients to communicate their values and preferences regarding cancer treatment.
|Review Type||None: Degree-based Submission|
|Evidence Level||Cross-Sectional Study|
|Research Approach||Quantitative Research|
Quality of Life
|CINAHL Subject(s)||Cancer Patients--In Old Age;
Decision Making, Patient--In Old Age;
Quality of Life;
Attitude to Illness;
Patient Centered Care
All rights reserved by the author(s) and/or publisher(s) listed in this item record unless relinquished in whole or part by a rights notation or a Creative Commons License present in this item record.
All permission requests should be directed accordingly and not to the Sigma Repository.
All submitting authors or publishers have affirmed that when using material in their work where they do not own copyright, they have obtained permission of the copyright holder prior to submission and the rights holder has been acknowledged as necessary.
Showing items related by title, author, creator and subject.
Association between Treatment-Related Symptoms and Quality of Life among a Sample of Patients with Breast Cancer Tsai, Ching-Fen; Liu, Chien-Liang; Liao, Yuan-Mei (2016-03-17)Session presented on Friday, July 24, 2015: Purpose: Patients with breast cancer receiving disease related treatments might trigger early onset of menopause and lead to early exposure of menopause related symptoms. Healthcare ...
Deciding to Withhold/Withdraw Life-sustaining Treatments from Incompetent Adults Following Unanticipated, Catastrophic illnesses: A Phenomenological Study of Surrogate Decision Makers' Experiences Hayes, Carolyn M.The purpose of this study was to describe the experience and meaning of having made a decision to withhold and/or withdraw life-sustaining treatments from an adult who was rendered incompetent following an unanticipated, ...
Oncology Nurses' Knowledge and Perceptions Regarding Music Therapy Effectiveness for Cancer Treatment-Related Symptoms in Adults Samley, Hannah M.; Fall-Dickson, Jane M.; Tefera, Eshetu (2016-09-26)Session presented on Sunday, September 18, 2016: Background: Music therapy has shown efficacy for management of cancer treatment-related symptoms in the adult oncology treatment setting1-4; thus, oncology nurses need ...
Impact of Chemotherapy on the Quality of Life and Functional Status of Older Adults with Non-small Cell Lung Cancer Sarna, Linda PattiLung cancer is the number one cause of cancer death in the United States and the incidence is increasing over 65 years of age. The lack of effective treatment for advanced non-small cell lung cancer makes factors other ...
Oral medication adherence, attitude, and quality of life in older adults with cancer: The impact of motivational interviewing Tipton, JanelleOral medication adherence in the older adult with cancer, age 65 years and older, is a significant clinical problem. Adherence rates are estimated at only 50%, which can lead to suboptimal treatment efficacy, poor symptom ...