Predictors of Quality of Life in Elderly Hospice Patients with Cancer.
Predictors of Quality of Life in Elderly Hospice Patients with Cancer.
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DOI：
10.1097/njh.0b013e31821adb2d
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发表时间：
2011-09
期刊：
影响因子：
--
通讯作者：
McMillan SC
中科院分区：
文献类型：
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作者：
Garrison CM;Overcash J;McMillan SC
虽然生活质量是临终关怀护理的重点，但对临终关怀家庭护理中癌症患者的生活质量进行的研究有限。本研究的目的是探讨在家中接受临终关怀的老年人生活质量的预测因素。使用线性回归对来自较大研究的数据进行二次分析，包括以下预测变量：年龄、功能状态、认可的症状数量、总体症状困扰、疼痛强度和抑郁症状。结果变量是生活质量。样本由 533 名成年人组成，平均年龄为 78.1 岁（SD=7.4）。包含症状困扰、症状数量、抑郁和功能状态的回归模型解释了生活质量差异的 46%。疼痛、年龄和看护者抑郁对预测生活质量没有贡献，因此没有包含在最终模型中。由于身体症状和抑郁症都是生活质量的预测因素，因此为临终癌症的老年人提供护理的人员需要持续关注这些因素。
While quality of life is the focus of care in hospices, limited research has been conducted on the quality of life of cancer patients in hospice home care. The purpose of this study was to explore the predictors of quality of life of older adults who are receiving hospice care in their homes. A secondary analysis of data from a larger study was conducted using linear regression and including the following predictor variables: age, functional status, number of symptoms endorsed, overall symptom distress, pain intensity, and depressive symptoms. The outcome variable was quality of life. The sample consisted of 533 adults with an average age of 78.1 years (SD=7.4). A regression model that included symptom distress, number of symptoms, depression, and functional status accounted for 46% of the variance in quality of life. Pain, age, and caregiver depression did not contribute to predicting quality of life and therefore were not included in the final model. Because both physical symptoms and depression are predictors of quality of life, a continued focus is needed on these factors by those providing care to older adults with cancer near the end of life.