Skip to main content

Advertisement

Log in

Evaluation of Quality of Life and Health Care Needs in Cancer Patients Receiving Chemotherapy

  • Published:
Journal of Cancer Education Aims and scope Submit manuscript

Abstract

Symptoms are decisive in the quality of life of patients. Progression of the underlying disease leads to many physical and psychological symptoms in patients. Increases in these symptoms often prevent patients from complying with treatment. Therefore, the symptoms must be recognized, evaluated, and controlled for the treatment to be effective. This study determined the unmet needs of patients undergoing chemotherapy treatment and the effects of these needs on the patients’ quality of life. Four hundred fifty patients were studied. Data were collected using the Patient Information Form, the Nightingale Symptom Assessment Scale (N-HAQ), the Supportive Care Requirements Questionnaire (DBGÖ), and the FACT-G (v4) Quality of Life Scale. The areas in which patients needed the most support were pain, weakness/fatigue, bad feelings, sadness, mood swings, difficulty in doing home-related tasks, fear of the cancer spreading, inability to control the situation, worries about the future, fear of death, worries about upsetting relatives, and being in need of information regarding their sexual lives. The results showed that for patients who had higher support requirements, higher incidences of symptoms led to a reduced quality of life. Consequently, frequently evaluating these symptoms to meet the needs identified, frequently measuring the quality and efficiency of care and advising these patients on their needs is recommended.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Similar content being viewed by others

References

  1. Durna Z (2013) Internal medicine nursing, İstanbul. Academy Press and Publication

  2. http://kanser.gov.tr/kanser/kanser-taramalari/1444-kanser-taramaları-kısa-rapor-2014.html . Erişim Tarihi: 01.12.2015

  3. Can G (2013b) Neoplastic Diseases and Care. In: Durna Z (ed) Internal Medicine Nursing. Academy Press and Publication, İstanbul, pp 255–271

    Google Scholar 

  4. Can G (2014a) Oncology nursing. Nobel Medical Bookstore, İstanbul

    Google Scholar 

  5. Can G (2014b) From evidence to practice in oncology nursing. Oncology nursing. Nobel Medical Bookstore, İstanbul

    Google Scholar 

  6. Koşar A, Öztürk M (2004). Internal sciences. Nobel Medical Bookstore, İstanbul

  7. Ergüney S (2013) AJCC atlas of cancer staging. Nobel Medical Bookstore, İstanbul

    Google Scholar 

  8. Sözeri E, Kutlutürkan S (2015) Taste Modification due to Chemotherapy and Nursing Care. J Breast Health 5(Ek):99–10. https://doi.org/10.16899/ctd.86756

    Article  Google Scholar 

  9. Seven M, Akyüz A, Sever N, Dinçer Ş (2013) Determination of physical and psychological symptoms of patients with cancer diagnosis. TAF Prev Med Bull 12(3):219. https://doi.org/10.5455/pmb.1-1343053458

    Article  Google Scholar 

  10. Bagcivan G, Uysal N, Karaaslan A, Kapucu S, Talas M, Terakye G (2015) Turkey published between the years of 2009-2013 in the field of oncology nursing investigation of the researches: systematic review. Turk J Oncol 30(1):5–15. https://doi.org/10.5505/tjoncol.2015.1195

    Article  Google Scholar 

  11. Çeler HG, Özyurt BC, Elbi H, Özcan F (2017) Evaluation of the quality of life and the burden of care in the relatives of breast cancer patients. Ank Med J 18(2):164–174

  12. Yildiz, E., Dedeli, Ö., Pakyüz, S. Ç. (2016). Investigation of the burden of care and quality of life of family members who Care for Cancer Patients. doi:https://doi.org/10.5222/HEAD.2016.216,

  13. Kaya N, Bolol N, Ülgen S, İşçi Ç, Özen S, Akgün G (2018) Quality of life and affecting factors of relatives of caregivers responsible for care of cancer. Clin Exp Health Sci 8:25–35. https://doi.org/10.5152/clinexphealthsci.2017.422

    Article  Google Scholar 

  14. Lelorain S, Cattan S, Lordick F, Mehnert A, Mariette C, Christophe V, Cortot A (2018) In which context is physician empathy associated with cancer patient quality of life? Patient Educ Couns 101(7):1216–1222. https://doi.org/10.1016/j.pec.2018.01.023

    Article  PubMed  Google Scholar 

  15. Teo I, Cheung YB, Lim TYK, Namuduri RP, Long V, Tewani K (2018) The relationship between symptom prevalence, body image, and quality of life in Asian gynecologic cancer patients. Psycho-oncology 27(1):69–74. https://doi.org/10.1007/s00520-018-4304-0

    Article  PubMed  Google Scholar 

  16. Kahveci K, Gökçınar D (2014) Palliative care. Nobel Medical Bookstore, İstanbul

    Google Scholar 

  17. Diplock BD, McGarragle KM, Mueller WA, Haddad S, Ehrlich R, Yoon DHA, Myers J, Mitchell AJ, Ellis JWM (2018) The impact of automated screening with Edmonton symptom assessment system (ESAS) on health-related quality of life, supportive care needs, and patient satisfaction with care in 268 ambulatory cancer patients. Support Care Cancer 27:1–10. https://doi.org/10.1007/s00520-018-4304-0

    Article  Google Scholar 

  18. Rha SY, Park Y, Song SK, Lee CE, Lee J (2015) Caregiving burden and the quality of life of family caregivers of cancer patients: the relationship and correlates. Eur J Oncol Nurs 19(4):376–382. https://doi.org/10.1016/j.ejon.2015.01.004

    Article  PubMed  Google Scholar 

  19. Sankhe A, Dalal K, Agarwal V, Sarve P (2017) Spiritual care therapy on quality of life in cancer patients and their caregivers: a prospective non-randomized single-cohort study. J Relig Health 56(2):725–731. https://doi.org/10.1007/s10943-016-0324-6

    Article  CAS  PubMed  Google Scholar 

  20. Leach CR, Troeschel AN, Wiatrek D, Stanton AL, Diefenbach M, Stein KD, Sharpe K, Portier K (2017) Preparedness and cancer-related symptom management among cancer survivors in the first year post-treatment. Ann Behav Med 51(4):587–598. https://doi.org/10.1007/s12160-017-9880-6

    Article  PubMed  Google Scholar 

  21. Uysal N, Şenel G, Karaca Ş, Kadıoğulları N, Koçak N, Oğuz G (2015) Symptoms seen in inpatient palliative care and impact of palliative care unit on symptom control. Pain Magazine 27(2):104–111. https://doi.org/10.5505/agri.2015.26214

    Article  Google Scholar 

  22. McDowell ME, Occhipinti S, Ferguson M, Dunn J, Chambers SK (2010) Predictors of change in unmet supportive care needs in cancer. Psycho-Oncology 19(5):508–516. https://doi.org/10.1002/pon.1604

    Article  CAS  PubMed  Google Scholar 

  23. Yıldırım NK, Kaçmaz N, Özkan M (2013) Unreserved care requirements of advanced stage cancer patients. J Psychiatr Nurs 4(3):153–158. https://doi.org/10.5505/phd.2013.63825

    Article  Google Scholar 

  24. Rainbird K, Perkins J, Sanson-Fisher R, Rolfe I, Anseline P (2009) The needs of patients with advanced, İncurable cancer. Br J Cancer 101:759–64.2. https://doi.org/10.1038/sj.bjc.6605235

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  25. Bayram Z (2012). Assessment of symptoms and care requirements in patients receiving breast cancer chemotherapy. Haliç University Institute of Health Sciences (Advisor: Prof. Dr. Zehra Durna)

  26. So WKW, Choi KC, Chen JMT, Chan CWH, Chair SY, Fung OWM, Wan RWM, Mak SSS, Ling WM, Ng WT, Bernice WLY (2014) Quality of life in head and neck cancer survivors at 1 year after treatment: the mediating role of unmet supportive care needs. Eur J Oncol Nurs 22(11):2917–2926. https://doi.org/10.1007/s00520-014-2278-0

    Article  Google Scholar 

  27. Boyes A, Girgis A, Lecathelinais C (2009) Brief assessment of adult cancer patients’ perceived needs: development and validation of the 34-item supportive care needs scale (SCNS-SF34). J Eval Clin Pract 15(4):602–606. https://doi.org/10.1111/j.1365-2753.2008.01057.x

    Article  PubMed  Google Scholar 

  28. Çetiner M, Kalaca S, Birtaş E (2004) Evaluation of quality of life in patients with hematopoietic coke cell transplantation. Turk J Hematol 21:6–7 ISSN: 1300-7777 E-ISSN: 1308-5263

    Google Scholar 

  29. Gültekin Z, Pınar G, Pınar T, Kızıltan G, Doğan N, Algıer L, Bulut I, Özyılkan Ö (2008) Health-related quality of life and health care services expectations of the patients with lung Cancer. Int J Hematol Oncol 2:18

    Google Scholar 

  30. Arslan S, Akın B, Koçoğlu D (2008) The relationship between the socio-demographic characteristics and perceived social support of the symptoms related to disease and treatment in patients receiving chemotherapy. J Nurs Res 1:1. ISSN:1307- 9557 (Basılı), ISSN: 1307- 9549 (Online)

    Google Scholar 

  31. Reis N, Coşkun A, Kızılkaya Beji N (2010) Quality of life and factors affecting gynecologic cancer. Anadolu J Nurs Health Sci 9(2):25–35 Retrieved from http://dergipark.gov.tr/ataunihem/issue/2633/33874

    Google Scholar 

  32. Dedeli Ö, Fadiloğlu Ç, Uslu R (2008) A survey of functional living and social support in patients with cancer. Turk J Oncol 23(3):132–139 Retrieved from http://onkder.org/pdf/pdf_TOD_699.pdf

    Google Scholar 

Download references

Acknowledgements

The authors would like to thank all participants for their involvement.

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Gamze Temiz.

Ethics declarations

Ethical Consideration

Institutional permission was obtained from the Haliç University Ethics Committee and Public Training and Research Hospital before starting the study. Participants’ verbal and written consent was obtained. Patients with perceptual or psychiatric disorders preventing communication or those unwilling to participate were excluded from the study

Conflict of interest

The authors declare that they have no conflict of interest.

Additional information

Publisher’s Note

Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.

Rights and permissions

Reprints and permissions

About this article

Check for updates. Verify currency and authenticity via CrossMark

Cite this article

Temiz, G., Durna, Z. Evaluation of Quality of Life and Health Care Needs in Cancer Patients Receiving Chemotherapy. J Canc Educ 35, 796–807 (2020). https://doi.org/10.1007/s13187-019-01533-2

Download citation

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s13187-019-01533-2

Keywords

Navigation