IDEAS home Printed from https://ideas.repec.org/a/gam/jijerp/v18y2021i9p4926-d549234.html
   My bibliography  Save this article

Mental Adjustment as a Predictor of Comprehensive Quality of Life Outcome among Patients with Terminal Cancer

Author

Listed:
  • Li-Fang Chang

    (Department of Nursing, Tri-Service General Hospital, Taipei 11490, Taiwan
    Graduate Institute of Medical Sciences, National Defense Medical Center, Taipei 11490, Taiwan)

  • Chi-Kang Lin

    (Department of Gynecology and Obstetrics, Tri-Service General Hospital, National Defense Medical Center, Taipei 11490, Taiwan)

  • Li-Fen Wu

    (Department of Nursing, Tri-Service General Hospital, Taipei 11490, Taiwan
    Graduate Institute of Medical Sciences, National Defense Medical Center, Taipei 11490, Taiwan)

  • Ching-Liang Ho

    (Division of Hematology and Oncology, Tri-Service General Hospital, National Defense Medical Center, Taipei 11490, Taiwan)

  • Yi-Ling Lu

    (Department of Nursing, Tri-Service General Hospital, Taipei 11490, Taiwan
    These authors contributed equally to this work.)

  • Hsueh-Hsing Pan

    (Department of Nursing, Tri-Service General Hospital, Taipei 11490, Taiwan
    School of Nursing, National Defense Medical Center, Taipei 11490, Taiwan
    These authors contributed equally to this work.)

Abstract

Using path modeling, this study aimed to explore whether mental adjustment was directly or indirectly related to comprehensive quality of life outcome (CoQoLO) among patients with terminal cancer. We conducted a cross-sectional designed study among patients with terminal cancer who underwent convenience sampling at our northern Taiwan clinic from August 2019 to August 2020. Patient characteristics data were collected via structured questionnaires, namely, the Mini-Mental Adjustment to Cancer Scale and the Comprehensive Quality of Life Outcome Inventory. Descriptive statistics and regression analyses were used to examine the relationship between mental adjustment and CoQoLO. Path analysis described the dependencies among variables. For the 117 enrolled patients analyzed, MAC (β = 1.2, 95% confidence interval (CI) = 0.8–1.6, p < 0.001) and living with others (β = 19.9, 95% CI = 4.1–35.7, p = 0.015) were significant predictors and correlated positively with a CoQoLO score. Path modeling showed that the patients’ mental adjustment, economic status, perceived disease severity, palliative prognostic index, and symptom severity directly affected their CoQoLO. Our results indicate that the higher the mental adjustment, the better the CoQoLO among patients with terminal cancer. Thus, nurses need to assess mental adjustment levels when patients are hospitalized and accordingly develop interventions to improve the terminally ill patients’ mental adjustment to the final stages of cancer, thereby helping them to achieve good CoQoLO.

Suggested Citation

  • Li-Fang Chang & Chi-Kang Lin & Li-Fen Wu & Ching-Liang Ho & Yi-Ling Lu & Hsueh-Hsing Pan, 2021. "Mental Adjustment as a Predictor of Comprehensive Quality of Life Outcome among Patients with Terminal Cancer," IJERPH, MDPI, vol. 18(9), pages 1-11, May.
    • Handle: RePEc:gam:jijerp:v:18:y:2021:i:9:p:4926-:d:549234
    as

    Download full text from publisher

    File URL: https://www.mdpi.com/1660-4601/18/9/4926/pdf
    Download Restriction: no
    File URL: https://www.mdpi.com/1660-4601/18/9/4926/
    Download Restriction: no
    ---><---

    References listed on IDEAS

    as
    1. Lena Axelsson & Birgitta Klang & Carina Lundh Hagelin & Stefan H Jacobson & Sissel Andreassen Gleissman, 2015. "Meanings of being a close relative of a family member treated with haemodialysis approaching end of life," Journal of Clinical Nursing, John Wiley & Sons, vol. 24(3-4), pages 447-456, February.
    Full references (including those not matched with items on IDEAS)

    Most related items

    These are the items that most often cite the same works as this one and are cited by the same works as this one.
    1. Li-Fang Chang & Li-Fen Wu & Chi-Kang Lin & Ching-Liang Ho & Yu-Chun Hung & Hsueh-Hsing Pan, 2021. "Inpatient Hospice Palliative Care Unit and Palliative Consultation Service Enhance Comprehensive Quality of Life Outcomes in Terminally Ill Cancer Patients: A Prospective Longitudinal Study," IJERPH, MDPI, vol. 18(17), pages 1-12, August.

    Corrections

    All material on this site has been provided by the respective publishers and authors. You can help correct errors and omissions. When requesting a correction, please mention this item's handle: RePEc:gam:jijerp:v:18:y:2021:i:9:p:4926-:d:549234. See general information about how to correct material in RePEc.

    If you have authored this item and are not yet registered with RePEc, we encourage you to do it here. This allows to link your profile to this item. It also allows you to accept potential citations to this item that we are uncertain about.

    If CitEc recognized a bibliographic reference but did not link an item in RePEc to it, you can help with this form .

    If you know of missing items citing this one, you can help us creating those links by adding the relevant references in the same way as above, for each refering item. If you are a registered author of this item, you may also want to check the "citations" tab in your RePEc Author Service profile, as there may be some citations waiting for confirmation.

    For technical questions regarding this item, or to correct its authors, title, abstract, bibliographic or download information, contact: MDPI Indexing Manager (email available below). General contact details of provider: https://www.mdpi.com .

    Please note that corrections may take a couple of weeks to filter through the various RePEc services.

    IDEAS is a RePEc service. RePEc uses bibliographic data supplied by the respective publishers.