1,720,975 research outputs found
Report(RIGS15-088-0088): Quality of life assessment in head and neck cancer survivors: a follow-up study in East Coast Of Malaysia
Get PDFIntroduction: Head and neck cancer is the fifth most common cancer in Malaysia. Head and neck cancer survivors have potential negative effects of the tumour itself and its treatment on various functions such as swallowing, speaking, tasting, and smiling as well as on their appearance which will affect their quality of life. It also may lead to facial deformities or permanent changes in speech and expression which can effect social and emotional. Studies conclude that the complications after chemo-radiotherapy effect head and neck cancer survivor physically, psychologically and emotionally. Despite all the issues, quality of life of treatable head and neck cancer patients is unknown.
Aim: This study aims to measure the quality of life of treatable head and neck cancer patients before treatment and after 6 months of treatment.
Methods: In this study, a cohort study will be employed to fundamentally look into the actual situation of the head and neck cancer survivors’ quality of life. The sample will be those from Ear, Nose & Throat (ENT) clinic and dental clinic of 2 hospitals in East Coast Malaysia. Survey was done before and after 6 months of treatment using questionnaire quality-of-life cancer SURVIVOR (QOL-CS) and Quality-of-Life-Questionnaire-Head & Neck 35 (QLQ-H&N35). Semi-structured interview will be done by using recorder tape in each visit.
Results: The mean age of cancer detection was at 53 years, male (65%), married (85%) and squamous cell carcinoma being the most common (80%). Pharynx/ larynx were the most common site of tumour (50%) and surgeries were the most common treatment modality (75%). The mean score of QOL for HNC patient’s post-treatments is 4.84, which is significantly lower than pre-treatments score (6.22). Mean symptoms score for post-treatments is 1.25, lower than pre-treatments score (1.58). Patients experienced substantial decrease in amount of pain killer consumed during post-treatments. In terms of Quality of life of head and neck cancer patients were at medium level but reducing; mean score 6.22 before treatment and 4.84 after treatment. Analysis showed only health history (p-value=0.011<0.05; (p-value=0.012<0.05) was directly significant with the quality of life of HNC patients before and after the treatment. Post-treatment showed only marital status (p-value=0.000<0.05) factor associated with quality of life of HNC patients after the treatment.
Conclusion: Quality of life of the patient may reduce after treatment (medium level) and it could be due to underlying illnesses, the effect of other treatment or due to the advancement of cancer
Head and neck cancer patients’ quality of life: A conceptual analysis
No full textBackground of study: Treatment for head and neck cancer (HNC) may result in a variety of long-term consequences that might impair health-related quality of life (HRQOL). The aim of this study was to systematically review recent literatures on the quality of life HNC patients with a focus on physical and psychological issues and changes in the literature from the previous studies.
Methods: A systematic literature search was completed in PubMed, Medline, Science Direct, CINAHL and Google Scholar by means of combined search terms ‘head and neck cancer’, ‘quality of life’, ‘health related quality of life’ and ‘association between quality of life and head and cancer’. The review was restricted to full articles published in English, bio-medical journals (2000 to 2016). Only studies analyzed QOL using questionnaires European Organization for Research and Treatment of Cancer (EORTC) QLQ C 30 and EORTC QLQ H and N 35 were included. Studies related to validation of the questionnaire and purely psychological studies were excluded.
Results: The initial search yield 7050 original articles of which access to QOL of treatable HNC using EORTC questionnaire was 116. After considering the predetermined criteria, remaining 11 articles were included. These selected studies have revealed the enormous impact of HNC on survivors’ QOL. Although the global QOL of HNC cancer survivors recovered after treatment, problems with physical and psychological functioning may persist.
Conclusion: A Further high-quality study was required to develop appropriate and effective interventions in this population and develop programs that are aimed at maximizing rehabilitation outcomes
Fundamental of medical surgical and special senses nursing procedures
Get PDF"Welcome to 'Nursing Procedures: Fundamental of Medical Surgical and Special Senses Nursing,' a comprehensive guide explicitly tailored for second-year Bachelor of Nursing students. This procedure book is meticulously designed to focus solely on nursing procedures pertinent to wound management, medication administration, eye, ears, nose, and throat (ENT) procedures, offering concise, step-by-step instructions for essential clinical tasks. This resource aims to equip students with the foundational skills necessary to provide effective client care within these critical physiological domains by honing in on practical procedures. Each procedure is presented with clarity and precision, facilitating mastery and confidence in clinical practice. Whether in a classroom or clinical setting, this book serves as an invaluable companion, empowering students as they progress in their nursing journey.
Self-management through perceived symptoms impact among patients with nasopharyngeal cancer during phase 1 of cancer trajectory
Get PDFObjective: This study is conducted to understand in-depth the self management experience among the patients with nasopharyngeal cancer during the phase 1 of identification of the symptoms.
Method: Individual semi-structured interviews were held with patients diagnosed with nasopharyngeal cancer (N=16) in two general hospitals in Malaysia. Data were transcribed and analysed using framework analysis. Four phases of cancer trajectory identified. In this article, themes emerged inphase 1 is in focus.
Results: The finding suggest that during phase 1, patients self-manage their early symptoms of nasopharyngeal cancer based on their perception of the impact of the symptoms towards their life, because of the absent of knowledge on nasopharyngeal cancer.
Conclusion: Adequate, appropriate knowledge and information provision on nasopharyngeal cancer among public is highly in demand. It is crucial in promoting effective self-management on symptoms identification and subsequently early detection of nasopharyngeal cancer
Distress level and its contributing factors among caregiver of adolescent cancer patients: a review
Get PDFDistress is defined as a negative state in which an individual's coping mechanisms fail to restore physiological or psychological homeostasis. This condition may arise from severe or prolonged stressors, or from the cumulative impact of multiple stressors, resulting in adverse effects on the overall well-being. In this study, the stressors are identified as challenges faced by the parents as the main caregivers for an adolescent with cancer. Despite their strong desire to support and protect children, parents must cope with their own fears and concerns (distress), creating a dual crisis for them. Understanding this situation would help to improve the provision of support and service towards the care of adolescent cancer patients by improving the support needed by the caregivers in managing their child’s health. Hence, this study aimed to review the current literature of distress levels and its contributing factors among caregivers of adolescents diagnosed with cancer. Systematic searches from related databases have yielded 15 articles included in this review. Evidence reported that caregivers were affected with increased anxiety, depression, post-traumatic stress disorder, and decreased quality of life while caring for the patient. Five categories of contributing factors to the distress among caregivers were practical, social, emotional, cognitive, physical, and parenting problems. The findings could guide healthcare providers in addressing multiple dimensions of care when supporting parents of adolescents with cancer, thereby promoting holistic and comprehensive car
Quality of life and social support among persons with nasopharyngeal cancer receiving combined therapy
No full textIntroduction: The quality of life of persons with nasopharyngeal cancer (NPC) receiving combined therapy is an important point of investigation since the disease and its treatments have an impact on many aspects of life: physical, psychological, social relationships, and environmental aspects. Social support may contribute to a better quality of life for NPC persons.
Objectives: The purpose of this study is to examine the level of quality of life and social support among NPC persons receiving combined therapy as well as the relationship between these two variables.
Methods: This descriptive correlational study used purposive sampling recruited with 70 subjects from outpatient departments of Kuala Lumpur General Hospital and Penang General Hospital in Malaysia. Instruments used included a demographic data form, the World Health Organization Quality of Life-BREF Malay Version and the Personal Resources Questionnaire 2000 Malay Version. Data were analyzed using descriptive statistic and correlations.
Results: The results indicated that quality of life among NPC persons receiving combined therapy was at a ‘moderate’ level ("X" ̅= 87.57, SD = 12.33). Social support among NPC persons receiving combined therapy was at a ‘moderate’ level ("X" ̅= 83.80, SD = 9.10). There was a moderate positive correlation between quality of life and social support among NPC persons receiving combined therapy (r = .41, p < .001).
Conclusion
The findings from this study suggested that social support may enhance the quality of life of NPC persons receiving combined therapy. Thus, providing appropriate support to these people through applying holistic care may enhance their quality of life
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