Acceptance of cancer and its relationship with quality of life of older adults receiving institutional and home palliative care
Journal Title: Medycyna Rodzinna - Year 2015, Vol 18, Issue 4
Abstract
Introduction. The observed increase in cancer morbidity is causally connected with an increased demand for palliative care services. Aim. The study aims at analyzing the level of acceptance of cancer in older adults receiving institutional and home palliative care against the background of socio-demographic factors, and determining the scope of its relationship with quality of life. Material and methods. The study was carried out on a group of 79 patients in late adulthood receiving inpatient or home palliative provided by the Non-public Health Care Center Sue Ryder Home in Bydgoszcz in 2014. The study followed contemporary ethical standards and consisted in carrying out interviews using the Acceptance of Illness Scale (AIS) and the WHOQOL-Bref quality of life questionnaire. Results. The mean score for cancer acceptance was 19.15 ± 7.945, which was a moderate result, bordering on low. Acceptance of cancer in older adults receiving palliative care is largely determined by age, but not by sex, educational attainment, social and living conditions, place of receiving care (institutional/home), or home environment. Acceptance of cancer remains significantly correlated with the physical (r = 0.530; p = 0.000), psychological (r = 0.431; p = 0.000) and environment domains (r = 0.304; p = 0.006), and weakly correlated with the social relationships domain (r = 0.282; p = 0.012). Conclusions. With a view to better acceptance of disease and quality of life, palliative care should ensure that greater concern and support for the older adult (over 75 years of age) be provided by a psychologist.
Authors and Affiliations
Halina Zielińska-Więczkowska, Elżbieta Żychlińska
Keywords
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