학술논문
Patients With Advanced Cancer and Minor Children: An Exploratory Study of Health-Related Quality of Life and Satisfaction With Care.
Document Type
Article
Author
Source
Subject
*CANCER patient psychology
*MEDICAL quality control
*RESEARCH
*CONFIDENCE intervals
*MULTIPLE regression analysis
*CROSS-sectional method
*RESEARCH methodology
*PATIENT satisfaction
*HEALTH outcome assessment
*WORLD health
*RETROSPECTIVE studies
*PATIENT-centered care
*INTERVIEWING
*FISHER exact test
*MANN Whitney U Test
*REGRESSION analysis
*TUMOR classification
*SURVEYS
*COMPARATIVE studies
*SOFTWARE architecture
*QUALITY of life
*MENTAL depression
*SCALE analysis (Psychology)
*DESCRIPTIVE statistics
*TUMORS
*STATISTICAL models
*ANXIETY
*ELECTRONIC health records
*POISSON distribution
*SECONDARY analysis
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Language
ISSN
0190-535X
Abstract
OBJECTIVES: Patients with advanced cancer and minor children experience high rates of depression and anxiety. However, associations between parental status and other aspects of the patient experience are not well understood. This study compared patient-reported outcomes of patients with and without minor children. SAMPLE & SETTING: This was a retrospective analysis of 448 adults with stage III or IV solid tumors from a public research registry. METHODS & VARIABLES: Multiple linear regression models or modified Poisson regression models were fitted to evaluate differences in health-related quality of life, global health, and patient satisfaction scores between patients living with and without minors. RESULTS: One in five patients lived with minor children. They reported significantly worse healthrelated quality of life, global physical health, and global mental health. They also expressed lower satisfaction with time spent with their provider, communication, and financial aspects. IMPLICATIONS FOR NURSING: Patients with minor children may benefit from earlier identification and support for their psychosocial needs and concerns. [ABSTRACT FROM AUTHOR]