Please use this identifier to cite or link to this item: http://hdl.handle.net/10397/82322
Title: Functional status, supportive care needs, and health-related quality of life in advanced lung cancer patients aged 50 and older
Authors: Huang, ZP 
Cheng, H 
Loh, SY 
Cheng, KKF
Issue Date: 2020
Source: Asia-Pacific journal of oncology nursing, Apr.-June 2020, v. 7, no. 2, p. 151-160
Abstract: Objective: This study aimed to examine the levels of functional status, supportive care needs, and health-related quality of life (HRQOL), and their relationships reported by advanced lung cancer patients aged 50 and older.
Methods: A cross-sectional descriptive correlational study was conducted with 103 participants recruited from a cancer center in Singapore. Functional status, supportive care needs, and HRQOL were measured using validated instruments. Descriptive statistics were used to describe the sample profiles. Univariate and multivariate regression analyses were adopted to determine factors that were associated with HRQOL.
Results: About 70.9% of participants were dependent in at least one instrumental activities of daily living (IADL). The mean number of unmet needs rated by participants was 9 (range = 0-28). The top three ranked items with moderate-to-severe unmet needs were "not being able to do things you used to do" (28.2%), "fear about cancer spreading" (25.3%), and "lack of energy/tiredness" (25.2%). Higher IADL scores were significantly associated with better HRQOL, whereas higher levels of supportive care needs, particularly in psychological domain significantly predicted poorer HRQOL in most domains.
Conclusions: This study found that poor functional status and unmet supportive care needs are common in advanced lung cancer patients. Psychological needs and functional status are associated with patients' HRQOL. Future interventions incorporating functional assistance and psychological support may increase HRQOL in this population.
Keywords: Functional status
Health-related quality of life
Instrumental activities of daily living
Lung cancer
Supportive care needs
Publisher: Medknow Publications and Media Pvt. Ltd
Journal: Asia-Pacific journal of oncology nursing 
ISSN: 2347-5625
EISSN: 2349-6673
DOI: 10.4103/apjon.apjon_50_19
Rights: © 2020 Ann & Joshua Medical Publishing Co. Ltd
This is an open access journal, and articles are distributed under the terms of the Creative Commons Attribution-NonCommercial-ShareAlike 4.0 License (https://creativecommons.org/licenses/by-nc-sa/4.0/), which allows others to remix, tweak, and build upon the work non-commercially, as long as appropriate credit is given and the new creations are licensed under the identical terms.
The following publication Huang ZP, Cheng HL, Loh SY, Cheng KK. Functional Status, Supportive Care Needs, and Health-Related Quality of Life in Advanced Lung Cancer Patients Aged 50 and Older. Asia Pac J Oncol Nurs 2020;7:151-60 is available at https://dx.doi.org/10.4103/apjon.apjon_50_19
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