Investigating the Effect of Self-Care Training on Life Expectancy and Quality of Life in Patients with Gastrointestinal Cancer under Radiotherapy

Hekmatpou, Davood; Nasiri, Azadeh; Mohaghegh, Fatholah

doi:10.4103/apjon.apjon_47_18

Cited by 5 publications

(6 citation statements)

References 23 publications

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“…An essential component of normality and autonomy is the ability for self‐care, which helps even very sick patients to maintain at least some independence, personal privacy, and self‐control (i.e., the ability of self‐management) 19,20 . Data demonstrate that self‐care training in patients with cancer can increase quality of life 21 ; self‐care and the ability to mentally cope with the cancer disease are strongly related 22 . To some extent, self‐care can be learned and trained with the help of clinicians, friends, partners, relatives, and/or by personal experience.…”

Section: Discussionmentioning

confidence: 99%

Patient‐reported ability to walk 4 m and to wash: New clinical endpoints and predictors of survival in patients with pre‐terminal cancer

Anker

Lena

Roeland

et al. 2023

J cachexia sarcopenia muscle

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Background Maintaining the ability to perform self‐care is a critical goal in patients with cancer. We assessed whether the patient‐reported ability to walk 4 m and wash oneself predict survival in patients with pre‐terminal cancer. Methods We performed a prospective observational study on 169 consecutive hospitalized patients with cancer (52% female, 64 ± 12 years) and an estimated 1–12 months prognosis at an academic, inpatient palliative care unit. Patients answered functional questions for ‘today’, ‘last week’, and ‘last month’, performed patient‐reported outcomes (PROs), and physical function assessments. Results Ninety‐two (54%) patients reported the ability to independently walk 4 m and 100 (59%) to wash ‘today’. The median number of days patients reported the ability to walk 4 m and wash were 6 (IQR 0–7) and 7 (0–7) days (‘last week’); and 27 (5–30) and 26 (10–30) days (‘last month’). In the last week, 32% of patients were unable to walk 4 m on every day and 10% could walk on 1–3 days; 30% were unable to wash on every day and 10% could wash on 1–3 days. In the last months, 14% of patients were unable to walk 4 m on every day and 10% could only walk on 1–10 days; 12% were unable to wash on every day and 11% could wash on 1–10 days. In patients who could walk ‘today’ average 4 m gait speed was 0.78 ± 0.28 m/s. Patients who reported impaired walking and washing experienced more symptoms (dyspnoea, exertion, and oedema) and decreased physical function (higher Eastern Cooperative Oncology Group Performance Status, and lower Karnofsky Performance Status and hand‐grip strength [unable vs. able to walk ‘today’: 205 ± 87 vs. 252 ± 78 Newton, P = 0.001; unable vs. able to wash ‘today’: 204 ± 86 vs. 250 ± 80 Newton, P = 0.001]). During the 27 months of observation, 152 (90%) patients died (median survival 46 days). In multivariable Cox proportional hazards regression analyses, all tested parameters were independent predictors of survival: walking 4 m ‘today’ (HR 0.63, P = 0.015), ‘last week’ (per 1 day: HR 0.93, P = 0.011), ‘last month’ (per 1 day: HR 0.98, P = 0.012), 4 m gait speed (per 1 m/s: HR 0.45, P = 0.002), and washing ‘today’ (HR 0.67, P = 0.024), ‘last week (per 1 day HR 0.94, p=0.019), and ‘last month’ (per 1 day HR 0.99, P = 0.040). Patients unable to walk and wash experienced the shortest survival and most reduced functional status. Conclusions In patients with pre‐terminal cancer, the self‐reported ability to walk 4 m and wash were independent predictors of survival and associated with decreased functional status.

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Section: Discussionmentioning

confidence: 99%

Patient‐reported ability to walk 4 m and to wash: New clinical endpoints and predictors of survival in patients with pre‐terminal cancer

Anker

Lena

Roeland

et al. 2023

J cachexia sarcopenia muscle

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“…Over a ten-week period, dependability is measured at 80% and Cronbach's alpha ranges from 74% to 84%. The reliability and accuracy of the questionnaire as a means of assessing life expectancy have been validated by numerous researchers [22]. The test's internal consistency ranges from 0.74 to 0.84, and its test-retest validity is 0.80.…”

Section: Life Expectancy Assessmentmentioning

confidence: 99%

The Association between Levels of Physical Activity and Lifestyle, Life Expectancy, and Quality of Life in Patients with Alzheimer’s Disease

Gholamalishahi,

Hosseini,

Ettorre

et al. 2023

JCM

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Background: Engaging in physical activity could help improve the quality of life in patients with Alzheimer’s disease. The objective of this study was to determine the association between the levels of physical activity and lifestyle, life expectancy, and quality of life in patients with Alzheimer’s disease in Iran and Italy. Methods: A total of 165 participants from Iran and Italy were enrolled in this cross-sectional study. In Iran, 85 patients participated in the study. In Italy, we enrolled 80 patients at the Sapienza University teaching hospital, Policlinico Umberto 1 in Rome. The inclusion criteria in this study include patients over 60 years old, non-smokers, and non-users of antidepressants and hypnotics. Results: The results of Tukey’s post hoc test of the study conducted in Iran showed that the lifestyle of patients with moderate (p = 0.001) and low (p = 0.009) physical activity levels was significantly better than inactive patients. Life expectancy in patients with moderate physical activity levels was significantly higher than inactive patients (p = 0.011). The quality of life was significantly better in patients with moderate (p = 0.001) and low (p = 0.002) physical activity levels than inactive patients. On the other hand, the findings of Tukey’s post hoc test of the study in Italy showed that the quality of life in patients with low (p = 0.001) and moderate physical activity levels (p = 0.01) was significantly higher than inactive patients. Conclusions: A low to moderate level of physical activity could be associated with an improved lifestyle, life expectancy, and quality of life in patients with Alzheimer’s disease compared to inactivity.

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“…13 Taking into consideration that cancer patients face a wide range of needs that affect their lives, 14 no meta-analysis or systematic review on the effect of self-care training on the quality of life of patients with esophageal and gastric cancers was found. However, the clinical trials have demonstrated that self-care education improves patients' quality of life following radiotherapy, 14 minimizes postdischarge hospitalizations and referrals to outpatient clinics, 15 and reduces physical symptoms such as pain and constipation after esophagectomy. 16 Some clinical trials, on the other hand, revealed that telephone supportive care follow-up from nurse practitioners after esophagectomy, 17 as well as an education session on the day of discharge and a follow-up call from a researcher, 16 had no significant effect on the cognitive and emotional domains of quality of life.…”

Section: Introductionmentioning

confidence: 99%

“…Thus, a self-care program can provide a sense of control and the potential for improving quality of life by informing and empowering patients 13. Taking into consideration that cancer patients face a wide range of needs that affect their lives,14 no meta-analysis or systematic review on the effect of self-care training on the quality of life of patients with esophageal and gastric cancers was found. However, the clinical trials have demonstrated that self-care education improves patients' quality of life following radiotherapy,14 minimizes postdischarge hospitalizations and referrals to outpatient clinics,15 and reduces physical symptoms such as pain and constipation after esophagectomy 16.…”

Section: Introductionmentioning

confidence: 99%

The Effect of Self-Care Nurturance Based on Erickson's Modeling and Role-Modeling Theory on Quality of Life of Patients With Upper Gastrointestinal Cancer

Ordouni

Aghebati

Ghavami

et al. 2023

Holistic Nursing Practice

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Patients with upper gastrointestinal cancer undergo a diverse variety of needs that influence their quality of life (QoL). The present study aimed to investigate the effect of self-care nurturance on the QoL of patients with upper gastrointestinal cancers. This randomized, 2-group clinical trial was conducted at Qaem Hospital during 2019-2020, in Mashhad, Iran. A total of 46 patients were allocated into 2 groups randomly. At the time of hospitalization, the intervention group received care based on the modeling and role-modeling theory for at least 3 sessions individually. Participants were given 3 telephone counseling sessions each week for up to 2 months. In the control group, patients received educational pamphlets. The demographic and general QoL (EORTC QLQ-C30) questionnaires were utilized to collect data. Data were analyzed with SPSS 25. The results showed that the intervention and control groups were homogenous in all demographic characteristics (P > .05). The data revealed the total QoL significantly improved 1 month (P = .002) and 2 months (P < .001) after the intervention in the intervention compared with the control group. Self-care nurturance would empower patients to achieve new living experiences by enhancing their QoL.

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Investigating the Effect of Self-Care Training on Life Expectancy and Quality of Life in Patients with Gastrointestinal Cancer under Radiotherapy

Cited by 5 publications

References 23 publications

Patient‐reported ability to walk 4 m and to wash: New clinical endpoints and predictors of survival in patients with pre‐terminal cancer

Patient‐reported ability to walk 4 m and to wash: New clinical endpoints and predictors of survival in patients with pre‐terminal cancer

The Association between Levels of Physical Activity and Lifestyle, Life Expectancy, and Quality of Life in Patients with Alzheimer’s Disease

The Effect of Self-Care Nurturance Based on Erickson's Modeling and Role-Modeling Theory on Quality of Life of Patients With Upper Gastrointestinal Cancer

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