Impact of nutritional status on the quality of life of advanced cancer patients in hospice home care.

Background: Cancer patients frequently experience malnutrition and this is an important factor in impaired quality of life. Objective: This cross-sectional study examined the association between global quality of life and its various subscales with nutritional status among 61 (33 females and...

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Main Authors: Shahmoradi, Negar, Kandiah, Mirnalini, Loh, Su Peng
Format: Article
Language:English
Published: Asian Pacific Organization for Cancer Prevention 2009
Online Access:http://psasir.upm.edu.my/id/eprint/15108/
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author Shahmoradi, Negar
Kandiah, Mirnalini
Loh, Su Peng
author_facet Shahmoradi, Negar
Kandiah, Mirnalini
Loh, Su Peng
author_sort Shahmoradi, Negar
building UPM Institutional Repository
collection Online Access
description Background: Cancer patients frequently experience malnutrition and this is an important factor in impaired quality of life. Objective: This cross-sectional study examined the association between global quality of life and its various subscales with nutritional status among 61 (33 females and 28 males) advanced cancer patients cared for by selected hospices in peninsular Malaysia. Methods: The Patient Generated-Subjective Global Assessment (PG-SGA) and the Hospice Quality of Life Index (HQLI) were used to assess nutritional status and quality of life, respectively. Results: Nine (14.7%) patients were well-nourished, 32 (52.5%) were moderately or suspected of being malnourished while 20 (32.8%) of them were severely malnourished. The total HQLI mean score for these patients was 189.9±51.7, with possible scores ranging from 0 to 280. The most problem areas in these patients were in the domain of functional well-being and the least problems were found in the social/spiritual domain. PG-SGA scores significantly correlated with total quality of life scores (r2= 0.38, p < 0.05), psychophysiological well-being (r2= 0.37, p < 0.05), functional well-being (r2= 0.42, p < 0.05) and social/ spiritual well-being (r2= 0.07, p < 0.05). Thus, patients with a higher PG-SGA score or poorer nutritional status exhibited a lower quality of life. Conclusion: Advanced cancer patients with poor nutritional status have a diminished quality of life. These findings suggest that there is a need for a comprehensive nutritional intervention for improving nutritional status and quality of life in terminally ill cancer patients under hospice care.
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spelling upm-151082013-10-17T04:26:47Z http://psasir.upm.edu.my/id/eprint/15108/ Impact of nutritional status on the quality of life of advanced cancer patients in hospice home care. Shahmoradi, Negar Kandiah, Mirnalini Loh, Su Peng Background: Cancer patients frequently experience malnutrition and this is an important factor in impaired quality of life. Objective: This cross-sectional study examined the association between global quality of life and its various subscales with nutritional status among 61 (33 females and 28 males) advanced cancer patients cared for by selected hospices in peninsular Malaysia. Methods: The Patient Generated-Subjective Global Assessment (PG-SGA) and the Hospice Quality of Life Index (HQLI) were used to assess nutritional status and quality of life, respectively. Results: Nine (14.7%) patients were well-nourished, 32 (52.5%) were moderately or suspected of being malnourished while 20 (32.8%) of them were severely malnourished. The total HQLI mean score for these patients was 189.9±51.7, with possible scores ranging from 0 to 280. The most problem areas in these patients were in the domain of functional well-being and the least problems were found in the social/spiritual domain. PG-SGA scores significantly correlated with total quality of life scores (r2= 0.38, p < 0.05), psychophysiological well-being (r2= 0.37, p < 0.05), functional well-being (r2= 0.42, p < 0.05) and social/ spiritual well-being (r2= 0.07, p < 0.05). Thus, patients with a higher PG-SGA score or poorer nutritional status exhibited a lower quality of life. Conclusion: Advanced cancer patients with poor nutritional status have a diminished quality of life. These findings suggest that there is a need for a comprehensive nutritional intervention for improving nutritional status and quality of life in terminally ill cancer patients under hospice care. Asian Pacific Organization for Cancer Prevention 2009 Article PeerReviewed Shahmoradi, Negar and Kandiah, Mirnalini and Loh, Su Peng (2009) Impact of nutritional status on the quality of life of advanced cancer patients in hospice home care. Asian Pacific Journal of Cancer Prevention, 10 (6). pp. 1003-1010. ISSN 1513-7368 http://www.apocpcontrol.org/ English
spellingShingle Shahmoradi, Negar
Kandiah, Mirnalini
Loh, Su Peng
Impact of nutritional status on the quality of life of advanced cancer patients in hospice home care.
title Impact of nutritional status on the quality of life of advanced cancer patients in hospice home care.
title_full Impact of nutritional status on the quality of life of advanced cancer patients in hospice home care.
title_fullStr Impact of nutritional status on the quality of life of advanced cancer patients in hospice home care.
title_full_unstemmed Impact of nutritional status on the quality of life of advanced cancer patients in hospice home care.
title_short Impact of nutritional status on the quality of life of advanced cancer patients in hospice home care.
title_sort impact of nutritional status on the quality of life of advanced cancer patients in hospice home care.
url http://psasir.upm.edu.my/id/eprint/15108/
http://psasir.upm.edu.my/id/eprint/15108/