Optimizing Quality of Life And Mental Well-Being Among Cancer Patients: Correlates and Intervention
Yamini P
Optimizing Quality of Life And Mental Well-Being Among Cancer Patients: Correlates and Intervention - P hd (Agri) - Dharwad University of Agricultural Sciences, Dharwad 2024 - 386 32 Cms
A study on " Optimizing Quality of life and mental well-being among cancer patients: Correlates and intervention" was carried out in University of Agricultural Sciences, Dharwad during 2021-2024. The population of the study comprised of 150 cancer patients (breast, gynecological and oral) selected from cancer hospitals of Dharwad city of Karnataka state and Hyderabad city of Telangana State. Self-structured general information schedule and tools on Quality of life, Hospital anxiety and depression, Cancer loneliness, Nowotny hope, Perceived stress and Socio-economic status were administered on the patients. Quality of life and mental well-being was studied by employing the quantitative and qualitative research methods. Narrative analysis was used to understand the deeper experiences of patients after cancer diagnosis. Intervention was given using developed module to the 30 patients with poor QoL and mental well-being (experimental group) and posttest analysis was done on both experimental and control group. Results revealed that, majority of the patients were in poor category of quality of life in both Dharwad (42.67%) and Hyderabad (60.00%). Most of the patients found to have abnormal anxiety abnormal depression, high level of loneliness, less hope and high stress. In both the areas patients in the elder age group and women had poor quality of life and mental well-being and are found significantly associated. In Hyderabad patients those with less education and lower jobs found to have poor quality of life and found highly associated. Significant association was observed between clinical factors and QoL and mental well-being where, patients with poor nutritional status (underweight and overweight), higher number of co morbidities (more than 3), advanced stage of cancer (IV stage), with prolonged time since diagnosis (2-5 years) and who were taking multiple treatments (chemotherapy, radiotherapy and surgery) had higher impact with declined quality of life and poor mental well-being. Significant association was observed between type of family, size of family, locality and socio economic status among patients of Hyderabad. Patients who were belonged to nuclear family with small size family members, those who were living in urban areas and those with low socio economic status had poor Quality of life and mental well-being in terms of anxiety, depression, loneliness and stress. The post intervention results revealed that, patients showed significant improvement on all dimensions of Quality of life i.e. general well-being (14.26 to 18.38), physical well-being (20.21 to 23.38), psychological well-being (15.52 to 19.23), economic well-being (5.97 to 7.60), family relationships (7.93 to 11.24), optimism and belief (3.97 to 6.87) and informational support (3.12 to 7.54). The intervention was beneficial in reducing the anxiety (12.23 to 8.26), depression (13.26 to 9.96), loneliness (46.73 to 39.45) and stress (22.93 to 16.60) and improving hope (60.60 to 65.60). Hence increased awareness on symptoms, early diagnosis, and prompt medical treatment, addressing multiple domains of physical, emotional, and practical needs, integration of supportive therapies by involving family holistically can significantly enhance patients' QoL and mental well-being.
630 / YAM
Optimizing Quality of Life And Mental Well-Being Among Cancer Patients: Correlates and Intervention - P hd (Agri) - Dharwad University of Agricultural Sciences, Dharwad 2024 - 386 32 Cms
A study on " Optimizing Quality of life and mental well-being among cancer patients: Correlates and intervention" was carried out in University of Agricultural Sciences, Dharwad during 2021-2024. The population of the study comprised of 150 cancer patients (breast, gynecological and oral) selected from cancer hospitals of Dharwad city of Karnataka state and Hyderabad city of Telangana State. Self-structured general information schedule and tools on Quality of life, Hospital anxiety and depression, Cancer loneliness, Nowotny hope, Perceived stress and Socio-economic status were administered on the patients. Quality of life and mental well-being was studied by employing the quantitative and qualitative research methods. Narrative analysis was used to understand the deeper experiences of patients after cancer diagnosis. Intervention was given using developed module to the 30 patients with poor QoL and mental well-being (experimental group) and posttest analysis was done on both experimental and control group. Results revealed that, majority of the patients were in poor category of quality of life in both Dharwad (42.67%) and Hyderabad (60.00%). Most of the patients found to have abnormal anxiety abnormal depression, high level of loneliness, less hope and high stress. In both the areas patients in the elder age group and women had poor quality of life and mental well-being and are found significantly associated. In Hyderabad patients those with less education and lower jobs found to have poor quality of life and found highly associated. Significant association was observed between clinical factors and QoL and mental well-being where, patients with poor nutritional status (underweight and overweight), higher number of co morbidities (more than 3), advanced stage of cancer (IV stage), with prolonged time since diagnosis (2-5 years) and who were taking multiple treatments (chemotherapy, radiotherapy and surgery) had higher impact with declined quality of life and poor mental well-being. Significant association was observed between type of family, size of family, locality and socio economic status among patients of Hyderabad. Patients who were belonged to nuclear family with small size family members, those who were living in urban areas and those with low socio economic status had poor Quality of life and mental well-being in terms of anxiety, depression, loneliness and stress. The post intervention results revealed that, patients showed significant improvement on all dimensions of Quality of life i.e. general well-being (14.26 to 18.38), physical well-being (20.21 to 23.38), psychological well-being (15.52 to 19.23), economic well-being (5.97 to 7.60), family relationships (7.93 to 11.24), optimism and belief (3.97 to 6.87) and informational support (3.12 to 7.54). The intervention was beneficial in reducing the anxiety (12.23 to 8.26), depression (13.26 to 9.96), loneliness (46.73 to 39.45) and stress (22.93 to 16.60) and improving hope (60.60 to 65.60). Hence increased awareness on symptoms, early diagnosis, and prompt medical treatment, addressing multiple domains of physical, emotional, and practical needs, integration of supportive therapies by involving family holistically can significantly enhance patients' QoL and mental well-being.
630 / YAM
