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


Citation

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

Abstract

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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Additional Metadata

Item Type: Article
Divisions: Faculty of Medicine and Health Science
Publisher: Asian Pacific Organization for Cancer Prevention
Keywords: Advanced cancer patients; Hospice; Nutritional status; Quality of life.
Depositing User: Raja Norazlinda Raja Azenam
Date Deposited: 17 Oct 2013 04:26
Last Modified: 17 Oct 2013 04:26
URI: http://psasir.upm.edu.my/id/eprint/15108
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