Patients and staff perceptions of cancer patients' quality of life
Autor: | Eva Katharina Masel, Birgit Hladschik-Kermer, Aurelia Miksovsky, Ursula Heck, Katharina A. Kierner, Hans Zoidl, Bernhard Reiter, Elisabeth Medicus, Herbert H. Watzke |
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Rok vydání: | 2011 |
Předmět: |
Adult
Male medicine.medical_specialty Palliative care Cross-sectional study Attitude of Health Personnel Nurses Sex Factors Quality of life Neoplasms Physicians Surveys and Questionnaires Female patient medicine Humans Prospective Studies Prospective cohort study Aged Aged 80 and over Staff perceptions Oncology (nursing) business.industry Palliative Care Cancer General Medicine Middle Aged medicine.disease Cross-Sectional Studies Evaluation Studies as Topic Family medicine Austria Physical therapy Quality of Life Anxiety Female Self Report medicine.symptom business |
Zdroj: | European journal of oncology nursing : the official journal of European Oncology Nursing Society. 17(1) |
ISSN: | 1532-2122 |
Popis: | Background Discrepancies exist in estimation of quality of life (QL) by patients and caregivers but underlying factors are incompletely characterised. Methods QL of 153 patients was estimated by themselves, by 70 nurses and by 53 physicians in a cross-sectional study. Variables which could influence inter-rater agreement were evaluated. Results Inter-rater agreement of QL was fair ( r = .292) between patients and nurses and between patients and physicians ( r = .154). Inter-rater agreement with nurses was significantly lower concerning fatigue and pain for patients with a Karnofsky Index 50. Their inter-rater agreement with physicians was significantly lower for fatigue, pain and physical functioning. Agreement on the degree of anxiety was significantly ( p = .009) better for female patients. Agreement on the need for social assistance ( p = .01) and physical functioning ( p = .03) was significantly better for male patients. Agreement with patients on their physical functioning was significantly ( p = .03) better for male nurses and male physicians ( r = .944) than for female nurses and female physicians ( r = .674). Conclusions Our study showed that estimation of overall QL of patients by professional caregivers is inaccurate. Inter-rater agreement was influenced by KI of patients, by gender of patients and caregivers and by professional experience of nurses. |
Databáze: | OpenAIRE |
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