Contribution of non-socioeconomic factors to healthy quality of life in socioeconomically deprived patients with advanced gastrointestinal cancer: Measuring attributable fraction.
Background: The quality of life of patients with advanced gastrointestinal cancer is seriously impaired, and socioeconomic deprivation often has a serious impact on their quality of life. However, little is known about the relative contribution of non-socioeconomic factors to the quality of life of...
| Published in: | Journal of Advanced Nursing (John Wiley & Sons, Inc.) Vol. 80; no. 3; pp. 1154 - 1166 |
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| Main Authors: | , , , , , , |
| Format: | research tables/charts Journal Article |
| Published: |
John Wiley & Sons, Inc.
Mar2024
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| Online Access: | View this record in EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=176031675&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 176031675 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 03092402 LVDY jtl: Journal of Advanced Nursing (John Wiley & Sons, Inc.) issn: 03092402 maglogo: N pubinfo: dt: Mar2024 vid: 80 iid: 3 pid: 52269 pub: John Wiley & Sons, Inc. artinfo: ui: 176031675 171931657 176031675 176031675 10.1111/jan.15862 176031675 ppf: 1154 ppct: 12 formats: tig: atl: Contribution of non-socioeconomic factors to healthy quality of life in socioeconomically deprived patients with advanced gastrointestinal cancer: Measuring attributable fraction. aug: au: Zifen An Jiaqi Nie Yanfang Huang Pei Fang Xianmei Meng Chunfeng Cai Liping Yu affil: Wuhan University School of Nursing, Center for Nurturing Care Research, Wuhan University, Wuhan, China sug: subj: Socioeconomic Factors Gastrointestinal Neoplasms Epidemiology Quality of Life Social Deprivation Human Male Female Adult Middle Age Aged Aged, 80 and Over Retrospective Design Cross Sectional Studies Questionnaires Karnofsky Performance Status Gait Self Care Nutritional Status Weight Loss Constipation Posture Diffusion of Innovation Implementation Science Nonexperimental Studies Epidemiological Research Practice Guidelines China Coefficient alpha Research Ethics Data Analysis Software T-Tests One-Way Analysis of Variance Multivariate Analysis Multiple Linear Regression Confidence Intervals Reliability and Validity Descriptive Statistics Univariate Statistics Sociodemographic Factors Funding Source Adult: 19-44 years Middle Aged: 45-64 years Aged: 65+ years Aged, 80 & over Male Female ab: Background: The quality of life of patients with advanced gastrointestinal cancer is seriously impaired, and socioeconomic deprivation often has a serious impact on their quality of life. However, little is known about the relative contribution of non-socioeconomic factors to the quality of life of patients with advanced gastrointestinal cancer with socioeconomic deprivation. Aim: This study aims to investigate the situation and predictors of quality of life of patients with socioeconomic deprivation and evaluate the independent effects of some non-socioeconomic factors. Design: A retrospective study based on cross-sectional design. Methods: Data were obtained from 1075 patients with advanced gastrointestinal cancer who received family palliative treatment in the hospice ward of Zhongnan Hospital of Wuhan University from March 2010 to October 2020, including demographic and clinical questionnaires, Karnofsky Performance Status scale and Cancer Pain and Quality of Life Questionnaire of Chinese Cancer Patients. Results: The quality of life of patients with advanced gastrointestinal cancer with socioeconomic deprivation is impaired and is affected by gait, self-care ability, abdominal distension, nutritional status, weight loss, constipation and posture. Improvement in six of these factors--gait, self-care ability, abdominal distension, nutritional status, weight loss and posture--has an independent positive impact on the development of a healthy quality of life for patients. Conclusions: Gait, self-care ability, abdominal distension, nutritional status, weight loss and posture are important determinants of healthy quality of life in patients with advanced gastrointestinal cancer with socioeconomic deprivation, and early identification and strength management of these non- socioeconomic factors may neutralize the negative impact of socioeconomic factors on the quality of life. Implications for Practice: This study provides new ideas and intervention entry points for global nurses in practice innovations to improve the quality of life of socioeconomically deprived patients with advanced gastrointestinal cancer. It enables them to focus on the effectiveness of non-socioeconomic factors in the development and implementation of targeted care plans for patients with advanced gastrointestinal cancer experiencing socioeconomic deprivation globally. Reporting Method: This study was reported in strict compliance with the Strengthening the Reporting of Observational Studies in Epidemiology (STROBE) guideline. Patient or Public Contribution: No patient or public contribution. pubtype: Academic Journal doctype: research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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