پديد آورندگان :
شاهواروقي فراهاني، ندا دانشگاه علامه طباطبائي، تهران، ايران - دانشكدهٔ روان شناسي و علوم تربيتي , مام شريفي، پيمان دانشگاه علامه طباطبائي، تهران، ايران - دانشكدهٔ روان شناسي و علوم تربيتي , حسن لاريجاني، مارال دانشگاه علامه طباطبائي، تهران، ايران - دانشكدهٔ روان شناسي و علوم تربيتي , دهقاني احمدآباد، زهرا دانشگاه علامه طباطبائي، تهران، ايران - دانشكدهٔ روان شناسي و علوم تربيتي , بيطرفان، مريم دانشگاه علوم پزشكي شهيد بهشتي، تهران، ايران - دانشكدهٔ پزشكي , ملايري، رضا بيمارستان فيروزگر تهران - مركز كنترل و پيشگيري از سرطان آلا (مكسا) - بخش طب تسكيني
كليدواژه :
مراقبت تسكيني , كيفيت زندگي , اضطراب , افسردگي , سرطان پيشرفته
چكيده لاتين :
Background & Objectives: Palliative care is a comprehensive approach, including managing and caring for biopsychosocial and spiritual needs for the promotion and maintenance of the quality of life of patients under palliative care and their families. Cancer is disease considered in
palliative care. Two predictors of the quality of life in patients with cancer are anxiety and depression. Therefore, the current study aimed to evaluate the quality of life in terms of anxiety and depression in patients with advanced cancer referring to palliative care unit.
Methods: This cross–sectional and correlational study was conducted on 150 patients with advanced cancer referring to the palliative care unit
of Firoozgar Hospital in Tehran City, Iran from October 2017 to December 2017. The study participants were selected via convenience sampling
technique. The sample size was estimated using the proposed formula of the Tabachnick and Fidell (2007) sample size. Accordingly, the
minimum sample size in the correlation studies is calculated from the 8M + 50 ≤N formula (N represents the sample size, and M is the number
of independent variables). Inclusion criteria of the present research included age (18–75 y), literacy level (minimum reading and writing literacy),
Iranian nationality, the lack of diagnosis of brain metastasis, and willingness to participate in this research. Additionally, individuals who
simultaneously received psychological and counseling services were excluded from the research. The required data were collected using McGill
Quality of Life Questionnaire (MQOL) (1995) and Zigmond & Snaith Hospital Anxiety and Depression Scale (HADS) (1983). The collected
data were analyzed using Pearson correlation confident and multiple regression analysis by SPSS at p<0.05.
Results: In total, 150 participants were studied, of which 96(64%) and 54(36%) were women and men, respectively. In addition, breast cancer
(24.7%) and ovarian cancer (21.3%) were the most frequent cancer types in the studied subjects. The mean scores of the quality of life, anxiety,
and depression were 29, 9.74, and 9.46, respectively; these data indicate the borderline detection of the second two variables in the study
participants. The obtained data suggested a significant and negative correlation between anxiety (p>0.01 & r= –0.33) and depression (p>0.01 &
r= –0.37). as well as the quality of life of patients with advanced cancer referring to the palliative care unit. Furthermore, anxiety (p=0.002 &
B= –0.248) and depression (p>0.001 & r= –0.298) could predict 19% of the variance of the quality of life in the investigated patients.
Conclusion: Patients receiving palliative care have a relatively low quality of life; anxiety and depression could predict their quality of life.
Thus, assessing the severity of psychological symptoms, such as anxiety and depression and providing appropriate psychotherapies to reduce
them, could indirectly improve their quality of life, as a goal of palliative care. It is suggested that these results be applied in providing palliative services to these patients and their caregivers.
