5 research outputs found
Coping preferences of head and neck cancer patients - Indian context
Background: Cancer is a major health-related stress and demands
adequate coping. Patients with head and neck carcinoma (HNC) often face
exhaustive and debilitating treatment as well as physical and
functional residual effects such as disfigurement, compromised speech,
dry mouth and difficulty in swallowing. Understanding how patients cope
with these challenges is important in comprehensive care of patients
with HNC. Objective: To assess and evaluate the coping preferences of
head and neck cancer patients. Materials and Methods:Towards this
goal, a prospective study was conducted at the Cancer Institute (WIA),
Chennai. 176 HNC patients participated in the study. The age group
ranged from 19 to 87 years. The questionnaire used for assessing coping
preferences was Jalowiec coping preference scale containing 40 items,
with responses ranging on a 5-point scale. The variables chosen were
treatment, site, education, survival, age and gender. Statistical
analysis used: SPSS 9.0 version was used for both descriptive and
multivariate analysis. Results: No significant difference was
observed in the preference of Emotion-Oriented Coping (EOC) in relation
to age, treatment, site, education and survival. Treatment, site,
education and gender showed significant differences in the preference
of Problem-Oriented Coping (POC). There was, however, no difference in
the preference of POC among the patients with different survival
periods and age. Conclusion:In conclusion, HNC patients adapt both EOC
and POC during the course of the illness. Literates, males and patients
subjected to different modalities of treatment preferred more of POC
compared to other groups
Coping preferences of head and neck cancer patients - Indian context
Background: Cancer is a major health-related stress and demands
adequate coping. Patients with head and neck carcinoma (HNC) often face
exhaustive and debilitating treatment as well as physical and
functional residual effects such as disfigurement, compromised speech,
dry mouth and difficulty in swallowing. Understanding how patients cope
with these challenges is important in comprehensive care of patients
with HNC. Objective: To assess and evaluate the coping preferences of
head and neck cancer patients. Materials and Methods:Towards this
goal, a prospective study was conducted at the Cancer Institute (WIA),
Chennai. 176 HNC patients participated in the study. The age group
ranged from 19 to 87 years. The questionnaire used for assessing coping
preferences was Jalowiec coping preference scale containing 40 items,
with responses ranging on a 5-point scale. The variables chosen were
treatment, site, education, survival, age and gender. Statistical
analysis used: SPSS 9.0 version was used for both descriptive and
multivariate analysis. Results: No significant difference was
observed in the preference of Emotion-Oriented Coping (EOC) in relation
to age, treatment, site, education and survival. Treatment, site,
education and gender showed significant differences in the preference
of Problem-Oriented Coping (POC). There was, however, no difference in
the preference of POC among the patients with different survival
periods and age. Conclusion:In conclusion, HNC patients adapt both EOC
and POC during the course of the illness. Literates, males and patients
subjected to different modalities of treatment preferred more of POC
compared to other groups
Coping preferences of head and neck cancer patients - Indian context
Background: Cancer is a major health-related stress and demands
adequate coping. Patients with head and neck carcinoma (HNC) often face
exhaustive and debilitating treatment as well as physical and
functional residual effects such as disfigurement, compromised speech,
dry mouth and difficulty in swallowing. Understanding how patients cope
with these challenges is important in comprehensive care of patients
with HNC. Objective: To assess and evaluate the coping preferences of
head and neck cancer patients. Materials and Methods:Towards this
goal, a prospective study was conducted at the Cancer Institute (WIA),
Chennai. 176 HNC patients participated in the study. The age group
ranged from 19 to 87 years. The questionnaire used for assessing coping
preferences was Jalowiec coping preference scale containing 40 items,
with responses ranging on a 5-point scale. The variables chosen were
treatment, site, education, survival, age and gender. Statistical
analysis used: SPSS 9.0 version was used for both descriptive and
multivariate analysis. Results: No significant difference was
observed in the preference of Emotion-Oriented Coping (EOC) in relation
to age, treatment, site, education and survival. Treatment, site,
education and gender showed significant differences in the preference
of Problem-Oriented Coping (POC). There was, however, no difference in
the preference of POC among the patients with different survival
periods and age. Conclusion:In conclusion, HNC patients adapt both EOC
and POC during the course of the illness. Literates, males and patients
subjected to different modalities of treatment preferred more of POC
compared to other groups
Validation of Cancer Institute Quality of Life Questionnaire Version II for cancer patients in India
Background: The Quality of Life (QOL) questionnaire version I consisted
of 38 items that were validated using 392 patients. The experiences
gained through the interaction with the patients during the
administration of the questionnaire provided a lot of inputs for the
improvization of the tool. Aim: The current study is aimed at certain
modifications of the QOL questionnaire version I and standardization of
the same. Materials and Methods: The modifications of version I QOL
scale included the change of verbatim, splitting, deleting, and adding
of new items. Finally, version II included 42 items. It was
administered to 183 cancer patients irrespective of their demographic
details for further standardization. Statistics: The principal
component method with varimax rotation was used. Spearman\u2032s
product moment correlation and Cronbach\u2032s alpha coefficient were
used for reliability analysis. Results: The data were subjected to
factor analysis to explore the factors. Eleven factors emerged with the
eigenvalue ranging from 8.03 to 1.10 and accounted for 66.7% variance.
The first factor contributed maximally, 19.5%, and the remaining 10
factors contributed a total of 46.2% variance on QOL. They are general
well-being, physical well-being, psychological well-being, familial
relationship, sexual and personal ability, cognitive well-being,
optimism and belief, economical well-being, information support,
patient-physician relationship, and body image. The Cronbach alpha of
0.90 and split-half reliability of 0.80 indicated a high reliability of
the tool. Conclusion: The factor structure showed that QOL is a
multidimensional concept having different aspects. The Cancer Institute
QOL Questionnaire version II for cancer patients is found to be a valid
and reliable tool and feasible to administer at the clinical settings
Validation of Cancer Institute Quality of Life Questionnaire Version II for cancer patients in India
Background: The Quality of Life (QOL) questionnaire version I consisted
of 38 items that were validated using 392 patients. The experiences
gained through the interaction with the patients during the
administration of the questionnaire provided a lot of inputs for the
improvization of the tool. Aim: The current study is aimed at certain
modifications of the QOL questionnaire version I and standardization of
the same. Materials and Methods: The modifications of version I QOL
scale included the change of verbatim, splitting, deleting, and adding
of new items. Finally, version II included 42 items. It was
administered to 183 cancer patients irrespective of their demographic
details for further standardization. Statistics: The principal
component method with varimax rotation was used. Spearman′s
product moment correlation and Cronbach′s alpha coefficient were
used for reliability analysis. Results: The data were subjected to
factor analysis to explore the factors. Eleven factors emerged with the
eigenvalue ranging from 8.03 to 1.10 and accounted for 66.7% variance.
The first factor contributed maximally, 19.5%, and the remaining 10
factors contributed a total of 46.2% variance on QOL. They are general
well-being, physical well-being, psychological well-being, familial
relationship, sexual and personal ability, cognitive well-being,
optimism and belief, economical well-being, information support,
patient-physician relationship, and body image. The Cronbach alpha of
0.90 and split-half reliability of 0.80 indicated a high reliability of
the tool. Conclusion: The factor structure showed that QOL is a
multidimensional concept having different aspects. The Cancer Institute
QOL Questionnaire version II for cancer patients is found to be a valid
and reliable tool and feasible to administer at the clinical settings