Factors Related to Health-Related Quality of Life in Older People with Colorectal Cancer
Keywords:
older people, colorectal cancer, quality of lifeAbstract
Purpose: This study aimed to examine the relationship between factors associated with the health-related quality of life of older adults diagnosed with colorectal cancer.
Design: A descriptive correlational research design was employed.
Methods: The sample consisted of 94 older adults receiving treatment at public tertiary hospitals in Bangkok. Participants were selected through a multistage sampling technique. The research instruments included: a personal information questionnaire, Charlson Comorbidity Index (CCI), The Hospital Anxiety and Depression Scale (HADS), Global Physical Activity Questionnaire (GPAQ, Barthel ADL Index, Social support assessment, Functional Assessment of cancer Therapy-Colorectal (FACT-C). All instruments were validated for content validity and reliability according to acceptable standards. Data were analyzed using descriptive statistics—frequency, percentage, mean, and standard deviation—and Pearson’s and Spearman’s correlation coefficients.
Results: The findings revealed that the overall quality of life was at a moderate level ( = 2.26, SD = 1.24). Comorbidity showed a significant negative correlation with quality of life at the .05 level (r = –.134). In contrast, disease stage, physical activity, social support, and ability in daily living activities demonstrated significant positive correlations with quality of life at the .05 level (r = .757, .323, .608, and .222, respectively). Anxiety and depression, however, were not correlated with quality of life.
Conclusion: Comorbidity, disease stage, physical activity level, ability to perform daily activities, and social support are key factors significantly influencing the health-related quality of life among older adults with colorectal cancer.
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