Factors associated with health-related quality of life in palliative care patients at Lampang hospital
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Abstract
Background: The quality of life of patients is the core palliative care. Therefore, knowing the factors associated with health-related quality of life will help to improve the quality of care for end-of-life patients to have a better quality of life.
Objective: To examine factors associated with health-related quality of life (HRQoL) in palliative care patients at Lampang hospital.
Methods: This study was a retrospective. Data, including gender, age, history of cancer, Palliative Performance Scale (PPS) score, patients’ perception about their diseases, patients’ perception about their prognosis, patients’ perception about the treatment goal, cardiopulmonary resuscitation acceptance, morphine use, and patients’ HRQoL data using the EQ-5D-5L (Thai version), were collected from palliative care team’s records and electronic medical records of Lampang Hospital from September 2020 to August 2021. To analyze the associations between patient characteristics and HRQoL, independent-samples t-test and Analysis of Variance (ANOVA) were used. Multiple linear regression analysis was employed to examine the factors affecting HRQoL.
Results: The total patients were 128 patients, of which 71 (55.47%) were men and 57 (44.53%) were 71 years old or above. Most of the patients were cancer patients, with 97 patients (75.78%). Results showed that perception about their prognosis, morphine use, and the higher PPS score were associated with increased HRQoL.
Conclusions and recommendations: Promoting patient perception of prognosis, providing morphine to patients with disturbed symptoms, and supporting patients to increase their physical capacity to help themselves as much as possible will help patients improve their health-related quality of life.
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