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- Physical and emotional status, quality of life and activities of daily living in terminal cancer: prospective cohort study
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Original research
Physical and emotional status, quality of life and activities of daily living in terminal cancer: prospective cohort study
- http://orcid.org/0000-0002-1616-2472Shinya Ozeki1,2,
- Noriatsu Tatematsu2 and
- Hideshi Sugiura2
- 1Mariana Home-Nursing Station, Nagoya, Aichi, Japan
- 2Department of Integrated Health Sciences, Nagoya University, Nagoya, Japan
- Correspondence to Shinya Ozeki; shinya0818ozeki{at}gmail.com
Abstract
Objective Physical functioning (PF), emotional functioning (EF), overall quality of life (QOL) and activities of daily living (ADL) such as walking and toilet transfer are the primary outcomes of dignity in patients with terminal cancer. However, few studies have investigated the association of PF, EF and overall QOL with ADL based on end-of-life stages in patients with cancer who are receiving at-home palliative care.
Methods This prospective cohort study included 88 patients with terminal cancer receiving home-based rehabilitation as part of their home-based palliative care at the Mariana Home Nursing Station (Nagoya-city, Aichi, Japan). The variables were measured at 4 and 2 weeks before death of patients. PF, EF and overall QOL scores were assessed using the European Organization for Research and Treatment of Cancer Quality of Life Questionnaire Core 15 Palliative Care and ADL were assessed using the Functional Independence Measure-motor items. Multiple regression analysis was used to examine the association, considering the effect of physical symptoms.
Results PF and overall QOL scores at 4 and 2 weeks before death were significantly associated with toilet transfer and walking scores, even after considering the influence of physical symptoms. EF scores were significantly associated with toilet transfer and walking scores 4 weeks before death, but not 2 weeks before death.
Conclusions In addition to managing physical symptoms, supporting ADL such as walking and toilet transfer is necessary to maintain PF, EF and overall QOL in patients with terminal cancer receiving home-based palliative care. This may help preserve their dignity, even in deteriorating general condition.
- Quality of life
- Palliative Care
- Rehabilitation
- Terminal care
- Cancer
Data availability statement
All data relevant to the study are included in the article or uploaded as supplementary information. Not applicable.
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- Quality of life
- Palliative Care
- Rehabilitation
- Terminal care
- Cancer
Data availability statement
All data relevant to the study are included in the article or uploaded as supplementary information. Not applicable.
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Footnotes
Correction notice This article has been corrected since it was published online. The β (Standardised partial regression coefficient) values for walking and fatigue have been updated in Tables 3 through 8.
Contributors Conception and design by all authors. Provision of study materials or patients, collection and assembly of data: SO. Data analysis and interpretation by all authors. Article writing and final approval of the article by all authors. SO is the guarantor.
Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.
Competing interests None declared.
Provenance and peer review Not commissioned; externally peer-reviewed.
Supplemental material This content has been supplied by the author(s). It has not been vetted by BMJ Publishing Group Limited (BMJ) and may not have been peer-reviewed. Any opinions or recommendations discussed are solely those of the author(s) and are not endorsed by BMJ. BMJ disclaims all liability and responsibility arising from any reliance placed on the content. Where the content includes any translated material, BMJ does not warrant the accuracy and reliability of the translations (including but not limited to local regulations, clinical guidelines, terminology, drug names and drug dosages), and is not responsible for any error and/or omissions arising from translation and adaptation or otherwise.
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