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Dependency in elderly people newly diagnosed with cancer - A mixed-method study

Esbensen, Bente Appel; Thomé, Bibbi LU and Thomsen, Thordis (2012) In European Journal of Oncology Nursing 16(2). p.137-144
Abstract
Purpose: This study, based on data from an empirical investigation, combines quantitative and qualitative approaches in a mixed-method design to explore dependency in elderly people newly diagnosed with cancer. Methods and sample: 101 elderly people newly diagnosed with cancer were included in the quantitative part, with 16 in the qualitative part. A questionnaire concerning quality of life and dependency issues was developed. For the qualitative part, open-ended interviews were conducted to get closer to the experience of dependency. Results: Combining the two methods was seen as complementary. Involvement of the patient in decision-making related to contact with the primary and secondary health-care systems is an important element in... (More)
Purpose: This study, based on data from an empirical investigation, combines quantitative and qualitative approaches in a mixed-method design to explore dependency in elderly people newly diagnosed with cancer. Methods and sample: 101 elderly people newly diagnosed with cancer were included in the quantitative part, with 16 in the qualitative part. A questionnaire concerning quality of life and dependency issues was developed. For the qualitative part, open-ended interviews were conducted to get closer to the experience of dependency. Results: Combining the two methods was seen as complementary. Involvement of the patient in decision-making related to contact with the primary and secondary health-care systems is an important element in reducing the perception of dependency and maintaining the Quality of Life (QoL) of elderly cancer patients. A more precise intervention in this patient population can be achieved by assessing. Activities of Daily Living (ADL) in the elderly. Receiving assistance from children seems to increase perceived dependency and to affect QoL negatively. Conclusions: The results of this mixed-method study indicate that dependency had a negative influence on the elderly with cancer. Being dependent on others was experienced as deterioration. Fatigue represents a significant risk factor for decreased functional ability and is experienced as a reminder of being old and the situation as being out of control. Patients may benefit from health-care professionals acquiring a complete picture of dependency and cancer-related fatigue in the elderly through a systematic assessment, where for example, functional limitations related to fatigue can be determined. (C) 2011 Elsevier Ltd. All rights reserved. (Less)
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author
organization
publishing date
type
Contribution to journal
publication status
published
subject
keywords
Dependency, Elderly with cancer, Mixed-method, ADL, Quality of life, Nursing
in
European Journal of Oncology Nursing
volume
16
issue
2
pages
137 - 144
publisher
Elsevier
external identifiers
  • wos:000302106000006
  • scopus:84857659624
ISSN
1462-3889
DOI
10.1016/j.ejon.2011.04.011
language
English
LU publication?
yes
id
8e8aeb48-2e2b-4c5a-ba6a-29b336ac3d25 (old id 2574845)
date added to LUP
2012-06-01 09:34:42
date last changed
2017-10-22 03:30:03
@article{8e8aeb48-2e2b-4c5a-ba6a-29b336ac3d25,
  abstract     = {Purpose: This study, based on data from an empirical investigation, combines quantitative and qualitative approaches in a mixed-method design to explore dependency in elderly people newly diagnosed with cancer. Methods and sample: 101 elderly people newly diagnosed with cancer were included in the quantitative part, with 16 in the qualitative part. A questionnaire concerning quality of life and dependency issues was developed. For the qualitative part, open-ended interviews were conducted to get closer to the experience of dependency. Results: Combining the two methods was seen as complementary. Involvement of the patient in decision-making related to contact with the primary and secondary health-care systems is an important element in reducing the perception of dependency and maintaining the Quality of Life (QoL) of elderly cancer patients. A more precise intervention in this patient population can be achieved by assessing. Activities of Daily Living (ADL) in the elderly. Receiving assistance from children seems to increase perceived dependency and to affect QoL negatively. Conclusions: The results of this mixed-method study indicate that dependency had a negative influence on the elderly with cancer. Being dependent on others was experienced as deterioration. Fatigue represents a significant risk factor for decreased functional ability and is experienced as a reminder of being old and the situation as being out of control. Patients may benefit from health-care professionals acquiring a complete picture of dependency and cancer-related fatigue in the elderly through a systematic assessment, where for example, functional limitations related to fatigue can be determined. (C) 2011 Elsevier Ltd. All rights reserved.},
  author       = {Esbensen, Bente Appel and Thomé, Bibbi and Thomsen, Thordis},
  issn         = {1462-3889},
  keyword      = {Dependency,Elderly with cancer,Mixed-method,ADL,Quality of life,Nursing},
  language     = {eng},
  number       = {2},
  pages        = {137--144},
  publisher    = {Elsevier},
  series       = {European Journal of Oncology Nursing},
  title        = {Dependency in elderly people newly diagnosed with cancer - A mixed-method study},
  url          = {http://dx.doi.org/10.1016/j.ejon.2011.04.011},
  volume       = {16},
  year         = {2012},
}