Assessment of Health Related Quality of Life in Cervical Cancer Patients in Western Kenya

Jane Adhiambo Owenga

doi:doi:10.11648/j.ajns.20180706.26

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Assessment of Health Related Quality of Life in Cervical Cancer Patients in Western Kenya

Jane Adhiambo Owenga

Published in American Journal of Nursing Science (Volume 7, Issue 6)

Received: 12 December 2018 Accepted: 25 December 2018 Published: 17 January 2019

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Abstract

Health Related Quality of Life (HRQoL) is an important health outcome in the holistic management of patients especially those suffering from life limiting conditions such as cervical cancer. In Kenya, Cervical cancer is the most frequent cancer among women. However, little is known and documented on HRQoL of cervical cancer patients. This study assessed HRQoL of cervical cancer patients in western Kenya. A cross-sectional study involving 334 cervical cancer patients was conducted in Jaramogi Oginga Odinga Teaching and Referral Hospital (JOOTRH) in Kisumu from September 2014 to February 2015. FACT-Cx (The Functional Assessment of Chronic Illness Therapy –for measuring Quality of Life in cervical cancer patients) Version 4 and a structured questionnaire were used to collect data. Quantitative data was analyzed using Statistical Package for Social Scientists (SPSS) Version 20 and Statistical Application Software (SAS) version 9.2 at a statistical significance of P ≤ 0.05, descriptive and inferential statistics were performed. The mean HRQoL was 35.35 (SD=13.21). More than half of the respondents experienced poor functional and physical wellbeing, 221 (66%) and 201 (60%) respectively and no patient experienced good functional and physical wellbeing. While 189 (57%) experienced fair overall quality of life. Multiple cumulative logistic regression analysis between cancer stage and treatment had statistically significant association with overall quality of life (X² = 105.34 and 70.72; with df=3 and 6; p-values = 0.0001 and 0.0001, respectively); also between age, marital status, level of education and religion showed positive influence on overall quality of life except for religion (X² = 21, 11, 113 and 4 with df=3 for all and p-values = 0.0001, 0.0121, 0.0001, 0.2563 respectively). Cervical cancer patients do fairly better with emotional and social wellbeing, while they experience poor functional and physical wellbeing due to large proportion of patients presenting at stage IV and III of the disease. There is a need to include HRQoL assessment in routine management of cervical cancer patients to enhance their quality of life.

Published in	American Journal of Nursing Science (Volume 7, Issue 6)
DOI	10.11648/j.ajns.20180706.26
Page(s)	325-332
Creative Commons	This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.
Copyright	Copyright © The Author(s), 2019. Published by Science Publishing Group

Keywords

Cervical Cancer, Health Related Quality of Life, Kenya

References

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APA Style

Jane Adhiambo Owenga. (2019). Assessment of Health Related Quality of Life in Cervical Cancer Patients in Western Kenya. American Journal of Nursing Science, 7(6), 325-332. https://doi.org/10.11648/j.ajns.20180706.26

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ACS Style

Jane Adhiambo Owenga. Assessment of Health Related Quality of Life in Cervical Cancer Patients in Western Kenya. Am. J. Nurs. Sci. 2019, 7(6), 325-332. doi: 10.11648/j.ajns.20180706.26

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Jane Adhiambo Owenga. Assessment of Health Related Quality of Life in Cervical Cancer Patients in Western Kenya. Am J Nurs Sci. 2019;7(6):325-332. doi: 10.11648/j.ajns.20180706.26

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@article{10.11648/j.ajns.20180706.26,
  author = {Jane Adhiambo Owenga},
  title = {Assessment of Health Related Quality of Life in Cervical Cancer Patients in Western Kenya},
  journal = {American Journal of Nursing Science},
  volume = {7},
  number = {6},
  pages = {325-332},
  doi = {10.11648/j.ajns.20180706.26},
  url = {https://doi.org/10.11648/j.ajns.20180706.26},
  eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.ajns.20180706.26},
  abstract = {Health Related Quality of Life (HRQoL) is an important health outcome in the holistic management of patients especially those suffering from life limiting conditions such as cervical cancer. In Kenya, Cervical cancer is the most frequent cancer among women. However, little is known and documented on HRQoL of cervical cancer patients. This study assessed HRQoL of cervical cancer patients in western Kenya. A cross-sectional study involving 334 cervical cancer patients was conducted in Jaramogi Oginga Odinga Teaching and Referral Hospital (JOOTRH) in Kisumu from September 2014 to February 2015. FACT-Cx (The Functional Assessment of Chronic Illness Therapy –for measuring Quality of Life in cervical cancer patients) Version 4 and a structured questionnaire were used to collect data. Quantitative data was analyzed using Statistical Package for Social Scientists (SPSS) Version 20 and Statistical Application Software (SAS) version 9.2 at a statistical significance of P ≤ 0.05, descriptive and inferential statistics were performed. The mean HRQoL was 35.35 (SD=13.21). More than half of the respondents experienced poor functional and physical wellbeing, 221 (66%) and 201 (60%) respectively and no patient experienced good functional and physical wellbeing. While 189 (57%) experienced fair overall quality of life. Multiple cumulative logistic regression analysis between cancer stage and treatment had statistically significant association with overall quality of life (X2 = 105.34 and 70.72; with df=3 and 6; p-values = 0.0001 and 0.0001, respectively); also between age, marital status, level of education and religion showed positive influence on overall quality of life except for religion (X2 = 21, 11, 113 and 4 with df=3 for all and p-values = 0.0001, 0.0121, 0.0001, 0.2563 respectively). Cervical cancer patients do fairly better with emotional and social wellbeing, while they experience poor functional and physical wellbeing due to large proportion of patients presenting at stage IV and III of the disease. There is a need to include HRQoL assessment in routine management of cervical cancer patients to enhance their quality of life.},
 year = {2019}
}

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TY  - JOUR
T1  - Assessment of Health Related Quality of Life in Cervical Cancer Patients in Western Kenya
AU  - Jane Adhiambo Owenga
Y1  - 2019/01/17
PY  - 2019
N1  - https://doi.org/10.11648/j.ajns.20180706.26
DO  - 10.11648/j.ajns.20180706.26
T2  - American Journal of Nursing Science
JF  - American Journal of Nursing Science
JO  - American Journal of Nursing Science
SP  - 325
EP  - 332
PB  - Science Publishing Group
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AB  - Health Related Quality of Life (HRQoL) is an important health outcome in the holistic management of patients especially those suffering from life limiting conditions such as cervical cancer. In Kenya, Cervical cancer is the most frequent cancer among women. However, little is known and documented on HRQoL of cervical cancer patients. This study assessed HRQoL of cervical cancer patients in western Kenya. A cross-sectional study involving 334 cervical cancer patients was conducted in Jaramogi Oginga Odinga Teaching and Referral Hospital (JOOTRH) in Kisumu from September 2014 to February 2015. FACT-Cx (The Functional Assessment of Chronic Illness Therapy –for measuring Quality of Life in cervical cancer patients) Version 4 and a structured questionnaire were used to collect data. Quantitative data was analyzed using Statistical Package for Social Scientists (SPSS) Version 20 and Statistical Application Software (SAS) version 9.2 at a statistical significance of P ≤ 0.05, descriptive and inferential statistics were performed. The mean HRQoL was 35.35 (SD=13.21). More than half of the respondents experienced poor functional and physical wellbeing, 221 (66%) and 201 (60%) respectively and no patient experienced good functional and physical wellbeing. While 189 (57%) experienced fair overall quality of life. Multiple cumulative logistic regression analysis between cancer stage and treatment had statistically significant association with overall quality of life (X2 = 105.34 and 70.72; with df=3 and 6; p-values = 0.0001 and 0.0001, respectively); also between age, marital status, level of education and religion showed positive influence on overall quality of life except for religion (X2 = 21, 11, 113 and 4 with df=3 for all and p-values = 0.0001, 0.0121, 0.0001, 0.2563 respectively). Cervical cancer patients do fairly better with emotional and social wellbeing, while they experience poor functional and physical wellbeing due to large proportion of patients presenting at stage IV and III of the disease. There is a need to include HRQoL assessment in routine management of cervical cancer patients to enhance their quality of life.
VL  - 7
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Author Information

Jane Adhiambo Owenga

Department of Public Health and Community Health and Development, School of Health Sciences, Jaramogi Oginga Odinga University of Science and Technology, Bondo, Kenya

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Jane Adhiambo Owenga. (2019). Assessment of Health Related Quality of Life in Cervical Cancer Patients in Western Kenya. American Journal of Nursing Science, 7(6), 325-332. https://doi.org/10.11648/j.ajns.20180706.26

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ACS Style

Jane Adhiambo Owenga. Assessment of Health Related Quality of Life in Cervical Cancer Patients in Western Kenya. Am. J. Nurs. Sci. 2019, 7(6), 325-332. doi: 10.11648/j.ajns.20180706.26

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AMA Style

Jane Adhiambo Owenga. Assessment of Health Related Quality of Life in Cervical Cancer Patients in Western Kenya. Am J Nurs Sci. 2019;7(6):325-332. doi: 10.11648/j.ajns.20180706.26

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@article{10.11648/j.ajns.20180706.26,
  author = {Jane Adhiambo Owenga},
  title = {Assessment of Health Related Quality of Life in Cervical Cancer Patients in Western Kenya},
  journal = {American Journal of Nursing Science},
  volume = {7},
  number = {6},
  pages = {325-332},
  doi = {10.11648/j.ajns.20180706.26},
  url = {https://doi.org/10.11648/j.ajns.20180706.26},
  eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.ajns.20180706.26},
  abstract = {Health Related Quality of Life (HRQoL) is an important health outcome in the holistic management of patients especially those suffering from life limiting conditions such as cervical cancer. In Kenya, Cervical cancer is the most frequent cancer among women. However, little is known and documented on HRQoL of cervical cancer patients. This study assessed HRQoL of cervical cancer patients in western Kenya. A cross-sectional study involving 334 cervical cancer patients was conducted in Jaramogi Oginga Odinga Teaching and Referral Hospital (JOOTRH) in Kisumu from September 2014 to February 2015. FACT-Cx (The Functional Assessment of Chronic Illness Therapy –for measuring Quality of Life in cervical cancer patients) Version 4 and a structured questionnaire were used to collect data. Quantitative data was analyzed using Statistical Package for Social Scientists (SPSS) Version 20 and Statistical Application Software (SAS) version 9.2 at a statistical significance of P ≤ 0.05, descriptive and inferential statistics were performed. The mean HRQoL was 35.35 (SD=13.21). More than half of the respondents experienced poor functional and physical wellbeing, 221 (66%) and 201 (60%) respectively and no patient experienced good functional and physical wellbeing. While 189 (57%) experienced fair overall quality of life. Multiple cumulative logistic regression analysis between cancer stage and treatment had statistically significant association with overall quality of life (X2 = 105.34 and 70.72; with df=3 and 6; p-values = 0.0001 and 0.0001, respectively); also between age, marital status, level of education and religion showed positive influence on overall quality of life except for religion (X2 = 21, 11, 113 and 4 with df=3 for all and p-values = 0.0001, 0.0121, 0.0001, 0.2563 respectively). Cervical cancer patients do fairly better with emotional and social wellbeing, while they experience poor functional and physical wellbeing due to large proportion of patients presenting at stage IV and III of the disease. There is a need to include HRQoL assessment in routine management of cervical cancer patients to enhance their quality of life.},
 year = {2019}
}

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TY  - JOUR
T1  - Assessment of Health Related Quality of Life in Cervical Cancer Patients in Western Kenya
AU  - Jane Adhiambo Owenga
Y1  - 2019/01/17
PY  - 2019
N1  - https://doi.org/10.11648/j.ajns.20180706.26
DO  - 10.11648/j.ajns.20180706.26
T2  - American Journal of Nursing Science
JF  - American Journal of Nursing Science
JO  - American Journal of Nursing Science
SP  - 325
EP  - 332
PB  - Science Publishing Group
SN  - 2328-5753
UR  - https://doi.org/10.11648/j.ajns.20180706.26
AB  - Health Related Quality of Life (HRQoL) is an important health outcome in the holistic management of patients especially those suffering from life limiting conditions such as cervical cancer. In Kenya, Cervical cancer is the most frequent cancer among women. However, little is known and documented on HRQoL of cervical cancer patients. This study assessed HRQoL of cervical cancer patients in western Kenya. A cross-sectional study involving 334 cervical cancer patients was conducted in Jaramogi Oginga Odinga Teaching and Referral Hospital (JOOTRH) in Kisumu from September 2014 to February 2015. FACT-Cx (The Functional Assessment of Chronic Illness Therapy –for measuring Quality of Life in cervical cancer patients) Version 4 and a structured questionnaire were used to collect data. Quantitative data was analyzed using Statistical Package for Social Scientists (SPSS) Version 20 and Statistical Application Software (SAS) version 9.2 at a statistical significance of P ≤ 0.05, descriptive and inferential statistics were performed. The mean HRQoL was 35.35 (SD=13.21). More than half of the respondents experienced poor functional and physical wellbeing, 221 (66%) and 201 (60%) respectively and no patient experienced good functional and physical wellbeing. While 189 (57%) experienced fair overall quality of life. Multiple cumulative logistic regression analysis between cancer stage and treatment had statistically significant association with overall quality of life (X2 = 105.34 and 70.72; with df=3 and 6; p-values = 0.0001 and 0.0001, respectively); also between age, marital status, level of education and religion showed positive influence on overall quality of life except for religion (X2 = 21, 11, 113 and 4 with df=3 for all and p-values = 0.0001, 0.0121, 0.0001, 0.2563 respectively). Cervical cancer patients do fairly better with emotional and social wellbeing, while they experience poor functional and physical wellbeing due to large proportion of patients presenting at stage IV and III of the disease. There is a need to include HRQoL assessment in routine management of cervical cancer patients to enhance their quality of life.
VL  - 7
IS  - 6
ER  -

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