PALLIATIVE CARE RECOVERY OUTCOMES: NATURE OF RECOVERY OUTCOMES AMONG CANCER PATIENTS IN NAIROBI AND NYERI COUNTIES, KENYA
DOI:
https://doi.org/10.47604/jhmn.1244Keywords:
Pain, Weight, Quality of life, Quality of sleep, Recovery outcomes, Adversity Quotient ,palliative care, Nyeri County Referral Hospital (CRH), Nairobi Hospice, Nyeri HospiceAbstract
Purpose: This study sought to find out nature of recovery outcomes among cancer patients attending palliative care in Nairobi and Nyeri County
Methodology: The study adopted a correlation research design. The target population were the cancer patients, attending treatment at the three palliative care units in Nairobi and Nyeri Counties. Systematic random sampling technique was used in the study to obtain a sample of 96 participants. Semi structured questionnaires were used to collect data. Data was analysed using both descriptive and inferential statistics, namely Pearson Moment Correlation Coefficient(r).
Findings: Result showed that, majority of the respondents (65.5%) had a low level of recovery outcomes, while 32.1% had a high level of recovery outcomes. results indicate that the lowest score on recovery outcomes was 31, while the highest score was 74. The mean score was 47.0+9.465, which indicates that the recovery outcomes fell in the low range. These findings were not unusual considering that most of the patients were newly diagnosed with cancer and for some respondent's metastasis had set in.
Conclusion: The study concluded that the two most significant challenges encountered in palliative care were, patient experiencing isolation and lacking finances. Provision of financial support and increasing the number of counselling sessions were suggested as possible strategies for enhancing patient recovery outcomes
Recommendation: This study recommended that the palliative care units staff should encourage participation of family members, friends and significant others in the cancer continuum, so as to provide psychological and social support to patients
Unique contribution to theory, practice and policy Patients under palliative care could adopt group psychotherapy, including cognitive-behavioural, informational, non-behavioral, social support, and using unusual treatments such as music and art therapy to curb cancer. More cancer related programs enhancing patients AQ should be put in place by the counsellors in order to increase the patients AQ in the palliative care units from moderate level to high level of AQ in order to boost recovery outcomes
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References
Becker, G., & Newsom, E. (2003). Socioeconomic status and dissatisfaction with health care among chronically ill African Americans. American journal of public health, 93(5), 742-748.
Becker, G., & Newton, E. (2004).Socioeconomic status and dissatisfaction with health care among chronically ill African Americans. American Journal of Public Health, 93, 742-748.
Berger M.Lynn H. Gerber, Deborah K. Mayer,(2012)Prospective Surveillance Model for Rehabilitation for Women with Breast Cancer, Supplement to Cancer https://doi.org/10.1002/cncr.27475
Bethsda, M,(2011).Aim for a healthy weight. National Heart,lung and Blood Institute.
Carver, C. S., Smith, R. G., Petronis, V. M., &Antoni, M. H. (2006).Quality of life among long-term survivors of breast cancer: Different types of antecedents predict different classes of outcomes.Psycho-Oncology, 15, 749-758.
Lesage, P, Portenoy, R.K, (1999). Journal of the Moffitt Cancer Centre 136-146
Macasa, E. Jarret ,P.M(2016) The impact of weight loss on patients with cancer.clinical nursing times. https://www.nursing times.net
Martin, L., Birdsell, L., MacDonald, N., Reiman, T., Clandinin, M. T., McCargar, L. J., ... & Baracos, V. E. (2013). Cancer cachexia in the age of obesity: skeletal muscle depletion is a powerful prognostic factor, independent of body mass index. Journal of clinical oncology, 31(12), 1539-1547. National Cancer Institute Dictionary of Cancer Terms.(2012). Survivorship.Retrieved from http://www.cancer.gov/dictionary/CdrID=445089 1ST Sept 2015
O'Boyle, E. H., Jr., Forsyth, D. R., Banks, G. C., & McDaniel, M. A. (2012). A meta-analysis of the Dark Triad and work behavior: A social exchange perspective. Journal of Applied Psychology, 97(3), 557-579. https://doi.org/10.1037/a0025679
Savard, J., Simard, S., Blanchet, J., Ivers, H., & Morin, C. M. (2001). Prevalence, clinical characteristics, and risk factors for insomnia in the context of breast cancer. Sleep: Journal of Sleep and Sleep Disorders Research, 24(5), 583-590. https://doi.org/10.1093/sleep/24.5.583
Stepanski, L.S,Walker M.S, Schwartzberg L.S, Blakey .L. J,Ong J.C, Houts .A.C: The relation of trouble sleeping, depressed mood, pain, and fatigue in patients with cancer.: Journal of Clinical Sleep Medicine : JCSM : Official Publication of the American Academy of Sleep Medicine, 01 Apr 2009, 5(2):132-136
Vigano, A., Watanabe, S., & Bruera, E. (1994). Anorexia and cachexia in advanced cancer patients. Cancer surveys, 21, 99-115.
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Copyright (c) 2021 Joyce Muthoni Wang'ombe, Dr Beatrice Kathungu
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