การประเมินความต้องการจำเป็นของคุณภาพชีวิตด้านสุขภาพใน ผู้ป่วยมะเร็งลำไส้ใหญ่ และทวารหนักที่ได้รับยาเคมีบำบัด

kampon Introntakun; Anongsak  kongnin; Nualthip  Puntongpun; Chureeporn  Silaguntsuti; Russunan  Jantarapakdee; Boonchai ngamsirimas

Authors

kampon Introntakun Nursing Department, Faculty of Medicine Vajira Hospital, Navamindradhiraj University
Anongsak kongnin Nursing Department, Faculty of Medicine Vajira Hospital, Navamindradhiraj University
Nualthip Puntongpun Nursing Department, Faculty of Medicine Vajira Hospital, Navamindradhiraj University
Chureeporn Silaguntsuti Nursing Department, Faculty of Medicine Vajira Hospital, Navamindradhiraj University
Russunan Jantarapakdee Department of Mental Health and Psychiatric Nursing, Faculty of Nursing, Burapha University
Boonchai ngamsirimas Department of Surgery, Faculty of Medicine Vajira Hospital, Navamindradhiraj University

Keywords:

Needs Assessment, Health-Related Quality of Life, Colorectal Cancer Patients, Chemotherapy, Response to Needs

Abstract

Background: The quality of life of colorectal cancer patients receiving chemotherapy is often affected by physical and psychological side effects. Assessing health-related quality of life needs is therefore a crucial foundation for planning appropriate care.

Objective: To assess the needs, prioritize them, and analyze the causal factors of health- related quality of life needs among colorectal cancer patients receiving chemotherapy.

Material and methods: The sample for this descriptive study comprised 220 colorectal cancer patients receiving chemotherapy at a tertiary hospital in Bangkok. A health-related quality of life assessment was used to analyze needs, prioritize them, and examine causal factors through a group process using the Assumption-Based Technique. Data obtained from the group process were analyzed using a content analysis approach adapted from Van Manen’s steps, and the synthesized results were summarized using a fishbone diagram based on Ishikawa’s concept.

Results: The health-related quality of life needs identified in this study, based on the PNI _modified dimensions, ranged from moderate to high levels. These included symptoms affecting health (0.34), followed by biological functioning (0.24), physical functioning (0.23), and perceived health status (0.22), respectively. The causal factors influencing the response to these health-related quality of life needs included limitations of healthcare providers, the healthcare system, and the patients’ families.

Conclusion: Colorectal cancer patients receiving chemotherapy have multidimensional health-related needs. Developing a holistic care model that encompasses all aspects of well-being, enhancing healthcare team competencies, and strengthening family support can effectively improve patient’s health-related quality of life.

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