Factors predicting quality of life among older adults with advanced cancer receiving palliative care


  • Khuanta Wongketkit The Student of Master of Nursing Science (Gerontological Nursing), Faculty of Nursing, Mahidol University
  • Virapan Wirojratana Department of Fundamental Nursing, Faculty of Nursing, Mahidol University
  • Wallada Chanruangvanich Department of Surgical Nursing, Faculty of Nursing, Mahidol University


quality of life, older adults, advanced cancer, performance status, satisfaction, financial burden


This predictive correlational research aimed at studying the influence of performance status, satisfaction with information, and perceived financial burden on the quality of life among older adults with advanced cancer receiving palliative care. The subjects were 85 older adults with advanced cancer. Data were collected by using the questionnaires including demographic data, quality of life, performance status, satisfaction with information, and perceived financial burden. Predictive power was analyzed by using multiple regression statistics.

According to the findings, most of the sample, 32.9%, had lung cancer. The overall quality of life was moderate (Mean= 62.05, SD=21.38), and performance status (KPS score 70-80) was 52.9 %. satisfaction with information (Mean= 70.59, SD=21.46) and perceived financial burden were low (Mean= 25.94, SD=31.19). The factors of performance status, satisfaction with information, and perceived financial burden could together explain 53% of the variance of quality of life among older adults with advanced cancer (adjusted R² = 0.51, R² = 0.53, F = 30.05, p < 0.001). The factors predicting quality of life with statistical significance were performance status (β = 0.55, p < 0.01) and perceived financial burden (β = - 0.27, p < 0.01)       

The study findings suggest that nurses should develop care activities that promote the maintenance of performance status and assess the perceived financial burden, then provide support and useful resources. This will promote the efficient transition among older adults with advanced cancer who received palliative care and result in a better quality of life.


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