Gender Differences in Predictors of Quality of Life at the Initiation of Radiation Therapy
- PMID: 26302279
- PMCID: PMC5471494
- DOI: 10.1188/15.ONF.507-516
Gender Differences in Predictors of Quality of Life at the Initiation of Radiation Therapy
Abstract
Purpose/objectives: To evaluate gender differences in quality of life (QOL), demographic, clinical, and symptom characteristics.
Design: Prospective, observational.
Setting: Two radiation oncology departments in northern California.
Sample: 185 patients before initiation of radiation therapy (RT).
Methods: At their RT simulation visit, patients completed a demographic questionnaire, a measure of QOL, and symptom-specific scales. Backward elimination regression analyses were conducted to determine the significant predictors of QOL .
Main research variables: QOL, gender, and 20 potential predictors .
Findings: In women, depressive symptoms, functional status, age, and having children at home explained 64% of the variance in QOL. In men, depressive symptoms, state anxiety, number of comorbidities, being a member of a racial or ethnic minority, and age explained 70% of the variance in QOL .
Conclusions: Predictors of QOL differed by gender. Depressive symptom score was the greatest contributor to QOL in both genders. .
Implications for nursing: Nurses need to assess for QOL and depression at the initiation of RT. Knowledge of the different predictors of QOL may be useful in the design of gender-specific interventions to improve QOL.
Keywords: anxiety; depression; gender differences; quality of life; radiation therapy.
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