PSYCHOLOGICAL AND QUALITY OF LIFE OF THE ADVANCED CANCER PATIENTS RECEIVING PALLIATIVE CARE IN COMMUNITIES IN THE NORTHEAST REGION OF THAILAND

Abstract

Advanced cancer patients (ACPs) manifest with progressive and severe physical, psychological, and emotional symptoms resulting from their diseases. Their families also experience emotional distress and anxiety from caregiving. Palliative care can help ACPs and family care givers (FCGs) better manage adverse symptoms and health conditions, improving quality of life. The purpose of this study was to study the mental health and quality of life of patients with metastatic cancer in families receiving palliative care, as well as the guidelines and outcomes of disturbance management. The sample consisted of 37 research participants. Data were collected through questionnaires. Data were analyzed using descriptive statistics, including percentage, mean, and standard deviation maximum and minimum. The results of the study found that the top 3 differential diagnoses for the sample of female advanced cancer patients (ACPs) were breast cancer, colon cancer, and cervical cancer. In males, lung cancer, colon cancer, and bile duct cancer were diagnosed. 51.4% of the patients were able to accept it. Patients' perceptions of the family's emotional expression were shock, stress, and anxiety 89.2%. Patients had a stable level of ability 51.4%. The top 3 symptoms of discomfort were pain, tiredness or fatigue, and anxiety, which ranged in mild to moderate severity. Their overall quality of life was at a moderate level. There is a low level of awareness of illness conditions and palliative self-care behaviors. The findings indicate the need for relevant agencies, communities, and localities to promote and support access to palliative care services, the mental health and discomfort of patients and their families, and a good quality of life.