Abstract
This research resulted in the evolution of a model depicting the quality of life of long-term female cancer survivors. The foundation for this model's development was Ferrell's (1993) breast cancer model, which incorporates physical, social, psychological and spiritual domains of life. The Ferrell model was adapted following focus-group discussions with 11 long-term female cancer survivors. The adjusted model included new categories, within each of Ferrell's initial domains, that were specific to the focus group participants. Administration of a new instrument, the Long-Term Quality of Life (LTQL), to 187 long-term female cancer survivors produced a final model that included the interaction of all four domains in six major concepts of quality of life. This new model, which reflects the complexity of life in long-term female cancer survivors, may be useful to health professionals in designing interventions to meet the unique needs of these women.
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References
American Cancer Society, Cancer facts and figures. Atlanta, GA: American Cancer Society, 1995.
Padilla GV, Grant MM, Ferrell B. Nursing research into quality of life. Qual Life Res 1992; 1: 341–348.
Andersen BL. Predicting sexual and psychologic morbidity and improving the quality of life for women with gynecologic cancer. Cancer 1993; 17(Suppl 4): 1678–1690.
Northouse L. A longitudinal study of the adjustment of patients and husbands to breast cancer. Oncol Nursing Forum 1989; 16(4): 511–516.
Reiker PP, Clark EJ, Fogelberg PR. Perceptions of quality of life and quality of care for patients with cancer receiving biological therapy. Oncol Nursing Forum 1992; 19(3): 433–440.
Schag CAC, Ganz PA, Heinrich R. Cancer Rehabilitation Evaluation System-Short Form (CaRES-SF). Cancer 1991; 68: 1406–1413.
Ganz PA, Schag CAC, Lee JJ, Sim MS. The CARES: A generic measure of health-related quality of life for patients with cancer. Qual Life Res 1992; 1: 19–29.
Erikson EH. Childood and society (2nd ed). NY: Norton, 1963.
Padilla GV, Grant MM. Quality of life as a cancer nursing outcome variable. Advances in Nursing Science 1985; 8(1): 45–60.
Padilla GV, Ferrell B, Grant MM, Rhiner M. Defining the content domain of quality of life for cancer patients with pain. Cancer Nursing 1990; 13(2): 108–115.
Grant M, Ferrell B, Schmidt GM, Fonbuena P, Niland JC, Forman SJ. Measurement of quality of life in bone marrow transplantation survivors. Qual Life Res 1992; 1: 375–388.
Ferrell BR. Overview of breast cancer: Quality of life. Oncology Patient Care 1993; 3(3): 7–8.
Wyatt G, Kurtz ME, Given B, Given CW, Friedman LL. Development of the Long-Term Quality of Life (LTQL) instrument for female cancer survivors. Manuscript submitted for publication. 1995;
Wyatt G, Kurtz ME, Liken M. Breast cancer survivors: An exploration of quality of life issues. Cancer Nursing 1993; 6(16): 440–448.
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This research was supported by two grants: ‘Quality of Life of Long-Term Female Cancer Survivors’, funded by Bristol-Myers through the Oncology Nursing Society; and the College of Nursing Research Initiation Grant, funded by Michigan State University College of Nursing, Gwen Wyatt, Principal Investigator.
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Wyatt, G.K.H., Friedman, L.L. Development and testing of a quality of life model for long-term female cancer survivors. Qual Life Res 5, 387–394 (1996). https://doi.org/10.1007/BF00433923
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DOI: https://doi.org/10.1007/BF00433923