Journal of Community Medicine & Public Health (ISSN: 2577-2228)

Research Article

Quality of Life-Scores among Palliative Care Cancer Patients in Kenya

Ondimu Thomas Orindi*, Dickens S Omondi Aduda, Fred A Amimo

School of Public Health, Jaramogi Oginga Odinga University of Science and Technology (JOOUST), Kenya

Corresponding Author*: Ondimu Thomas Orindi, School of Public Health, Jaramogi Oginga Odinga University of Science and Technology (JOOUST), Kenya

Received Date: 27 August, 2021

Accepted Date: 31 August, 2021

Published Date: 06 September, 2021

Abstract

Background: Cancer morbidity and mortality is rising more rapidly in the Low and Middle Income Countries (LMICs). Majority of the patients are diagnosed late and even when diagnosed, often receive sub-optimal care. Quality of life assessment not only indicates level of care-management and state of service functioning but also helps to identify patient needs. The current study evaluated the clinical characteristics and quality of life of among patients receiving palliative care at Kisii Teaching and Referral Hospital.

Methods: Using a descriptive cross-sectional design, 120 cancer palliative care patients were assessed for quality of life using MVQOL-I. Eligible ambulatory and in-patients were sequentially enrolled as they came for their scheduled visits. Quantitative data were analyzed descriptively, one way ANOVA used to separate the means across QOL categories.

Conclusion: Pain relief and psychological support were the most satisfactorily met needs for these patients. There is need to strengthen capacity and competence of palliative care providers to enable them provide comprehensive palliative services.

Results: At least 30% participants were aged between 45-54 years old, followed by 25-34 year olds comprising (22.5%) p=<0.001); females comprised 63%; and those with post-primary level education 66% (p= 0.030). Cervical and breast cancers among females and, prostate cancer among males were the most prevalent, among those ³25 years while leukemia was reported only among <25 year old individuals (p=<0.001). Only 44%were on combined therapy (p=<0.001). Pain relief (43.3%) and psychosocial counseling (34.2%) were the predominant forms of palliative care (p=<0.001). At least 88% had been on palliative care for £3 months, and 31% were diagnosed within 3 months prior to study visit. QOL scores were significantly higher for patients if diagnosed within 1-3 months of symptoms onset (P=0.001); treated by surgery (P=0.001); had been on treatment >1 year (P=0.001); experienced relief of pain and other symptoms (P=0.001).

Keywords: Socio-demographic; Characteristics; Quality of life-scores; Palliative care; Cancer; Patients