OJN  Vol.1 No.2 , September 2011
Quality of life and hope in elderly people with cancer
Abstract: The aim of this study was to describe the charac-teristics in Quality of Life (QoL) and hope in eld-erly people newly diagnosed with cancer, and to compare the results for those who survived six months after diagnosis with those who did not. The design of the study was a quantitative study in-cluding drop-out analysis. Data were collected pro-spectively from a group of 101 older people with cancer. The core questionnaire EORTC QLQ-C30 was used to measure QoL and Nowotny’s Hope Scale (NHS) was employed to measure hope. Par-ticipants who died within six months of diagnosis had significantly lower QoL and had more com-plaints about symptoms compared to those who survived. However, hope did not differ significantly between those who died and those who survived. Despite lower QoL score among those who died they were able to deal with their difficult situation and maintain hope in late life. This capacity seems to be an important component of hope in the elderly; thus it is essential to strengthen hope.
Cite this paper: nullEsbensen, B. and Thomsen, T. (2011) Quality of life and hope in elderly people with cancer. Open Journal of Nursing, 1, 26-32. doi: 10.4236/ojn.2011.12004.

[1]   Overcash, J. and Balducci, L. (2003) Nursing research and quality of life. The older cancer patient, Springer Publishing Company, New York.

[2]   Thomé, B., Dykes, A.K. and Hallberg, I.R. (2004) Quality of life in old people with and without cancer. Quality Life of Research, 13, 1067-1080.

[3]   Benzein, E. and Saveman, B.I. (1998) One step towards the understanding of hope: a concept analysis. International Journal of Nursing Studies, 35, 322-329.

[4]   Duggleby, W. and Wright, K. (2004) Elderly palliative care cancer patients’ descriptions of hope-fostering stra- tegies. International Journal of Nursing Studies, 10, 352-359.

[5]   Duggleby, W. and Wright, K. (2005) Transforming hope: how elderly palliative patients live with hope. Canadian Journal of Nursing Research, 37, 70-84. Thomé, B., et al., (2004) The meaning of having to live with cancer in old age. European Journal f Cancer Care, 13, 399-408.

[6]   Nowotny, M.L. (1991) Every tomorrow, a vision of hope. Journal of Psychosocial Oncology, 9, 117-126.

[7]   Esbensen, B.A., Osterlind K. and Hallberg, I.R. (2007) Quality of life of elderly persons with cancer: A 6-month follow-up. Scandinavian Journal of Caring Sciences, 21, 178-190.

[8]   Rustoen, T., Cooper, B.A. and Miaskowski, C. (2010) The importance of hope as a mediator of psychological distress and life satisfaction in a community sample of cancer patients. Cancer Nursing, 33, 258-267.

[9]   Rustoen, T. and Hanestad, B.R. (1998) Nursing intervention to increase hope in cancer patients. Journal of Clinical Nursing, 7, 19-27.

[10]   Herth, K.A. and Cutcliffe, J.R. (2002) The concept of hope in nursing 6: research/education/policy/practice. British Journal of Nursing, 11, 1404-1411.

[11]   Herth, K.A. and J.R. Cutcliffe, (2002) The concept of hope in nursing 4: Hope and gerontological nursing. British Journal of Nursing, 11, 1148-1156.

[12]   Penson, J., (2000) A hope is not a promise: fostering hope within palliative care. International Journal of Palliative Nursing, 6, 94-98.

[13]   Hallberg, I.R., (2006) Palliative care as a framework for older people’s long-term care. International Journal of Palliative Nursing, 12, 224-229.

[14]   Esbensen, B.A., et al. (2004) Quality of life of elderly persons with newly diagnosed cancer. European Journal of Cancer Care, 13, 443-453.

[15]   Anderson, R.T., Aaronson, N.K. and Wilkin, D. (1993) Critical review of the international assessments of health-related quality of life. Quality Life Research, 2, 369-395.

[16]   Carlsson, M. and Hamrin, E. (1996) Measurement of quality of life in women with breast cancer. Development of a Life Satisfaction Questionnaire (LSQ-32) and a comparison with the EORTC QLQ-C30. Quality Life Research, 5, 265-274.

[17]   Aaronson, N.K., et al. (1993) The European Organization for research and treatment of cancer QLQ-C30: A quality-of-life instrument for use in international clinical trials in oncology. Journal of National Cancer Institute, 85, 365-376.

[18]   Fayers, P. and Bottomley, A. (2002) Quality of life research within the EORTC-the EORTC QLQ-C30. European Organisation for Research and Treatment of Cancer. European Journal of Cancer Care, 38, S125-S133.

[19]   Nowotny, M.L. (1989) Assessment of hope in patients with cancer: Development of an instrument. Oncology Nursing Forum, 16, 57-61.

[20]   Streiner, D.L. and Norman, G.R. (1989) Health measurement scales. A practical guide to their development and use. 2nd Edition, Oxford University Press, Oxford.

[21]   Nowotny, M.L. (1986) Measurement of hope as exhibited by a general adult population after a stressful event. College of Nursing, Texas: Texas Woman’s University, Denton, 1-144.

[22]   Hinds, P.S. (1984) Inducing a definition of ‘hope’ through the use of grounded theory methodology. Journal of Advanced Nursing, 9, 357-362.

[23]   Rustoen, T., (1995) Hope and quality of life, two central issues for cancer patients: A theoretical analysis. Cancer Nursing, 18, 355-361.

[24]   Rustoen, T. and Wiklund, I. (2000) Hope in newly diagnosed patients with cancer. Cancer Nursing, 23, 214-219.

[25]   Raleigh, E.D., (1992) Sources of hope in chronic illness. Oncology Nursing Forum, 19, 443-448.

[26]   Farran, C.J., Herth, K.A. and Popovich, J.M. (1995) Hope and hopelessness: Critical clinical constructs, Thousand Oaks, Sage, Califomia.

[27]   Forbes, M.A. (1999) Hope in the older adult with chronic illness: A comparison of two research methods in theory building. ANS Advanced Nursing Science, 22, 74-87.

[28]   Herth, K. (1990) Fostering hope in terminally-ill people. Journal of Advanced Nursing, 15, 1250-1259.

[29]   Harrison, M.B., Juniper, E.F. and Mitchell-DiCenso, A. (1996) Quality of life as an outcome measure in nursing research: May you have a long and healthy life. Canadian Journal of Nursing Research, 28, 49-68.

[30]   Fayers, P.M. and Machin, D. (2000) Quality of life: Assessment, analysis and interpretation. John Wiley & Sons Ltd., Chichester.

[31]   Baltes, P.B. and Baltes, M.M. (1993) Psychological perspectives on successful aging: The model of selective optimization with compensation, in Successful aging. Perspectives from the behavioral sciences, Baltes, P.B. and Baltes, M.M. Editors, Cambridge University Press, Cambridge, 1-34.

[32]   Morse, J.M. and Doberneck, B. (1995) Delineating the concept of hope. Image Journal of Nursing Scholarship, 27, 277-285.