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Eur J Oncol Nurs ; 17(1): 70-4, 2013 Feb.
Article in English | MEDLINE | ID: mdl-22369950

ABSTRACT

BACKGROUND: Discrepancies exist in estimation of quality of life (QL) by patients and caregivers but underlying factors are incompletely characterised. METHODS: QL of 153 patients was estimated by themselves, by 70 nurses and by 53 physicians in a cross-sectional study. Variables which could influence inter-rater agreement were evaluated. RESULTS: Inter-rater agreement of QL was fair (r = .292) between patients and nurses and between patients and physicians (r = .154). Inter-rater agreement with nurses was significantly lower concerning fatigue and pain for patients with a Karnofsky Index <50 when compared to patients with a KI > 50. Their inter-rater agreement with physicians was significantly lower for fatigue, pain and physical functioning. Agreement on the degree of anxiety was significantly (p = .009) better for female patients. Agreement on the need for social assistance (p = .01) and physical functioning (p = .03) was significantly better for male patients. Agreement with patients on their physical functioning was significantly (p = .03) better for male nurses and male physicians (r = .944) than for female nurses and female physicians (r = .674). CONCLUSIONS: Our study showed that estimation of overall QL of patients by professional caregivers is inaccurate. Inter-rater agreement was influenced by KI of patients, by gender of patients and caregivers and by professional experience of nurses.


Subject(s)
Attitude of Health Personnel , Neoplasms/nursing , Neoplasms/psychology , Nurses/psychology , Palliative Care/psychology , Physicians/psychology , Quality of Life , Adult , Aged , Aged, 80 and over , Austria , Cross-Sectional Studies , Evaluation Studies as Topic , Female , Humans , Male , Middle Aged , Prospective Studies , Self Report , Sex Factors , Surveys and Questionnaires
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