title: Quality of life of palliative care patients in the last two weeks of life.
abstract: Quality of life (QOL) is the main consideration in caring for advanced cancer patients, yet little is known about the QOL in the terminal phase. We profiled the QOL of 58 advanced cancer patients during their last 2 weeks of life using the McGill QOL questionnaire-Hong Kong version. The patients provided ratings of QOL an average of 5.6 (median 6) days pre-death. Palliative care services were successful in maintaining the total QOL score during the dying phase. The mean score was 7.0 of 10. Among the various domains, the physical and existential domains scored relatively poorly at 5.9 and 6 of 10, respectively. The worst physical symptom and meaning of life were the individual items with the poorest scores (4.8 and 5.4 of 10, respectively). Compared with admission, there was statistically significant improvement in the worst physical symptom (P = 0.02) and eating item (P = 0.002), but deterioration in physical well-being (P = 0.03), meaning of existence (P = 0.007), and satisfaction with oneself (P = 0.04). In conclusion, QOL evaluation during the terminal phase identifies important aspects requiring improvement during the last two weeks of life. Physical and existential domains of dying cancer patients needed more attention.
authors.affiliation: Palliative Care Unit, Department of Medicine and Geriatrics, Shatin Hospital, 33-A Kung Kok Street, Ma On Shan, New Territories, Hong Kong.
authors.forename: Raymond S K
authors.initials: RS
authors.lastname: Lo
authors.forename: Jean
authors.initials: J
authors.lastname: Woo
authors.forename: Karen C H
authors.initials: KC
authors.lastname: Zhoc
authors.forename: Charlotte Y P
authors.initials: CY
authors.lastname: Li
authors.forename: Winnie
authors.initials: W
authors.lastname: Yeo
authors.forename: Philip
authors.initials: P
authors.lastname: Johnson
authors.forename: Yvonne
authors.initials: Y
authors.lastname: Mak
authors.forename: Joseph
authors.initials: J
authors.lastname: Lee
mesh_terms: D006801:Humans; D010166:Palliative Care; D011788:Quality of Life; D013727:Terminal Care