title: Dependency in elderly people newly diagnosed with cancer--a mixed-method study.
abstract: OBJECTIVE
  This study, based on data from an empirical investigation, combines quantitative and qualitative approaches in a mixed-method design to explore dependency in elderly people newly diagnosed with cancer.
  
  
  METHODS
  101 elderly people newly diagnosed with cancer were included in the quantitative part, with 16 in the qualitative part. A questionnaire concerning quality of life and dependency issues was developed. For the qualitative part, open-ended interviews were conducted to get closer to the experience of dependency.
  
  
  RESULTS
  Combining the two methods was seen as complementary. Involvement of the patient in decision-making related to contact with the primary and secondary health-care systems is an important element in reducing the perception of dependency and maintaining the Quality of Life (QoL) of elderly cancer patients. A more precise intervention in this patient population can be achieved by assessing, Activities of Daily Living (ADL) in the elderly. Receiving assistance from children seems to increase perceived dependency and to affect QoL negatively.
  
  
  CONCLUSIONS
  The results of this mixed-method study indicate that dependency had a negative influence on the elderly with cancer. Being dependent on others was experienced as deterioration. Fatigue represents a significant risk factor for decreased functional ability and is experienced as a reminder of being old and the situation as being out of control. Patients may benefit from health-care professionals acquiring a complete picture of dependency and cancer-related fatigue in the elderly through a systematic assessment, where for example, functional limitations related to fatigue can be determined.
authors.affiliation: Research Unit, Glostrup University Hospital, Nrd. Ringvej, DK 2600 Glostrup, Denmark. bae@novapro.dk
authors.forename: Bente Appel
authors.initials: BA
authors.lastname: Esbensen
authors.forename: Bibbi
authors.initials: B
authors.lastname: Thomé
authors.forename: Thordis
authors.initials: T
authors.lastname: Thomsen
mesh_terms: D000203:Activities of Daily Living; D000368:Aged; D000369:Aged, 80 and over; D006233:Persons with Disabilities; D005221:Fatigue / Q000209:etiology; D005260:Female; D005851:Geriatric Nursing; D006801:Humans; D057187:Independent Living; D008297:Male; D009369:Neoplasms / Q000150:complications / Q000175:diagnosis* / Q000451:nursing; D015404:Nursing Methodology Research; D009859:Oncology Nursing; D036301:Qualitative Research; D011788:Quality of Life; D011795:Surveys and Questionnaires