title: Factors affecting the quality of life of cancer patients undergoing chemotherapy: A questionnaire study.
abstract: OBJECTIVE
  This descriptive and cross-sectional study was undertaken to determine the factors affecting cancer patients' quality of life.
  
  
  METHODS
  We collected data from 352 chemotherapy patients of an Outpatient Chemotherapy Unit in a state hospital. We included volunteered chemotherapy patients with a signed informed consent and at least 50 Karnofsky Performance Scale points. We gathered data by Personal Information Form and Nightingale Symptom Assessment Scale (N-SAS) and analyzed via basic descriptive statistics and linear regression analysis.
  
  
  RESULTS
  Patients were women (54.8%), married (83.5%), elementary school graduates (57.1%), housewives (44.6%) and undergoing fluorouracil-based therapy (47.2%), and almost all patients had religious and cultural rituals for the disease. Women experienced worse physical and social well-being than men (P= 0.001,P= 0.0001). Singles had worse psychological and general well-being (P= 0.0001,P= 0.0001). Housewives had the worst physical and social well-being (P< 0.05). No relationship existed between education level and life quality (P> 0.05). Breast cancer and sarcoma patients had the worst social well-being than other cancer patients. The N-SAS points of patients were not affected by blessings/prays, vow/sacrifice, consulting local herbalists and visiting "ocaks (folk physicians)" (P> 0.05). Patients with bad quality of life practiced lead pouring and amulets (P< 0.05). Gender was the first factor affecting the quality of life.
  
  
  CONCLUSIONS
  Advanced studies on individual quality of life factors affecting cancer would empower nurses for better personal care techniques and patients for easily overcoming the disease.
authors.affiliation: Department of Nursing, Dumlupınar University Kütahya School of Health, Kütahya, Turkey.
authors.forename: Sema
authors.initials: S
authors.lastname: Üstündağ
authors.affiliation: Department of Nursing, Ankara University Health Sciences Faculty, Ankara, Turkey.
authors.forename: Ayten Demir
authors.initials: AD
authors.lastname: Zencirci
keywords: Cancer; chemotherapy; life quality; nursing care