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Am J Hosp Palliat Care. 2015 Nov;32(7):695-702. doi: 10.1177/1049909114537871. Epub 2014 Jun 5.

Changes in and Associations Among Functional Status and Perceived Quality of Life of Patients With Metastatic/Locally Advanced Cancer Receiving Rehabilitation for General Disability.

Author information

1
Department of Pain and Palliative Care, Kameda General Hospital, Kamogawa, Chiba, Japan.
2
Department of Rehabilitation Medicine, Seirei Mikatahara General Hospital, Hamamatsu, Shizuoka, Japan.
3
Department of Rehabilitation Medicine, Kameda General Hospital, Kamogawa, Chiba, Japan.
4
Department of Palliative Nursing, Health Sciences, Tohoku University Graduate School of Medicine, Sendai, Miyagi, Japan.
5
Department of Palliative and Supportive Care, Palliative Care Team, and Seirei Hospice, Seirei Mikatahara General Hospital, Hamamatsu, Shizuoka, Japan tmorita@sis.seirei.or.jp.

Abstract

The primary aims were to clarify the changes in the functional status and quality of life of patients with metastatic/locally advanced cancer who received rehabilitation therapy. This is a cohort study, and all consecutive patients who received rehabilitation therapy were evaluated before and 2 weeks after. Outcome measures were the Functional Independence Measure (FIM), perceived independence, and overall quality of life (European Organization for Research and Treatment of Cancer C30). A total of 128 patients were included. Although the FIM score significantly decreased, the overall quality of life significantly increased. Even in the patients with deteriorated FIM scores, the overall quality of life was maintained despite a significantly decreased perceived independence. Terminally ill patients with cancer who received a rehabilitation program maintained their overall quality of life despite an objective decline in the physical functional status.

KEYWORDS:

cohort; palliative care; quality of life; rehabilitation

PMID:
24907122
DOI:
10.1177/1049909114537871
[Indexed for MEDLINE]
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