Purpose/objectives
To evaluate gender differences in quality of life (QOL), demographic, clinical, and symptom characteristics.
Design
Prospective, observational.
Setting
Two radiation oncology departments in northern California.
Sample
185 patients before initiation of radiation therapy (RT).
Methods
At their RT simulation visit, patients completed a demographic questionnaire, a measure of QOL, and symptom-specific scales. Backward elimination regression analyses were conducted to determine the significant predictors of QOL
.Main research variables
QOL, gender, and 20 potential predictors
.Findings
In women, depressive symptoms, functional status, age, and having children at home explained 64% of the variance in QOL. In men, depressive symptoms, state anxiety, number of comorbidities, being a member of a racial or ethnic minority, and age explained 70% of the variance in QOL
.Conclusions
Predictors of QOL differed by gender. Depressive symptom score was the greatest contributor to QOL in both genders.
.Implications for nursing
Nurses need to assess for QOL and depression at the initiation of RT. Knowledge of the different predictors of QOL may be useful in the design of gender-specific interventions to improve QOL.