Abstract CN16
Background
Functional status among patients with advanced cancer may impact significantly on their prognosis, quality of life, and survival. Proper coping strategies may optimalize functional status among patients with advanced cancer.The purposes of this study were to explore the coping strategies used by patients with advanced cancer in Indonesia. In addition, the determinants of functional status, including sociodemoghraphic and clinical characteristics, as well as coping strategies, were also examined.
Methods
This cross-sectional study collected demographic data, clinical characteristic and coping measurements from 440 patients with advanced cancer in one referral hospital from May to December 2019 in Indonesia. The Brief Cope Inventory was used to assess coping strategies which can be classified into Problem Focused Coping (PFC) and Emotional Focused Coping (EFC). The Karnofsky Performance Scale was used to assess the functional status. Descriptive analysis, Mann-Whitney U test, Kruskal-Wallis test, and multiple linear regression with stepwise method were used to analyze the data.
Results
The 3 most often used coping strategies were religion followed by emotional support and acceptance. PFC was associated with stage of diseases and time of diagnosis. EFC did not relate to any demographic variable and clinical characteristic. The determinants of functional status were higher education, EFC and PFC. Subjects who reported a higher education and higher EFC score were associated with better functional status. However, higher PFC score was found to be negatively related to functional status.
Conclusions
Patients with advanced cancer in Indonesia predominantly used PFC particularly religion coping strategy. Proper interventions to optimize functional status for patients with advanced cancer should be incorporating appropriate type of coping strategies and identifying related factors in Indonesia taking into account possible culture characteristics such as religion.
Clinical trial identification
Editorial acknowledgement
Legal entity responsible for the study
The authors.
Funding
Has not received any funding.
Disclosure
All authors have declared no conflicts of interest.