Personal and contextual factors predicting patients’ reported quality of life: exploring congruency with Betty Neuman's assumptions


Cora Hindu 451 Smyth Road Ottawa Ontario K1H 8M5 Canada


The search for factors which influence seriously ill people's quality of life continues to generate both interest and research A retrospective cross-sectional study was conducted among 87 patients with lung cancer who ranged between the ages of 38 and 82 years The purposes of this investigation were to determine whether relationships existed between patients’ preferences for illness-related information, their satisfaction with family functioning, their level of learned resourcefulness and their reported quality of life This paper focuses on the results of a stepwise multiple regression analysis which identified seven factors, namely, prognosis, surgery, current radiotherapy, performance status, self-control skills (learned resourcefulness), preference for information and agegroup, which accounted for 30% of explained variance in patients’ reported quality of life No single factor contributed a substantial amount of the variance in this sample's reported quality of life This observation suggests differences in people's perceptions of these factors and their importance to them These results support a conclusion that people's evaluation of their quality of life is subjective, changeable and depends on the circumstances they face Congruence between the assumptions underlying Neuman's health care system model, and the personal and contextual nature of these seven factors in patients’ quality of life areexplored These findings are relevant for practice