Relationship of knowledge, attitude, practice (KAP) and demographic factors with quality of life among urban colorectal cancer patients in Malaysia

Sharifa Ezat Wan Puteh, Siti Nadhira Ahmad Khairudin, Connie Kabinchong, Norsyuhadah Musa, Chan Kok Joo, Natrah Mohd Saad, Nurnajayati Omar

Research output: Contribution to journalArticle

1 Citation (Scopus)

Abstract

Background: There is an increasing incidence of colorectal cancer in Malaysia. The aim of this study is to evaluate sociodemographic data, knowledge, awareness, practice level, and quality of life in colorectal cancer patients. Methods: A cross-sectional study was conducted from December 2011 to June 2012 that involved 105 patients diagnosed with colorectal cancer at four chosen tertiary government hospitals. The European Organization for Research and Treatment of Cancer questionnaire was used to measure quality of life and consisted of global health status, five functional scales, six single items and three symptoms scores. A novel knowledge, awareness and practice questionnaire toward colorectal cancer contained three sections of 36 closed-ended questions on knowledge, and ten questions on awareness and practice. Results: The mean age of the respondents was 58.30±12.64 years. Most respondents were diagnosed with Dukes' D (46.7%) stage. Patients' age showed significant association (Spearman Correlation test) with emotional (P=0.048) and social functioning (P=0.036). Indians showed significant association with global health status (P=0.007), emotional functioning (P=0.039) and pain (P=0.009). There was a significant association between females with nausea and vomiting (P=0.015) and lower household income with diarrhea (P=0.042). Cancer stage showed the most significant association with patients' quality of life with cognitive functioning (P=0.030), social functioning (P=0.006), pain (P=0.044) and financial impact (P=0.047). Although the mean scores for knowledge (24.53±2.36), awareness (29.72±2.09) and practice (24.05±3.65)were high, they were not associated with quality of life. Conclusion: Our research showed that patients with advanced age and disease have lower quality of life. Raising awareness by educating the public and implementing a nationwide screening program would allow early detection and treatment of colorectal cancer, thus avoiding deterioration of quality of life.

Original languageEnglish
Pages (from-to)31-41
Number of pages11
JournalMiddle East Journal of Cancer
Volume5
Issue number1
Publication statusPublished - 2014

Fingerprint

Health Knowledge, Attitudes, Practice
Malaysia
Colorectal Neoplasms
Quality of Life
Demography
Health Status
Pain
Research
Tertiary Care Centers
Nausea
Vomiting
Diarrhea
Neoplasms
Cross-Sectional Studies
Organizations
Surveys and Questionnaires
Incidence
Therapeutics

Keywords

  • Awareness and practice
  • Colorectal cancer
  • EORTC Quality of Life Questionnaire (QLQ-C30)
  • Knowledge
  • Quality of life

ASJC Scopus subject areas

  • Oncology
  • Cancer Research

Cite this

Relationship of knowledge, attitude, practice (KAP) and demographic factors with quality of life among urban colorectal cancer patients in Malaysia. / Wan Puteh, Sharifa Ezat; Khairudin, Siti Nadhira Ahmad; Kabinchong, Connie; Musa, Norsyuhadah; Joo, Chan Kok; Saad, Natrah Mohd; Omar, Nurnajayati.

In: Middle East Journal of Cancer, Vol. 5, No. 1, 2014, p. 31-41.

Research output: Contribution to journalArticle

Wan Puteh, Sharifa Ezat ; Khairudin, Siti Nadhira Ahmad ; Kabinchong, Connie ; Musa, Norsyuhadah ; Joo, Chan Kok ; Saad, Natrah Mohd ; Omar, Nurnajayati. / Relationship of knowledge, attitude, practice (KAP) and demographic factors with quality of life among urban colorectal cancer patients in Malaysia. In: Middle East Journal of Cancer. 2014 ; Vol. 5, No. 1. pp. 31-41.
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AU - Wan Puteh, Sharifa Ezat

AU - Khairudin, Siti Nadhira Ahmad

AU - Kabinchong, Connie

AU - Musa, Norsyuhadah

AU - Joo, Chan Kok

AU - Saad, Natrah Mohd

AU - Omar, Nurnajayati

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AB - Background: There is an increasing incidence of colorectal cancer in Malaysia. The aim of this study is to evaluate sociodemographic data, knowledge, awareness, practice level, and quality of life in colorectal cancer patients. Methods: A cross-sectional study was conducted from December 2011 to June 2012 that involved 105 patients diagnosed with colorectal cancer at four chosen tertiary government hospitals. The European Organization for Research and Treatment of Cancer questionnaire was used to measure quality of life and consisted of global health status, five functional scales, six single items and three symptoms scores. A novel knowledge, awareness and practice questionnaire toward colorectal cancer contained three sections of 36 closed-ended questions on knowledge, and ten questions on awareness and practice. Results: The mean age of the respondents was 58.30±12.64 years. Most respondents were diagnosed with Dukes' D (46.7%) stage. Patients' age showed significant association (Spearman Correlation test) with emotional (P=0.048) and social functioning (P=0.036). Indians showed significant association with global health status (P=0.007), emotional functioning (P=0.039) and pain (P=0.009). There was a significant association between females with nausea and vomiting (P=0.015) and lower household income with diarrhea (P=0.042). Cancer stage showed the most significant association with patients' quality of life with cognitive functioning (P=0.030), social functioning (P=0.006), pain (P=0.044) and financial impact (P=0.047). Although the mean scores for knowledge (24.53±2.36), awareness (29.72±2.09) and practice (24.05±3.65)were high, they were not associated with quality of life. Conclusion: Our research showed that patients with advanced age and disease have lower quality of life. Raising awareness by educating the public and implementing a nationwide screening program would allow early detection and treatment of colorectal cancer, thus avoiding deterioration of quality of life.

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