PALLIATIVE CARE RESILIENCE: ADVERSITY QUOTIENT AMONG CANCER PATIENTS IN NAIROBI AND NYERI COUNTIES, KENYA

J. Wang’ombe, B. Kathungu
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Abstract

Purpose: This study sought to find out the levels of Adversity Quotient among cancer patients attending palliative care in Nairobi and Nyeri Counties, Kenya. Methodology: The study adopted a correlation research design. The target population were the cancer patients, attending treatment at the three palliative care units in Nairobi and Nyeri Counties. Systematic random sampling technique was used in the study to obtain a sample of 96 participants. Semi structured questionnaires were used to collect data. Data was analysed using both descriptive and inferential statistics, namely Pearson Moment Correlation Coefficient(r).  Findings: Results showed that the lowest adversity quotient level score attained by the respondents was 32, while the highest score was 93. The adversity quotients mean score was 68.98+13.54, signifying that the adversity quotient for the respondents was in the moderate level possibly because majority of them had been diagnosed with cancer between 1 to 2 years earlier hence may have still been overwhelmed by their illnesses and the subsequent cost in initiation of treatment and diet thus lowering their AQ to moderate levels. Unique contribution to theory, practice and policy: Patients under palliative care could adopt group psychotherapy, including cognitive-behavioural, informational, non-behavioral, social support, and using unusual treatments such as music and art therapy to curb cancer. More cancer related programs enhancing patients AQ should be put in place by the counsellors in order to increase the patients AQ in the palliative care units from moderate level to high level of AQ in order to boost recovery outcomes
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姑息治疗复原力:肯尼亚内罗毕和尼耶里县癌症患者的逆境商数
目的:本研究旨在了解肯尼亚内罗毕和尼耶里县接受姑息治疗的癌症患者的逆境商数水平。方法:本研究采用相关研究设计。目标人群是在内罗毕和尼耶里县的三个姑息治疗单位接受治疗的癌症患者。本研究采用系统随机抽样技术,共获得96名参与者的样本。采用半结构化问卷收集数据。数据分析采用描述性和推断性统计,即Pearson矩相关系数(r)。结果显示:受访学生的逆境商水平得分最低为32分,最高为93分。逆境商数平均值为68.98+13.54,表明受访者的逆境商数处于中等水平,可能是因为他们中的大多数人在1至2年前被诊断为癌症,因此可能仍然被他们的疾病以及随后的治疗和饮食成本所压倒,从而使他们的AQ降至中等水平。对理论、实践和政策的独特贡献:姑息治疗的患者可以采用群体心理治疗,包括认知行为、信息、非行为、社会支持,以及使用音乐和艺术疗法等不寻常的治疗方法来抑制癌症。辅导员应制定更多与癌症相关的项目,提高患者的心理素质,使姑息治疗单位的患者心理素质从中等水平提高到高水平,从而提高康复效果
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