Contextual variables, emotional state, and current and expected quality of life in XXXX survivors.

@entity1 @entity5 @entity0
PURPOSE/OBJECTIVES: To determine the relationship between contextual variables, emotional state, and quality of life (QOL) now and expectations for the future in survivors of @entity0 . DESIGN: Descriptive and nonexperimental. SETTING AND SAMPLE: 148 volunteers and @entity1 with @entity0 involved in a program by the American @entity5 Society. Most subjects were middle-aged (mean = 52.4, SD = 11.56), were married (72%), and had graduated high school (38%). Time since diagnosis was 0.3-19 years (mean = 3.54, SD = 3.61); 74% were diagnosed more than five years ago, 54% were not receiving any treatment, and 66% had localized @entity0 . METHODS: At home, @entity1 completed a self-report survey for personal and contextual variables, Positive and Negative Affect Scale, QOL Measurement, and Global Life Satisfaction Scale. MAIN RESEARCH VARIABLES: Time since diagnosis, extent of @entity5 , emotional state, QOL, and global life satisfaction. FINDINGS: @entity1 had high positive affect (mean = 37.96) and low negative affect (mean = 17.13). QOL and life satisfaction were high. Time since diagnosis and extent of disease were related weakly to negative affect and QOL (p < 0.001). Positive and negative affect were related moderately to QOL and life satisfaction (p < 0.001). Current personal life satisfaction was significantly greater than @entity0 survivors' estimates for "most @entity1 ," and survivors expected life satisfaction to increase significantly in five years (p < 0.001). Significant differences in QOL were found between those who were diagnosed recently and those who were diagnosed 10 or more years previously. CONCLUSIONS: Despite @entity0 , @entity1 have positive affect, good QOL, and life satisfaction. Contextual variables were related weakly to outcomes; emotions were related more strongly to outcomes. Survivors were more satisfied with life than they estimated others to be and expected satisfaction to increase in the future. IMPLICATIONS FOR NURSING: Nurses may use these findings to encourage @entity1 who are newly diagnosed with @entity0 . @entity1 with @entity0 adapt well despite potential negative outcomes, and survivors even report better QOL than they estimate for most @entity1 .
