# Health-related quality of life of individuals dealing with cancer in the Free State: A survey

## TL;DR

This study surveyed cancer patients in South Africa to assess how cancer affects their overall quality of life and well-being.

## Contribution

The study provides insights into HRQoL among cancer patients in the Free State using the FACT-G questionnaire.

## Key findings

- The Emotional Well-Being subscale had the lowest median score, indicating significant emotional challenges.
- Most participants accepted their illness and reported enjoying life, showing resilience.
- Physical symptoms like nausea and the need to stay in bed were common among participants.

## Abstract

Cancer is the main cause of morbidity and mortality worldwide, and its symptoms can affect an individual’s life holistically.

Our study aimed to determine the health-related quality of life (HRQoL) of individuals dealing with cancer in the Free State, South Africa.

A descriptive, cross-sectional study design utilising the standardised Functional Assessment of Cancer Therapy – General (FACT-G) questionnaire as well as a self-developed sociodemographic and general health information questionnaire was used in this study. The study was conducted at the Universitas Annex Oncology Clinic.

A total of 507 participants were conveniently sampled. The median age was 53 years with 73.8% being female. The FACT-G’s overall score ranged from 11.7 to 108, with a median of 76.7 (interquartile range [IQR] 63–89.5). The Social or Family Well-Being subscale indicated the highest median of 22.2 and the Emotional Well-Being subscale the lowest of 18. The Physical Well-Being subscale found that 61.8% of individuals felt forced to spend time in bed and 53.4% experienced nausea. The Functional Well-Being subscale showed that 70.3% of individuals accepted their illness and 51.6% enjoyed their life.

Our study highlights the importance of using a clinical assessment tool to determine the influence of cancer on the individual’s HRQoL. Involvement of the individual’s family and friends during management, as well as identifying the need for psychosocial support, is crucial for positively influencing HRQoL.

The FACT-G is a valuable tool in guiding physiotherapists and other healthcare professionals with patients’ cancer-related treatment experiences.