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TMR Integrative Nursing  2018, Vol. 2 Issue (1): 34-41    DOI: 10.12032/TMRIN20180312
Concept Analysis     
Quality of life in head and neck cancer survivors: A concept analysis
Zeng Qiao-Miao1, Liao Yao2, Chen Wen-Feng3,*()
1MSn, Oncological Radiotherapy Department, XiangYa Hospital Central South University, Changsha, China
2MSn, Nursing administration department, Jingzhou Central Hospital, Jingzhou, China 3MD, MSn, Head Nurse of the Oncological Radiotherapy Department, XiangYa Hospital Central South University, Changsha, China.
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Objective: To identify and clarify the existing definitions of quality of life in head and neck cancer survivors. This concept analysis will inform healthcare professionals of promoting nursing care for head and neck cancer survivors and eventually improve their quality of life. Method: Concept analysis based on Walker and Avant’s framework. Results: Quality of life is a subjective and personally derived cognitive evaluation of global well-being by perceiving a feeling of overall life satisfaction in his/her own value, happiness, and the independence to manage daily activities and life experience. Three defining attributes for quality of life were identified: a feeling of overall life satisfaction in his/her value, global personal well-being, and independence. An improvement of quality of life means an improvement of clinical outcome. However, the variety of instruments for measuring life quality makes it difficult for healthcare professionals to select a standard one for head and neck cancer survivors. Conclusion: By proposing a comprehensive definition of the concept, this analysis contributes to the advancement of knowledge about quality of life in the context of head and neck cancer survivorship. Through a sound understanding of the phenomenon, healthcare professions will recognize or measure head and neck cancer survivors’ life conditions in a more accurate way and to implement intervention where necessary, eventually, improve patients’ life quality in survivorship.

Highlights  Highlights In this study, three attributes of quality of life have been identified from the literature, including a feeling of overall life satisfaction in his/her value, global personal well-being and independence. By clarifying the concept of quality of life, healthcare professionals will be assisted in the advancement of knowledge about the life experience in survivorship, which helps them to recognize, measure and implement interventions for head and neck cancer survivors where necessary. Editor’s Summary Quality of life is an important healthcare outcome for cancer survivors. More clarity around the concept of quality of life is necessary to result in a positive impact on cancer survivors and service outcomes.
Key wordsQuality of life      Head and neck cancer      Survivor      Concept analysis     
Received: 19 February 2018      Published: 24 March 2018
Corresponding Authors: Chen Wen-Feng     E-mail:
Cite this article:

Zeng Qiao-Miao, Liao Yao, Chen Wen-Feng. Quality of life in head and neck cancer survivors: A concept analysis. TMR Integrative Nursing, 2018, 2(1): 34-41.

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Figure 1 Illustration of the concept’scomponents of quality of life
Figure 2 Watson’s Caring model
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