Severe fatigue during the palliative treatment phase of cancer: an exploratory study
| العنوان: | Severe fatigue during the palliative treatment phase of cancer: an exploratory study |
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| المؤلفون: | Marlies E. W. J. Peters, Gijs Bleijenberg, Martine M. Goedendorp, Winette T. A. van der Graaf, Constans A.H.H.V.M. Verhagen |
| المصدر: | Cancer Nursing, 37(2), 139-145. LIPPINCOTT WILLIAMS & WILKINS Cancer Nursing, 37, 2, pp. 139-45 Cancer Nursing, 37, 139-45 |
| سنة النشر: | 2014 |
| مصطلحات موضوعية: | Male, Constipation, Palliative treatment, Severity of Illness Index, Quality of life, RENAL-CELL CARCINOMA, QUALITY-OF-LIFE, Neoplasms, Surveys and Questionnaires, Checklist individual strength, Fatigue, Netherlands, Aged, 80 and over, Oncology (nursing), Incidence (epidemiology), Incidence, Palliative Care, PAIN, Nausea, ASSOCIATION, Middle Aged, Disorders of movement Donders Center for Medical Neuroscience [Radboudumc 3], PREVALENCE, McGill Pain Questionnaire, Vomiting, Female, medicine.symptom, Severe fatigue, Needs Assessment, CLINICAL-TRIALS, Rare cancers Radboud Institute for Health Sciences [Radboudumc 9], RADIOTHERAPY, Adult, medicine.medical_specialty, INCURABLE CANCER, macromolecular substances, Healthcare improvement science Radboud Institute for Health Sciences [Radboudumc 18], Feeding and Eating Disorders, Internal medicine, Advanced cancer, Severity of illness, medicine, Humans, Aged, business.industry, Cancer, CARE, medicine.disease, ONCOLOGY, Physical therapy, business |
| الوصف: | Background:Because of a rise in incidence and more effective treatments, the prevalence of patients with metastatic cancer is increasing fast. When palliative treatment is aimed at maintaining or improving patients' quality of life, knowledge about severe fatigue is clinically relevant because of its debilitating effect, but at present this information is lacking.Objective:This study investigated the prevalence of severe fatigue in patients with various incurable cancers and whether severe fatigue increased with further treatment lines and differed between various cancers and treatment modalities. In addition, a relationship between severe fatigue and other symptoms was examined.Methods:Patients were asked to fill in the Checklist Individual Strength, European Organization of Research and Treatment of Cancer-Quality of Life Questionnaire C30, and the McGill Pain Questionnaire during palliative anticancer treatment, and hemoglobin levels were collected.Results:Of all participating patients (n = 137), 47% were severely fatigued. Patients who received first line of treatment were significantly less often severely fatigued (40%) compared with patients who received further lines (60%). Significantly more severe fatigue was observed when patients had more pain, dyspnea, appetite loss, nausea, vomiting, and constipation.Conclusions:During the phase of palliative anticancer treatment, fatigue was the most common symptom, nearly half of the patients had severe fatigue increasing with further treatment lines. Various treatment-related symptoms were related to more severe fatigue.Implications for Practice:As severe fatigue is significantly related to other symptoms of cancer and its treatment, the screening and treatment of these cancer-related symptoms should be more stringent, as they might negatively influence each other. |
| تدمد: | 0162-220X |
| DOI: | 10.1097/ncc.0b013e318291bd2d |
| URL الوصول: | https://explore.openaire.eu/search/publication?articleId=doi_dedup___::4722a7cf55235fa9d638d0172369fd66 https://doi.org/10.1097/ncc.0b013e318291bd2d |
| Rights: | RESTRICTED |
| رقم الانضمام: | edsair.doi.dedup.....4722a7cf55235fa9d638d0172369fd66 |
| قاعدة البيانات: | OpenAIRE |
| تدمد: | 0162220X |
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| DOI: | 10.1097/ncc.0b013e318291bd2d |