Fatigue self-management behaviors in patients with advanced cancer: A prospective longitudinal survey
Chan, Raymond Javan, Yates, Patsy, & McCarthy, Alexandra L. (2016) Fatigue self-management behaviors in patients with advanced cancer: A prospective longitudinal survey. Oncology Nursing Forum, 43(6), pp. 762-771.
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- To explore the fatigue self-management behaviors and factors associated with effectiveness of these behaviors in patients with advanced cancer.
- Prospective longitudinal interviewer-administered survey.
- A tertiary cancer center in Queensland Australia.
- One hundred fifty two outpatients with metastatic breast, lung, colorectal and prostate cancer experiencing fatigue (>3/10) were recruited.
Main Research Variables
- Fatigue self-management behaviors outcomes (perceived effectiveness, self-efficacy and frequency), medical/demographic characteristics (including sites of primary cancer and metastasis, comorbidity, performance status), social support, depressive, anxiety, and other symptoms were assessed.
- The participants reported moderate levels of fatigue at baseline (M=5.85, SD 1.44), and maintained moderate levels at 4 weeks and 8 weeks. On average, participants consistently used approximately nine behaviors at each time point. Factors significantly associated with higher levels of perceived effectiveness of fatigue self-management behaviors were higher self-efficacy (p<.001), higher education level (p=.02), and lower levels of depressive symptoms (p=.04).
- The findings of this study demonstrate that patients with cancer, even with advanced disease, still want and are able to use a number of behaviors to control their fatigue. Self-management interventions that aim to enhance self-efficacy and address any concurrent depressive symptoms have the potential to reduce fatigue severity.
Implications for Nursing
- Nurses are well positioned to play a key role in supporting patients in their fatigue self-management.
- This study particularly focused on the perspectives of patients about fatigue self-management, highlighting a number of issues requiring further attention in clinical practice and the potential for future research.
Impact and interest:
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