The importance of developing and maintaining self care for Cancer Related Fatigue
Patricia O' Regan
School of Nursing Midwifery, University College Cork
Dr Patricia O’ Regan trained as a general nurse in London where she went on to specialise and qualify as an oncology nurse, and gained extensive experience in all areas of clinical oncology both in London and Ireland. Thereafter, she worked as a nurse lecturer in UCC and taught on a number of modules including oncology nursing, palliative care, communications, research and complementary therapies. Patricia completed her PhD in the area of cancer related fatigue and self-care, and has published both in this area and in general oncology.
Abstract
Aim: To measure Cancer Related Fatigue (CRF), and explore fatigue self-care strategies used to ameliorate CRF amongst patients undergoing chemotherapy. Methods :A consecutive sample of patients (n=362) undergoing... [ view full abstract ]
Aim: To measure Cancer Related Fatigue (CRF), and explore fatigue self-care strategies used to ameliorate CRF amongst patients undergoing chemotherapy.
Methods :A consecutive sample of patients (n=362) undergoing chemotherapy with a primary diagnosis of breast, colorectal, Hodgkin’s and non-Hodgkin’s lymphoma cancers were recruited. A quantitative, correlational mixed methods design was utilised. The study questionnaires included: the Piper Fatigue Scale- Revised (Piper et al., 1998), and a researcher developed fatigue Self-Care Survey.
Results: The mean total fatigue score was 4.9 (SD- 2.2), the highest mean subscale score occurred in the affective meaning dimension (M=5.4, SD =2.9).
The mean number of strategies used at least “occasionally” was 14.8, (SD=3.42, range =5-24). The most frequently used self care strategies were: “Receiving support from family and friends” (66.6%); “having a healthy diet” (57.1%); “taking part in hobbies or distraction activities” (42.9%); “spending time chatting with friends”(37.3%); “adjusting mood and being more positive” (36.3%) and “resting and taking it easy” (33.8%). The self care strategies of socializing (OR =.66, 95% CI = 0.47 - 0.930, p =0.016) and exercise OR =0.73, 95% CI = 0.57 - 0.93, p =0.012) were associated with decreased odds of developing CRF. There were a variety of means that participants exercised including walking by the sea, in the country side or with animals; or partaking in more rigorous sporting activities. Quantitative and qualitative did not always correspond in the study. Study participants indicated that they received minimal information or education regarding CRF.
Conclusions: CRF is a complex phenomenon, therefore multiple CRF management strategies should be used in combination for the optimum management of CRF. Patients are struggling with CRF and when unguided use a range of self care strategies with limited effect. Patients should be guided and encouraged to use strategies including exercise and socializing.
Keywords : Cancer related fatigue, fatigue self care strategies
Authors
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Patricia O' Regan
(School of Nursing Midwifery, University College Cork)
Topic Area
Topics: Adult Healthcare
Session
CC » Cancer Care (15:00 - Wednesday, 9th November, Seminar Room 1.26)
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