Shun Shiow-Ching, Hsiao Fei-Hsiu, Lai Yeur-Hur
Department of Nursing, College of Medicine, National Taiwan University, Taipei.
Oncol Nurs Forum. 2011 Mar;38(2):E81-6. doi: 10.1188/11.ONF.E81-E86.
PURPOSE/OBJECTIVES: To examine the relationship between hope and fatigue (intensity, duration, and interference) in newly diagnosed patients with cancer receiving chemotherapy.
Cross-sectional and correlational.
Oncology outpatient clinics of two medical centers in northern Taiwan.
182 patients diagnosed with various types of solid tumors in the previous six months and receiving chemotherapy treatment.
Questionnaires were used to assess patients' fatigue intensity, duration, and interference, as well as level of hope and related background information before drug administration at a chemotherapy visit. The relationship between fatigue characteristics and level of hope was verified using Pearson's correlation analysis.
Hope, fatigue intensity, duration, and interference.
Compared to fatigue intensity, interference and its duration have a stronger association with level of hope. Further analysis of the seven individual items of fatigue interference found that interference with mood status and relations with others is significantly associated with level of hope in newly diagnosed patients.
Fatigue duration and interference caused by fatigue, particularly in mood status and relations with others, are associated with the perception of hope in newly diagnosed patients.
Clinical nurses should assess intensity of fatigue as well as its interference and duration to better support patients' perception of hope by reducing interference caused by fatigue.
目的/目标：探讨新诊断的癌症化疗患者中希望与疲劳（强度、持续时间和干扰）之间的关系。
横断面研究与相关性研究。
台湾北部两个医疗中心的肿瘤门诊。
182例在过去6个月内被诊断为各种实体瘤并接受化疗的患者。
在化疗就诊时给药前，使用问卷评估患者的疲劳强度、持续时间和干扰，以及希望水平和相关背景信息。使用Pearson相关分析验证疲劳特征与希望水平之间的关系。
希望、疲劳强度、持续时间和干扰。
与疲劳强度相比，干扰及其持续时间与希望水平的关联更强。对疲劳干扰的七个单项进行进一步分析发现，情绪状态干扰和与他人关系干扰与新诊断患者的希望水平显著相关。
疲劳持续时间和疲劳引起的干扰，特别是情绪状态和与他人关系方面的干扰，与新诊断患者的希望感相关。
临床护士应评估疲劳强度及其干扰和持续时间，以通过减少疲劳引起的干扰更好地支持患者的希望感。
