Tabrizi Fatemeh Moghaddam, Alizadeh Saeedeh
Nursing and Midwifery Department, Reproductive Health Research Center, Urmia University Of Medical Sciences, Urmia, Iran.
Midwifery Cosultation Masters' Degree Student, Student Research Center affiliated to Urmia University of Medical Sciences, Urmia, Iran.
Maedica (Bucur). 2017 Jun;12(2):106-111.
Fatigue is one of the most frequent symptoms in cancer patients. However, its exact causes are still unknown, and this circumstance makes it complicated to encounter the problem.
The current research was carried out to investigate factors associated with fatigue in cancer patients without other diseases.
The research was conducted in 2013. A group of 150 randomly selected breast cancer patients who had successful surgical treatment and attending in oncology ward to receive chemotherapy and radiotherapy. They completed the Cancer Fatigue Scale; medical information was obtained through patient recorded files and demographic questions obtained by self-reported data. Then, univariate analysis between the CFS scores and the investigated factors was used to assess the potential fatigue associated factors; related factors (P<0.05) were retained.
The mean age of the subjects was 47.9 (SD=11.4), ranging from 25 to 72 years old. Among demographic factors, age (0.30, p= 0.006) and employment status (0.35, p=0.009) were correlated with physical aspects, whereas marital status (-4.0, p=0.001) and educational status (-0.59, p=0.005) were correlated with affective and cognitive aspects of fatigue scores, respectively. Among factors concerned with cancer and treatment such as disease stage, number of days since surgery, past intravenous chemotherapy, radiotherapy was not correlated with any aspects of fatigue. In this section, only the types of surgery (3.01, p=0.06) were correlated to the affective aspect of fatigue.
The results suggest that fatigue in this population is determined by demographic factors rather than by cancer itself and prior cancer treatments, and that the modifying demographic situation, such as work time and supporting group arrangement as a self-help group as a social support for unmarried patients who live alone, might be essential clues in reducing fatigue in this population.
疲劳是癌症患者最常见的症状之一。然而，其确切病因仍不清楚，这种情况使得解决该问题变得复杂。
进行当前研究以调查无其他疾病的癌症患者疲劳相关因素。
该研究于2013年开展。选取150名随机选择的乳腺癌患者，她们接受了成功的手术治疗，正在肿瘤病房接受化疗和放疗。她们完成了癌症疲劳量表；通过患者记录文件获取医疗信息，并通过自我报告数据获取人口统计学问题信息。然后，使用CFS评分与调查因素之间的单因素分析来评估潜在的疲劳相关因素；保留相关因素（P<0.05）。
受试者的平均年龄为47.9岁（标准差=11.4），年龄范围为25至72岁。在人口统计学因素中，年龄（0.30，p = 0.006）和就业状况（0.35，p = 0.009）与身体方面相关，而婚姻状况（-4.0，p = 0.001）和教育程度（-0.59，p = 0.005）分别与疲劳评分的情感和认知方面相关。在与癌症和治疗相关的因素中，如疾病阶段、手术后天数、既往静脉化疗，放疗与疲劳的任何方面均无相关性。在这部分中，只有手术类型（3.01，p = 0.06）与疲劳的情感方面相关。
结果表明，该人群的疲劳由人口统计学因素而非癌症本身和先前的癌症治疗决定，改变人口统计学状况，如工作时间和支持团体安排，作为对独居未婚患者的社会支持的自助团体，可能是减轻该人群疲劳的重要线索。
