School of Nursing and Midwifery, University College Cork, Cork, Ireland.
Cork-Mercy-South Infirmary, Victoria University Hospitals, University College Cork, Cork, Ireland.
J Clin Nurs. 2019 Dec;28(23-24):4424-4433. doi: 10.1111/jocn.15026. Epub 2019 Sep 11.
To measure cancer-related fatigue (CRF), self-care agency (SCA) and fatigue self-care strategies, and to explore the relationship between CRF and SCA.
Cancer-related fatigue has been consistently rated as the most elusive, common and severe of symptoms that patients with cancer undergoing chemotherapy experience. Despite its frequency and severity, CRF is poorly managed. A renewed focus on supporting self-care among patients with cancer has been found to reduce symptom burden, empower patients and improve patient satisfaction. Understanding the link between self-care agency (i.e. capability and willingness to self-care) and CRF levels will help practitioners to better support individuals on the cancer journey.
A descriptive, correlational survey design was employed.
Patients (n = 362) undergoing chemotherapy with a primary diagnosis of breast, colorectal, Hodgkin's and non-Hodgkin's lymphoma cancers were recruited from four oncology centres in one city in the South of Ireland. Participants completed the Piper Fatigue Scale-Revised, Appraisal of Self-care Agency Scale and a researcher-developed Fatigue Self-Care Survey. Multivariate logistic regression was used to examine the relationship between CRF and self-care agency using a dichotomous dependent variable score of four as the cut-off between those deemed to be fatigued (≥4) and those not fatigued (<4). As recommended by the EQUATOR Network, the STROBE checklist of items for cross-sectional studies is used to report the study.
The incidence of CRF was high with 75% of participants scoring clinically relevant CRF. Higher SCA (OR = 0.96, 95% CI = 0.93-0.99, p = .011) was associated with decreased odds of developing CRF. Having non-Hodgkin's lymphoma (OR = 3.02, 95% CI = 1.29-7.07, p = .011) was associated with increased odds of developing CRF.
Patient's undergoing chemotherapy experience significant fatigue. Higher capability for self-care is associated with lower fatigue. The promotion of SCA and self-care strategies can impact on CRF.
Understanding the link between self-care abilities and fatigue can lead to more individualised and tailored approaches to CRF.
测量癌症相关疲劳（CRF）、自我护理能力（SCA）和疲劳自我护理策略，并探讨 CRF 与 SCA 之间的关系。
癌症相关疲劳一直被认为是癌症患者在接受化疗时最难以捉摸、最常见和最严重的症状之一。尽管它的频率和严重程度都很高，但 CRF 的管理却很差。重新关注支持癌症患者的自我护理已被发现可以减轻症状负担，增强患者的能力并提高患者的满意度。了解自我护理能力（即自我护理的能力和意愿）与 CRF 水平之间的联系将有助于从业者更好地支持癌症患者。
采用描述性、相关性调查设计。
从爱尔兰南部一个城市的四个肿瘤中心招募了 362 名患有乳腺癌、结直肠癌、霍奇金淋巴瘤和非霍奇金淋巴瘤的接受化疗的患者。参与者完成了 Piper 疲劳量表修订版、自我护理能力评估量表和研究人员开发的疲劳自我护理量表。使用二分类因变量评分 4 作为疲劳（≥4）和非疲劳（<4）之间的分界点，多变量逻辑回归用于检查 CRF 与自我护理能力之间的关系。根据 EQUATOR 网络的建议，使用横断面研究的 STROBE 清单项目报告研究。
CRF 的发病率很高，75%的参与者出现临床相关的 CRF。较高的 SCA（OR=0.96，95%CI=0.93-0.99，p=0.011）与降低发生 CRF 的几率相关。患有非霍奇金淋巴瘤（OR=3.02，95%CI=1.29-7.07，p=0.011）与发生 CRF 的几率增加相关。
接受化疗的患者经历了严重的疲劳。更高的自我护理能力与更低的疲劳相关。促进自我护理能力和自我护理策略可以影响 CRF。
了解自我护理能力和疲劳之间的联系可以导致对 CRF 进行更个性化和量身定制的方法。
