Adult Health Nursing at Feres Bet primary hospital, Amhara, Ethiopia.
Department of Adult Health Nursing, College of Medicine and Health Science, Bahir Dar University, Bahir Dar, Ethiopia.
PLoS One. 2023 Jan 6;18(1):e0279628. doi: 10.1371/journal.pone.0279628. eCollection 2023.
Fatigue is one of the most commonly and frequently reported symptoms by cancer patients. The cause of fatigue is multifactorial in origin, and its impact varies in range from affecting patients' daily social life, and physical, mental, economic, and social well-being to becoming a threat to their quality of life. Therefore every cancer patient needs to be screened for fatigue and considered as one of the vital signs.
To assess the prevalence of fatigue and associated factors among adult cancer patients, receiving cancer treatment at the oncology unit in Amhara region, Ethiopia, 2022.
Institutional-based, cross-sectional study was conducted among adult cancer patients receiving cancer treatment from May 9th-June 8th, 2022. A stratified random sampling technique was used to select study participants. Data were entered into Epi data version 4.6 and then exported to the SPSS statistical package version 23 for further analysis. Both bivariable and multivariable logistic regression analyses were carried out. P-values <0.05 in multivariable logistic regression were considered statistically significant.
The prevalence of cancer-related fatigue was 77.3% at 95% CI (73.1-81.1) with nonresponse rate of 1.97% (9). Poor social support (AOR = 3.62; 95% CI: 1.53-8.60), anxiety (AOR = 3.13; 95% CI: 1.54-6.36), physical inactivity (AOR = 3.67; 95% CI: 1.74-7.54), underweight (AOR = 2.03; 95% CI: 1.05-3.90), anemia (AOR = 2.01; 95% CI: 1.04-3.90), surgery as a treatment modality (AOR = 0.21; 95% CI: 0.06-0.78), combination therapy (AOR = 3.56; 95% CI: 1.68-7.54), treatment less than 3 cycle (AOR = 4.43; 95% CI: 1.53-12.80), and treatment 3-5 cycle (AOR = 3.55; 95% CI: 1.38-9.09) were significantly associated factors with cancer related fatigue.
Psychosocial assessment and intervention, nutritional support, early intervention of anemia, and promoting exercise are the key elements to minimizing fatigue among cancer patients.
疲劳是癌症患者最常见和最常报告的症状之一。疲劳的原因是多因素的，其影响范围从影响患者的日常社交生活、身体、心理、经济和社会福祉到对其生活质量构成威胁不等。因此，每个癌症患者都需要接受疲劳筛查，并将其视为生命体征之一。
评估 2022 年在埃塞俄比亚阿姆哈拉地区肿瘤学病房接受癌症治疗的成年癌症患者中疲劳的发生率和相关因素。
这是一项在 2022 年 5 月 9 日至 6 月 8 日期间接受癌症治疗的成年癌症患者中进行的基于机构的横断面研究。采用分层随机抽样技术选择研究参与者。数据输入 EpiData 版本 4.6，然后导出到 SPSS 统计软件包版本 23 进行进一步分析。进行了单变量和多变量逻辑回归分析。多变量逻辑回归中 P 值<0.05 被认为具有统计学意义。
癌症相关疲劳的患病率为 77.3%（95%CI：73.1-81.1），无应答率为 1.97%（9）。社会支持差（AOR = 3.62；95%CI：1.53-8.60）、焦虑（AOR = 3.13；95%CI：1.54-6.36）、身体活动不足（AOR = 3.67；95%CI：1.74-7.54）、体重过轻（AOR = 2.03；95%CI：1.05-3.90）、贫血（AOR = 2.01；95%CI：1.04-3.90）、手术作为治疗方式（AOR = 0.21；95%CI：0.06-0.78）、联合治疗（AOR = 3.56；95%CI：1.68-7.54）、治疗少于 3 个周期（AOR = 4.43；95%CI：1.53-12.80）和治疗 3-5 个周期（AOR = 3.55；95%CI：1.38-9.09）与癌症相关疲劳有显著关联。
对癌症患者进行心理社会评估和干预、营养支持、早期干预贫血以及促进运动是减轻疲劳的关键因素。
