Graydon J E, Bubela N, Irvine D, Vincent L
Department of Nursing Science, Faculty of Nursing, University of Toronto, Ontario, Canada.
Cancer Nurs. 1995 Feb;18(1):23-8.
In order to determine which strategies are most effective in relieving fatigue of women undergoing treatment for cancer, women receiving either chemotherapy (n = 45) or radiation therapy (n = 54) were interviewed twice to determine their level of fatigue and the effectiveness of the strategies they used to relieve their fatigue. The subjects were interviewed either at the start and mid-point of any cycle of chemotherapy, or at the beginning and end of a 5- or 6-week course of radiation therapy. At each interview, the subjects completed the Pearson Byars Fatigue Feeling Checklist and the Fatigue Relief Scale. At the second interview, the patients were significantly more fatigued than they had been at the first interview (p < 0.0001). The more effective the fatigue-relieving strategies at the second interview, the less fatigue experienced by the women (p < 0.0001). At both interviews, subjects used similar strategies to relieve their fatigue. Sleep and exercise were among the most effective strategies. However, there was a wide range of scores for each strategy used, indicating variability among subjects as to the effectiveness of the strategy. The results of the study provide nurses with some guidance as to strategies they might suggest to patients who experience fatigue.
为了确定哪些策略在缓解接受癌症治疗的女性的疲劳方面最有效，对接受化疗（n = 45）或放疗（n = 54）的女性进行了两次访谈，以确定她们的疲劳程度以及她们用来缓解疲劳的策略的有效性。这些受试者在化疗的任何周期开始和中期接受访谈，或者在为期5或6周的放疗疗程开始和结束时接受访谈。每次访谈时，受试者都要完成皮尔逊·拜尔斯疲劳感觉检查表和疲劳缓解量表。在第二次访谈时，患者比第一次访谈时明显更疲劳（p < 0.0001）。在第二次访谈中，缓解疲劳的策略越有效，女性经历的疲劳就越少（p < 0.0001）。在两次访谈中，受试者使用了相似的策略来缓解疲劳。睡眠和锻炼是最有效的策略之一。然而，所使用的每种策略的得分范围都很广，这表明不同受试者对该策略的有效性存在差异。该研究结果为护士向经历疲劳的患者建议可能的策略提供了一些指导。
