Messias D K, Yeager K A, Dibble S L, Dodd M J
Department of Community Health Systems, University of California, San Francisco, USA.
Oncol Nurs Forum. 1997 Jan-Feb;24(1):43-8.
PURPOSE/OBJECTIVES: To explore the experience of fatigue from the perspective of patients undergoing chemotherapy.
Qualitative research and secondary analysis of data from a larger study.
Participants were recruited from 18 sites, including large outpatient chemotherapy clinics and private medical oncologists' offices.
127 adult patients who were beginning their first protocol of chemotherapy.
Data were collected through individual and open-ended interviews and a qualitative, thematic analysis of the participants' responses using grounded theory techniques.
The experience of fatigue as perceived by patients undergoing chemotherapy.
The analysis resulted in eight major thematic categories: (a) experiencing fatigue, (b) effects on well-being, (c) attribution of origin, (d) awareness and expectations, (e) emotional reactions, (f) activity, (g) the "biggest" concern, and (h) strategies and plans.
This study demonstrates the variation, extent, duration, and temporality of fatigue among patients receiving chemotherapy and the dynamic, changing aspects of the experience.
Fatigue must be considered within the context of patients' daily lives and environments, disease processes, and treatment modalities. Nurses must listen carefully to patients' own descriptions of being tired. Further research examining patients' perspectives of and experiences related to fatigue is necessary to increase the theoretical understanding of fatigue and to improve therapeutic nursing interventions.
目的/目标：从接受化疗的患者角度探索疲劳体验。
对来自一项更大规模研究的数据进行定性研究和二次分析。
参与者从18个地点招募，包括大型门诊化疗诊所和私人肿瘤内科医生办公室。
127名开始其首个化疗方案的成年患者。
通过个人开放式访谈收集数据，并使用扎根理论技术对参与者的回答进行定性的主题分析。
接受化疗的患者所感知的疲劳体验。
分析得出八个主要主题类别：(a) 经历疲劳，(b) 对幸福感的影响，(c) 起源归因，(d) 认知与期望，(e) 情绪反应，(f) 活动，(g) “最大”担忧，以及(h) 策略与计划。
本研究展示了接受化疗患者疲劳的变化、程度、持续时间和时间性，以及该体验的动态变化方面。
必须在患者的日常生活和环境、疾病过程及治疗方式的背景下考虑疲劳问题。护士必须仔细倾听患者自身对疲劳的描述。有必要进一步开展研究，考察患者对疲劳的看法及相关经历，以增进对疲劳的理论理解并改善治疗性护理干预措施。
