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Representations of fatigue in women receiving chemotherapy for gynecologic cancers.

Abstract：

PURPOSE/OBJECTIVES:To describe women's representations of fatigue and fatigue-related coping efforts by women receiving chemotherapy. DESIGN:Descriptive, correlational. SETTING:Outpatient gynecologic oncology clinic. SAMPLE:Women receiving chemotherapy for gynecologic cancers. Fifty-four women were recruited; 49 (91%) completed measures. This report focuses on the 27 women who identified fatigue as one of their most noticed symptoms and subsequently completed the fatigue representations measure. METHODS:Women completed measures of key research variables at home seven days after receiving chemotherapy. MAIN RESEARCH VARIABLES:Representations of fatigue (identity, cause, timeline, consequences, cure or controllability, and emotional representation), fatigue-related coping efforts (communication with healthcare provider, adherence, and self-directed coping strategies), and overall symptom interference with life activities. FINDINGS:Women reported a mean of 13.44 different symptoms. They reported a mean fatigue identity (severity) score of 6.48 on a scale of 0-10. On a 0-4 scale, women reported mean fatigue consequences of 2.21, cure or controllability of 1.58, and emotional representations (distress) of 2.16. A majority (59%) had not communicated with their healthcare providers about fatigue at their last appointments, and 56% reported never receiving recommendations for managing fatigue. Sleep or rest was the most common strategy used for managing fatigue. CONCLUSIONS:Fatigue is a prevalent, severe symptom that is perceived as distressing and uncontrollable by women receiving chemotherapy for gynecologic cancers. These perceptions may be reinforced by a lack of recommendations from healthcare providers for managing fatigue. IMPLICATIONS FOR NURSING:Nurses must make extra efforts to ask patients about fatigue and to provide self-care suggestions for coping with fatigue. Research efforts must continue to evaluate the efficacy of nursing interventions aimed at decreasing cancer-related fatigue.

journal_name

Oncol Nurs Forum

journal_title

Oncology nursing forum

authors

Donovan HS,Ward S

doi

10.1188/05.ONF.113-116

subject

Has Abstract

pub_date

2005-01-19 00:00:00

pages

113-6

issue

eissn

0190-535X

issn

1538-0688

pii

0646561846769715

journal_volume

pub_type

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Representations of fatigue in women receiving chemotherapy for gynecologic cancers.