Journal of Korean Academy of Nursing (대한간호학회지)

Korean Society of Nursing Science (한국간호과학회)
권호 표지

Trajectory of Fatigue, Quality of Life and Physical Symptoms in Cancer Patients Receiving Radiotherapy

방사선 치료를 받는 암환자의 피로, 삶의 질 및 신체 증상의 변화 양상

  • Published : 2003.08.01
Download PDF
⟨ Previous Next ⟩

Abstract

Purpose: The purpose of this longitudinal prospective study was to assess changes in fatigue and quality of life for a 6-week course of radiotherapy. Method: A descriptive and longitudinal design was used to this study. Twenty-three subjects receiving radiotherapy from a radiotherapy clinic of a general hospital completed the questionnaires. Fatigue was measured using Lee's scale(1999) and quality of life using Yang's scale(2002) weekly for 6 weeks. Result: Fatigue significantly increased(F=6.043, p=.000), and quality of life significantly decreased (F=3.938, p=.003) and physical symptoms also significantly increased(F=2.432, p=.039) during a 6-week radiotherapy. Multiple regression analysis revealed that fatigue at the first week and physical symptoms at the 6th week were the significant affecting variables(60.1% of the variance) on fatigue. And 63.2% of the variance in quality of life was explained by quality of life and fatigue at the first week and body weight change for 6 weeks radiotherapy. Conclusion: Based on these results, the fatigue and quality of life at the beginning time of radiotherapy have a lasting impact throughout the course of treatment. It suggests that nurses provide patients with information about the occurrence of fatigue during radiotherapy and the practical methods of intervening physical symptoms.

Keywords

References

  1. Ferrans, C. E. (2000). Quality of life as an outcome of cancer care, in C. H. Yabro, M. H. Frogge, M. Goodman, & S. L. Groenwald. Cancer Nursing : Principles and practice(5eh ed.), Jones & Bartlett Pub./ Boston, Toronto, 243-258
  2. Graydon, J. E. (1994). Women with breast cancer : their quality of life following a course of radiation therapy. J Adv Nurs, 19, 617-622 https://doi.org/10.1111/j.1365-2648.1994.tb01131.x
  3. Hicok, J. T., Morrow, G. R., McDonald, S., & Bellg, A. J. (1996). Frequency and correlates of fatigue in lung cancer patients receiving radiation therapy: Implications for management. J Pain Symptom Manage, ll, 370-377
  4. Irvine, D., Vincent, L., Graydon, J. E., Bubela, N., & Thompson, L. (1994). The prevalence and correlates of fatigue in patients receiving treatment with chemotherapy and radiotherapy; A comparison with the fatigue experienced by healthy individuals. Cancer Nurs, 17(5), 367-378
  5. Irvine, D., Vincent, L., Graydon, J. E., & Bubela, N. (1998). Fatigue in women with breast cancer receiving radiation therapy. Cancer Nurs, 21(2), 127-135
  6. John, L. D. (1997). Quality of life in patients receiving curative radiation therapy for non-small cell lung cancer. Unpublished doctoral dissertation, Texas Woman's University
  7. Kim, M. J. (1994). A survey on changes in quality of life of patients who received radiation therapy after surgery for breast cancer. J Korean Acad Nurs, 24(4), 652-665
  8. Kwon, Y. E. (1990). A study of the relationship between perceived social support and quality of life of cancer patients. Unpublished master dissertation, Yonsei University, Seoul, Korea
  9. Langendijk, J. A., Aaroson, N. K., de Jong, J. M. A., ten Velde, G. P. M., Muller, M. J., Lamers, R. J., Slotman, B. J., & Wouters, E. F. M. (2001). Prospective study on quality of life before and after radical radiotherapy in non-small-cell lung cancer. J Clin Oncol, 9(8), 2123-2133
  10. Lee, E. H. (1991). A study on the change in degree of fatigue with the elapse of radiation therapy in cancer patients. unpublished master dissertation, Yonsei University, Seoul, Korea
  11. Lee, E. H. (1999). Construct validity of the revised Piper Fatigue Scale in Korean women with breast cancer. J Korean Acad Nurs, 29(2), 485-493
  12. Lee, E. S., & Jo, L. (1997). Changes in fatigue and the quality of life of cancer patients receiving radiotherapy. J Korean Acad Nurs, 27(3), 489-502
  13. List, M. A., Siston, A., Haraf, D., Schumm, P., Kies, M., Stenson, K., & Vokes, E. E. (1999). Quality of life and performance in advanced head and neck cancer patients on concomitant chemoradiotherapy: a prospective examination. J Clin Oncol, 17(3), 1020-1028
  14. Love, R. R., Leventhal, H., Easterling, D. V., & Nerentz, D. R. (1988). Side effects and emotional distress during cancer chemotherapy. Cancer, 63, 604-612 https://doi.org/10.1002/1097-0142(19890201)63:3<604::AID-CNCR2820630334>3.0.CO;2-2
  15. Lovely, M. P. (I996).Changes in cognitive status, mood state, quality of life, functional status, and tumor area in patients with gliblastoma multiformae between time of diagnosis and after radiation therapy. Unpublished doctoral dissertation, University of California, San Francisco
  16. Lovely, M. P., Miaskowski, C., & Dodd, M. (1999). Relationship between fatigue and quality of life in patients with glioblastoma multiform. Oncol Nurs Forum, 26(5), 921-925
  17. Maher, K. E. (2000). Radiation therapy : Toxicities and management, in C.H.Yabro, M.H. Frogge, M.Goodman, & S.L. Groenwald. Cancer Nursing : Principles and practice(5eh ed.), Jones & Bartlett Pub./ Boston, Toronto, pp 323-351
  18. Oberst, M. T., Hughes, S. H., Chang, A. S., & McCubbin, M. A. (1991).Self-care burden, stress appraisal, and mood among persons receiving radiotherapy, Cancer Nurs, 14(2), 71-8
  19. Padilla, G. V., Presant, C., Grant, M. M., Metter, G., Lipsett, J., & Heide, F. (1983). Quality of life index for patients with cancer. Res Nurs Health, 6, 117-126 https://doi.org/10.1002/nur.4770060305
  20. Parker, R. G., & Withers, H. R. (2001). Principles of radiation oncology in C.M. Haskell. Cancer treatment(5th ed.), WB Saunders Comp. : Philadelphia, London. 52-63
  21. Piper, B. F., Dibble, S. L., Dodd, M. L., Weiss, M. C., Slaughter, R. F., & Paul, S. M. (1998). The revised Piper Fatigue Scale ; Psychometric evaluation in women with breast cancer, Oncol Nurs Forum, 25(4), 677-684
  22. Portenoy, R. K., & Itri, L. M. (1999). Cancer-related fatigue: Guidelines for evaluation and management, Oncologist, 4(1), 1-10
  23. So, H. S., Joung, K. A. & No, Y. H. (1997). A study of the nutritional status, appetite status, and quality of life of cancer patients completing radiotherapy. Chonnam Journal of Nursing Science, 2(1), 41-56
  24. Stone, P., Richards, M., A'Hem, R., & Hardy, J. (2001). Fatigue in patients with cancers of the breast or prostate undergoing radical radiotherapy. J Pain Symptom Manage, 22(6), 1007-1015
  25. Strohl, R. A. (1990). Radiation therapy : recent advance and nursing intervention. Adv in Oncology Nursing, 25(2), 309-325
  26. Yang, Y. H. (2002). The relationship of symptoms of side effects, fatigue and quality of life in stomach cancer patients receiving chemotherapy, J Korean Acad Adult Nurs, 14(2), 205-212
  27. Yarbro, C. H., & Ferrans, C. E. (1998). Quality of life patients with prostate cancer treated with surgery or radiation therapy. Oncol Nurs Forum, 25(4), 685-693