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http://dx.doi.org/10.7475/kjan.2016.28.1.1

A Test for Psychobiologic Entropy Model on Cancer Related Fatigue among Patients with Solid Tumors  

Oh, Chang Hee (Chonnam National University Hwasun Hospital)
Park, Hyunyoung (Department of Nursing, Honam University)
Lee, Ji Suk (Department of Nursing, Honam University)
Choi, Ja Yun (College of Nursing, Chonnam National University.CRINS)
Publication Information
Korean Journal of Adult Nursing / v.28, no.1, 2016 , pp. 1-12 More about this Journal
Abstract
Purpose: The purpose of this study was to test a Winningham's psychobiologic entropy model (PEM) on cancer related fatigue (CRF) among patients with solid tumors. Methods: Participants consisted of 213 patients with solid tumors recruited from December, 2012 through June, 2013, in a university hospital, in Hwasun, South Korea. Primary symptoms, adjustment, physical activity, status of nutrition and fatigue were measured using structured questionnaires. Collected data were analyzed using SPSS 21.0 and AMOS 21.0 programs. Results: The modified model tested provided a reasonable fit to the data ($x^2=65.80$ [df=30, p<.001], TLI=.92, CFI=.95, RMSEA=.08, SRMR=.07). Primary symptoms (dyspnea, anxiety, depression and insomnia) had direct positive effects on CRF. Adjustment and status of nutrition showed indirect negative effects on CRF. However, the impact of physical activity was not significant. These variables explained 49.2% of the variance of CRF among solid tumor patients. Conclusion: The findings demonstrate that the tested model explain some CRF among solid tumor patients and warrant future research considering the cancer-related clinical factors of the given population.
Keywords
Carcinoma; Fatigue; Causality;
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Times Cited By KSCI : 4  (Citation Analysis)
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1 Mock V, Atkinson A, Barsevick AM, Berger AM, Cimprich B, Eisenberger MA, et al. Cancer-related fatigue. Clinical practice guidelines in oncology. Journal of the National Comprehensive Cancer Network: JNCCN. 2007;5(10):1054-78.   DOI
2 Hofman M, Ryan JL, Figueroa-Moseley CD, Jean-Pierre P, Morrow GR. Cancer-related fatigue: the scale of the problem. Oncologist. 2007;12(1):4-10. http://dx.doi.org/10.1634/theoncologist.12-S1-4   DOI
3 Horneber M, Fischer I, Dimeo F, Ruffer JU, Weis J. Cancerrelated fatigue: epidemiology, pathogenesis, diagnosis and treatment. Deutsches Arzteblatt International. 2012;109(9): 161-72. http://dx.doi.org/10.3238/arztebl.2012.0161   DOI
4 Winningham ML, Nail LM, Burke MB, Brophy L, Cimprich B, Jones LS, et al. Fatigue and the cancer experience: the state of the knowledge. Oncology Nursing Forum. 1994;21(1):23-36.
5 Bower JE, Lamkin DM. Inflammation and cancer-related fatigue: mechanism, contributing factors, and treatment implications. Brain, Behavior, and Immunity. 2013;30:48-S57. http://dx.doi.org/10.1016/j.bbi.2012.06.011   DOI
6 AI-Majid S, Gray P. A biobehavioral model for the study of exercise interventions in cancer-related fatigue. Biological Research for Nursing. 2009;10(4):381-91.   DOI
7 Choi JY, Kang HS. Influencing factors for fatigue in cancer patients. Journal of Korean Academy Nursing. 2007;37(3):365-72. http://dx.doi.org/10.1177/1099800408324431   DOI
8 Cho YW, Song ML, Morin CM. Validation of a Korean version of the insomnia severity index. Journal of Clinical Neurology. 2014;10(3):210-5. http://dx.doi.org/10.3988/jcn.2014.10.3.210   DOI
9 Bauer J, Capra S, Ferguson M. Use of the scored patient-generated subjective global assessment(PG-SGA) as a nutrition assessment tool in patients with cancer. European Journal of Clinical Nutrition. 2002;56:779-85.   DOI
10 Lee MS. Relationship between breast cancer and coping style or emotional adaptation [master thesis]. Seoul: Seoul National University; 1997.
11 Oh JY, Yang YJ, Kim BS, Kang JH. Validity and reliability of Korean version of International Physical Activity Questionnaire (IPAQ) short form. Korean Journal of Family Medicine. 2007;28(7):532-41. http://dx.doi.org/10.4082/kjfm.2012.33.3.144
12 Mendoza TR, Wang XS, Cleeland CS, Morrissey M, Johnson BA, Wendt JK, et al. The rapid assessment of fatigue severity in cancer patients: use of the brief fatigue inventory. Cancer. 1999;85(5):1186-96.   DOI
13 Valentine AD, Meyers CA. Cognitive and mood disturbance as causes and symptoms of fatigue in cancer patients. Cancer. 2001;92(6 Suppl):1694-8.   DOI
14 Porock D, Beshears B, Hilton P, Anderson C. Nutritional, functional, an emotional characteristics related to fatigue in patients during and after biochemotherapy. Oncology Nursing Forum. 2005;32(3):661-7.   DOI
15 Mitchell SA, Beck SL, Hood AE, Moore K, Tanner ER. Putting evidence into practice: evidence-based interventions for fatigue during and following cancer and its treatment. Clinical Journal of Oncology Nursing. 2007;11(1):99-113. http://dx.doi.org/10.1188/07.CJON.99-113   DOI
16 Pearson EJ, Morris ME, McKinstry CE. Cancer-related fatigue: a survey of health practitioner knowledge and practice. Supportive Care in Cancer. 2015; [Epub ahead of print].
17 Winningham, M. The role of exercise in cancer therapy. In: Eistinger M, Watson RW, editors. Exercise and disease. Boca Raton, FL: CRC Press, 1992. p. 63-70.
18 Zordan R, Manitta V, Nandurkar H, Cole-Sinclair M, Philip J. Prevalence and predictors of fatigue in haemo-oncological patients. Internal Medicine Journal 2014;44(10):1013-7. http://dx.doi.org/10.1111/imj.12517   DOI
19 Nail LM, Winningham ML. Fatigue and weakness in cancer patients: the symptom experience. Seminars in Oncology Nursing. 1995;11(4):272-8.
20 Husain N, Cruickshank K, Husain M, Khan S, Tomenson B, Rahman A. Social stress and depression during pregnancy and in the postnatal period in British Pakistani mothers: a cohort study. Journal of Affective Disorders. 2012;140(3):268-76. http://dx.doi.org/10.1016/j.jad.2012.02.009   DOI
21 Bentler PM, Chou CP. Practical issues in structural modeling. Sociological Methods and Research. 1987;15(1):78-117. http://dx.doi.org/10.1177/0049124187016001004   DOI
22 Kim YJ, Kim JY, Choi IR, Kim MW, Rhodes VA. The index of nausea, vomiting, and retching(Korean translation). Journal of Korean Academy Adult Nursing. 2000;12(2):278-85.
23 Zigmond AS, Snaith RP. The hospital anxiety and depression scale. British Medical Journal. 1983;67(6):361-70.
24 Shin JS, Lee YB. The effects of social supports on psychosocial well-being of the unemployed. Korean Journal of Social Welfare. 1999;37:241-69.
25 Cramp F, Byron-Daniel J. Exercise for the management of cancer-related fatigue in adults. The Cochrane Database of Systematic Reviews. 2012;11:CD006145. http://dx.doi.org/10.1002/14651858.CD006145.pub3   DOI
26 Seo YM, Oh HS, Seo WS, Kim HS. Comprehensive predictors of fatigue for cancer patients. Journal of Korean Academy Nursing. 2006;36(7):1224-31.   DOI
27 Dirksen SR, Belyea MJ, Epstein DR. Fatigue-based subgroups of breast cancer survivors with insomnia. Cancer Nursing. 2009;32(5):404-11. http://dx.doi.org/10.1097/NCC.0b013e3181a5d05e   DOI
28 Guest DD, Evans EM, Rogers LQ. Diet components associated with perceived fatigue in breast cancer survivors. European Journal of Cancer Care. 2013;22(1):51-9. http://dx.doi.org/10.1111/j.1365-2354.2012.01368.x   DOI
29 Lee YH, Tsai YF, Lai YH, Tsai CM. Fatigue experience and coping strategies in Taiwanese lung cancer patients receiving chemotherapy. Journal of Clinical Nursing. 2008;17(7):876-83. http://dx.doi.org/10.1111/j.1365-2702.2007.02021.x   DOI
30 Minton O, Richardson A, Sharpe M, Hotopf M, Stone P. A systematic review and meta-analysis of the pharmacological treatment of cancer-related fatigue. Journal of the National Cancer Institute. 2008;100(16):1155-66. http://dx.doi.org/10.1093/jnci/djn250   DOI