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Fatigue patterns in Chinese patients receiving radiotherapy
1School of Nursing, University of Manchester, UK. alex.molassiotis@man.ac.uk
Summary
Cancer patients undergoing chemoradiotherapy frequently experience fatigue. This study explored fatigue patterns, factors, and experiences in Chinese patients, revealing specific daily and weekly fluctuations and the need for personalized interventions.
Area of Science:
- Oncology
- Symptom Management
- Patient Experience
Background:
- Fatigue is the most common symptom in cancer patients undergoing chemoradiotherapy.
- Understanding fatigue patterns is crucial for effective patient care.
Purpose of the Study:
- To explore the pattern, associated factors, and experience of fatigue in Chinese cancer patients receiving radiotherapy.
- To identify individual fatigue patterns and perceptions for clinical practice.
Main Methods:
- Descriptive study involving 27 Chinese cancer patients undergoing radiotherapy in Hong Kong.
- Daily fatigue intensity measured using a 10-cm visual analogue scale (VAS) over two weeks.
- Chinese version of the Profile of Mood States (POMS) fatigue subscale administered at baseline and post-treatment weeks 1 and 2.
Main Results:
- Most patients (44-80.8%) experienced fatigue during radiotherapy.
- Fatigue peaked in the afternoons and evenings, and at the end of weeks 1 and 2.
- Qualitative data revealed universal and culturally specific fatigue descriptors; coping methods had variable effects.
Conclusions:
- Individualized assessment of fatigue patterns and perceptions is essential for clinical practice.
- Identifying at-risk patients and initiating timely interventions can help combat cancer-related fatigue.