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Fatigue in cancer patients. A descriptive study
1Education and Organizational Development Department, H. Lee Moffitt Cancer Center and Research Institute, University of South Florida, Tampa 33682-0179.
Cancer Nursing
|February 1, 1991
Summary
This study found that fatigue in ovarian cancer patients undergoing chemotherapy did not correlate with age, disease stage, or depression. However, fatigue peaked around day 7 of treatment and showed a moderate link to depression symptoms.
Area of Science:
- Oncology
- Psychology
- Medical Research
Background:
- Fatigue is a common and debilitating symptom for ovarian cancer patients undergoing chemotherapy.
- Understanding the factors influencing fatigue is crucial for improving patient quality of life during treatment.
Purpose of the Study:
- To investigate the relationships between fatigue and physical/psychological factors in women with ovarian cancer receiving chemotherapy.
- To identify potential correlations between fatigue levels and demographic, clinical, and psychological variables.
Main Methods:
- Utilized the Rhoten Fatigue Scale (RFS) and Beck Depression Inventory (BDI) to assess fatigue and depression.
- Sample included 12 ovarian cancer patients undergoing chemotherapy and 12 healthy controls.
- Analyzed relationships between fatigue, age, disease stage, treatment course, depression, and CA 125 levels.
Main Results:
- No significant relationships were found between fatigue and age, disease stage, treatment course, or depression scores.
- Weak-to-moderate correlations were observed between fatigue levels and CA 125 tumor marker levels.
- A moderately strong positive correlation (r = 0.68) existed between RFS scores and BDI fatigue items.
- Fatigue levels peaked around day 7 of the 28-day chemotherapy cycle and subsequently declined.
Conclusions:
- Fatigue in ovarian cancer patients during chemotherapy is complex and not strongly linked to common demographic or clinical factors.
- Depression and fatigue are moderately related, suggesting potential for combined symptom management.
- CA 125 levels may have a weak-to-moderate association with fatigue.
- A distinct fatigue trajectory exists during chemotherapy, with a peak in the first week of treatment.