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Published on: May 31, 2016
Distinct Trajectories of Fatigue and Sleep Disturbance in Women Receiving Chemotherapy for Breast Cancer
Meagan Whisenant1, Bob Wong2, Sandra A Mitchell3
1University of Texas MD Anderson Cancer Center.
Purpose/Objectives:
To examine self-reported severity of fatigue and disturbed sleep experienced daily by women with breast cancer during multiple cycles of chemotherapy, exploring potential classes of women experiencing similar symptom trajectories. .
Design:
In a secondary analysis, classes of women experiencing similar patterns of fatigue and disturbed sleep were identified. .
Setting:
Oncology clinics in the United States. .
Sample:
166 women with breast cancer receiving chemotherapy. .
Methods:
Severity scores were self-reported daily using an automated system. Classes of fatigue and disturbed sleep severity were identified using latent growth mixture modeling. .
Main Research Variables:
Fatigue, disturbed sleep, age, stage of disease, education, employment, marital status, chemotherapy regimen, hours lying down, and missed work. .
Findings:
Three fatigue classes were identified.
Conclusions:
Patterns of symptom trajectories for fatigue and disturbed sleep were distinguished by baseline symptom severity. .
Implications For Nursing:
Identification of women at risk for fatigue and disturbed sleep may allow clinicians to intensify symptom management.
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