Islamic Mindfulness-Based Caring as an Intervention to Manage Fatigue
Maria Komariah1, Urai Hatthakit2, Nongnut Boonyoung2
1Universitas Padjadjaran, Sumedang, Indonesia.
Insights
Islamic Mindfulness-based Caring (IMC) significantly reduced fatigue in breast cancer patients undergoing chemotherapy. This intervention, administered by nurses, demonstrated notable improvements in patient well-being over time.
Area of Science:
- Oncology
- Nursing
- Psychology
Background:
- Fatigue is a common and debilitating side effect for breast cancer patients undergoing chemotherapy.
- Existing interventions may not fully address the holistic needs of patients, necessitating exploration of complementary approaches.
Purpose of the Study:
- To evaluate the effectiveness of Islamic Mindfulness-based Caring (IMC) in alleviating fatigue among breast cancer patients receiving chemotherapy.
- To assess the impact of IMC on fatigue levels over a defined period.
Main Methods:
- A quasi-experimental study involving 112 female stage III breast cancer patients in Bandung, Indonesia.
- The experimental group received IMC plus usual care; the control group received usual care only.
- Fatigue was measured using the Functional Assessment of Chronic Illness Therapy-Fatigue (FACIT-F) on days 1, 3, 23, and 44, with data analyzed using Mixed-Effects Linear Regression.
Main Results:
- A statistically significant reduction in fatigue was observed in the IMC group compared to the control group on days 23 (p=.001) and 44 (p<.001).
- Increased time was significantly associated with lower fatigue scores (p<.05).
- Mixed-Effects Linear Regression confirmed a significant interaction between time and IMC intervention on fatigue scores at day 44 (adjusted β coefficient: 6.62).
Conclusions:
- Nurse-administered Islamic Mindfulness-based Caring (IMC) is an effective intervention for reducing chemotherapy-induced fatigue in breast cancer patients.
- IMC offers a promising complementary approach to improve the quality of life for cancer patients.
Abstract:
Purpose: This study aims to determine the effects of Islamic Mindfulness-based Caring (IMC) on fatigue among breast cancer patients. Design: A quasi-experimental study was undertaken in the chemotherapy unit of a hospital, in Bandung, Indonesia. Methods: A total of 112 females with stage III breast cancer undertaking chemotherapy treatment were recruited by purposive sampling technique. The experimental group (n = 53) was given both IMC and usual care, whereas the control group (n = 59) received only the usual care. Data were collected on days 1, 3, 23, and 44 using the Functional Assessment of Chronic Illness Therapy-Fatigue (FACIT-F) and demographic information tools. Data analyses were carried out with the Mixed-Effects Linear Regression. Findings: We found a significant difference in fatigue between the control and experimental groups on days 23 (mean: 29.34-34.92; p = .001) and 44 (mean: 28.68-37.89; p < .001) after IMC intervention. The increase of time was significantly associated with a lower fatigue score (p < .05). Mixed-Effect Linear Regression showed a significant interaction between time and intervention of IMC effect on fatigue score on time-4 (adjusted β coefficient: 6.62; 95% CI: 2.17-11.06). Conclusions: Nurse-administered IMC is capable of reducing fatigue among breast cancer patients who underwent chemotherapy.
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