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Cancer‐related fatigue and self‐care agency: A multicentre survey of patients receiving chemotherapy

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  • Patricia O'Regan
  • Geraldine McCarthy
  • Seamus O'Reilly
  • Derek Power
  • Brian Healey Bird
  • Conleth G. Murphy
  • Josephine Hegarty

Abstract

Aims and objectives To measure cancer‐related fatigue (CRF), self‐care agency (SCA) and fatigue self‐care strategies, and to explore the relationship between CRF and SCA. Background Cancer‐related fatigue has been consistently rated as the most elusive, common and severe of symptoms that patients with cancer undergoing chemotherapy experience. Despite its frequency and severity, CRF is poorly managed. A renewed focus on supporting self‐care among patients with cancer has been found to reduce symptom burden, empower patients and improve patient satisfaction. Understanding the link between self‐care agency (i.e. capability and willingness to self‐care) and CRF levels will help practitioners to better support individuals on the cancer journey. Design A descriptive, correlational survey design was employed. Methods Patients (n = 362) undergoing chemotherapy with a primary diagnosis of breast, colorectal, Hodgkin's and non‐Hodgkin's lymphoma cancers were recruited from four oncology centres in one city in the South of Ireland. Participants completed the Piper Fatigue Scale‐Revised, Appraisal of Self‐care Agency Scale and a researcher‐developed Fatigue Self‐Care Survey. Multivariate logistic regression was used to examine the relationship between CRF and self‐care agency using a dichotomous dependent variable score of four as the cut‐off between those deemed to be fatigued (≥4) and those not fatigued (

Suggested Citation

  • Patricia O'Regan & Geraldine McCarthy & Seamus O'Reilly & Derek Power & Brian Healey Bird & Conleth G. Murphy & Josephine Hegarty, 2019. "Cancer‐related fatigue and self‐care agency: A multicentre survey of patients receiving chemotherapy," Journal of Clinical Nursing, John Wiley & Sons, vol. 28(23-24), pages 4424-4433, December.
    • Handle: RePEc:wly:jocnur:v:28:y:2019:i:23-24:p:4424-4433
    DOI: 10.1111/jocn.15026
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    References listed on IDEAS

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    1. Ann‐Caroline Johansson & Eva Brink & Christina Cliffordson & Malin Axelsson, 2018. "The function of fatigue and illness perceptions as mediators between self‐efficacy and health‐related quality of life during the first year after surgery in persons treated for colorectal cancer," Journal of Clinical Nursing, John Wiley & Sons, vol. 27(7-8), pages 1537-1548, April.
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