title: [Attitude of cancer patients to fatigue: patient attitude in Switzerland and England].
abstract: In the course of a cancer trajectory, many patients suffer from distressing fatigue. In past years, research has shown that care givers tend to underestimate or even to ignore this frequent phenomenon. Despite increasing knowledge, fatigue seems to remain an orphan topic in symptom management.
  
  
  OBJECTIVE
  A qualitative research strategy was used to explore the perception of cancer patients regarding the awareness of fatigue in professionals and the way they deal with it. Patients also evaluated the usefulness of some currently available information material about fatigue.
  
  
  METHODS
  The expert-opinion of cancer patients in Switzerland and England was analysed. Convenient sampling guided the selection process of seven patients in each country. A tape-recorded focus-group interview served as method to collect and transcribe data. Data were analysed according to the framework analyses by Richie & Spencer.
  
  
  RESULTS
  Results were very similar in both countries. Patients stated a great need for more information regarding fatigue. They feel that care givers are not sufficiently aware of it and that a specific support is not part of current standard practice. The information material was well received and generally judged as very good and helpful.
  
  
  CONCLUSIONS
  Communication barriers in professionals as well as in patients continue to exist. Patients wish to be better informed by care givers. The available information material serves well to support this information as they provide words for the unmentioned phenomenon. Far more professional fatigue education is needed to raise care givers' awareness.
authors.affiliation: Zentrum für Tumordiagnostik und Prävention, St. Gallen, Schweiz. aglaus@sg.zetup.ch, www.zetup.ch
authors.forename: Agnes
authors.initials: A
authors.lastname: Glaus
authors.forename: Irena Anna
authors.initials: IA
authors.lastname: Frei
authors.forename: Cornelia
authors.initials: C
authors.lastname: Knipping
authors.forename: Emma
authors.initials: E
authors.lastname: Ream
authors.forename: Natasha
authors.initials: N
authors.lastname: Browne
mesh_terms: D001364:Awareness; D015400:Clinical Nursing Research; D003431:Cross-Cultural Comparison; D004739:England; D005221:Fatigue / Q000451:nursing* / Q000523:psychology; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D009369:Neoplasms / Q000451:nursing* / Q000523:psychology; D009723:Nurse-Patient Relations; D010353:Patient Education as Topic; D012803:Sick Role; D013557:Switzerland