title: Nursing education as an intervention to decrease fatigue perception in oncology patients.
abstract: People with cancer have identified fatigue as a major obstacle to normal functioning and a good quality of life. It is a nearly universal symptom for patients undergoing primary antineoplasic therapy or treatment with biologic response modifiers (BRM) and is extremely common in patients with persistent or advanced disease. The aim of the study was to determine whether nursing education decreased the perception of fatigue in patients with colon or gastric cancer. We compared the fatigue level between two groups of patients who received the same treatment and had the same type of cancer (experimental group and control group). We provided an individualised and structured nursing intervention with education to the experimental group. We followed up the fatigue level in both groups with three different measures on the Functional Assessment of Cancer Therapy Fatigue (FACT-F) Scale. After the nursing intervention there was a decrease in the level of fatigue in the experimental group, whereas the group of patients that did not receive this intervention showed an increase in fatigue level along the treatment. The nursing intervention with the individualised education and counselling has provided patients with cancer with an effective tool to manage fatigue.
authors.affiliation: Medical Oncology Department, Catalan Oncology Institute (ICO), Av. Gran Vía s/n, km 2,7, 08907 L'Hospitalet, Barcelona, Spain. carolinagodinogalvez@wanadoo.es
authors.forename: Carolina
authors.initials: C
authors.lastname: Godino
authors.forename: Lina
authors.initials: L
authors.lastname: Jodar
authors.forename: Angela
authors.initials: A
authors.lastname: Durán
authors.forename: Isabel
authors.initials: I
authors.lastname: Martínez
authors.forename: Anna
authors.initials: A
authors.lastname: Schiaffino
mesh_terms: D000203:Activities of Daily Living; D000328:Adult; D000368:Aged; D001294:Attitude to Health; D002173:Cancer Care Facilities; D003110:Colonic Neoplasms / Q000150:complications* / Q000188:drug therapy; D005221:Fatigue / Q000209:etiology / Q000517:prevention & control* / Q000523:psychology; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D009723:Nurse-Patient Relations; D009730:Nursing Assessment; D015402:Nursing Education Research; D015404:Nursing Methodology Research; D009859:Oncology Nursing / Q000458:organization & administration*; D010353:Patient Education as Topic / Q000458:organization & administration*; D011788:Quality of Life; D012720:Severity of Illness Index; D012944:Social Support; D013030:Spain; D013274:Stomach Neoplasms / Q000150:complications* / Q000188:drug therapy; D011795:Surveys and Questionnaires; D016896:Treatment Outcome