Putting evidence into practice: evidence-based interventions for fatigue during and following cancer and its treatment.
Cancer-related fatigue has a significant impact on patients' physical and psychosocial functioning, symptom distress, and quality of life, yet it remains under-recognized and undertreated. The Oncology Nursing Society's Putting Evidence Into Practice initiative sought to improve patient outcomes relative to this important problem by critically examining and summarizing the evidence base for interventions to prevent and manage fatigue during and following treatment. This article critically reviews and summarizes the available empirical evidence regarding interventions for cancer-related fatigue. In addition to offering patients and clinicians a tool to facilitate effective management of the distressing symptom, this evidence-based review identifies gaps in knowledge and research opportunities.
Mitchell
Sandra A
SA
National Institutes of Health, Bethesda, MD, USA. mitchlls@mail.nih.gov
Beck
Susan L
SL
Hood
Linda Edwards
LE
Moore
Karen
K
Tanner
Ellen R
ER
D019985:Benchmarking; D001803:Blood Transfusion; D000529:Complementary Therapies; D019317:Evidence-Based Medicine / Q000458:organization & administration*; D005081:Exercise Therapy; D005221:Fatigue / Q000209:etiology / Q000517:prevention & control*; D006301:Health Services Needs and Demand; D006801:Humans; D009369:Neoplasms / Q000150:complications / Q000628:therapy; D024802:Nurse's Role; D009730:Nursing Assessment; D015399:Nursing Research / Q000458:organization & administration*; D018529:Nutritional Support; D009859:Oncology Nursing / Q000458:organization & administration*; D010043:Outcome and Process Assessment, Health Care; D010353:Patient Education as Topic; D017410:Practice Guidelines as Topic