title: Impact of the multidisciplinary education program in self-care on fatigue in lung cancer patients receiving chemotherapy.
abstract: BACKGROUND
  Lung cancer has high mortality rates, with up to 90% of patients dying within one to two years of its onset. It is essential to carry out research to attempt to solve the problems. Most patients suffer serious fatigue resulting from various symptoms and its long-term treatment. Furthermore, the other related complications such as underlying disease, anemia, malnutrition, nausea, and vomiting can reduced tolerance of chemotherapy. Study showed that nurses are the only hospital staff involved in managing fatigue. As it remains unclear to how fatigue should be managed, it is important to devise a strategy for providing a better service to help these patients survive longer.
  
  
  OBJECTIVE
  To examine fatigue scores in patients with lung cancer after chemotherapy treatment, and to compare the scores of the group receiving the multidisciplinary education program in self-care group with those of the control group.
  
  
  METHODS
  A randomized controlled trial was conducted in two groups. The control group and the trial group were 30 patients in each. Studied aged from 45 to 65 years old who were receiving chemotherapy at the Chemotherapy Unit in the Out-Patients Department, Rajavithi Hospital. For a nine-week period, the control group received the hospital's normal care program while the trial group received the multidisciplinary education program in self-care on fatigue. Scores were allocated to each individual to reflect their levels of fatigue, nutrition, physical fitness, and depression, compared using Independent t-test, Fisher exact test, and Mann-Whitney U-test.
  
  
  RESULTS
  Sixty patients were enrolled into the study (mean age = 56.10 (45-65), male = 68.33%). The basic characteristics of each individual were not significantly different between the two groups. The mean (+/- SD) fatigue scores were 2.98 +/- 1.96 and 3.99 +/- 1.64 for the control and the trial group respectively, and these figures were statistically significant (p = 0.036). Nutrition scores were significantly higher in the trial group than in the control group (p = 0.002), but the other scores weight, albumin, physical fitness, and depression were not significantly different between the two groups.
  
  
  CONCLUSIONS
  The multidisciplinary education program in self-care results in decreased fatigue in patients with lung cancer who are receiving chemotherapy. Therefore, it is recommended that more health professionals and specialists participate actively inpatient care to respond directly to patients' needs. This strategy should be adopted as the standard guideline for caring for patients with cancer who are receiving chemotherapy, and for patients with other conditions.
authors: Department of Nursing, Rajavithi Hospital, Bangkok, Thailand. Kotchukorn@hotmail.com
authors: Kotchukorn
authors: K
authors: Wangnum
authors: Department of Rehabilitation, Rajavithi Hospital, Bangkok, Thailand.
authors: Thanyaluck
authors: T
authors: Thanarojanawanich
authors: Department of Rehabilitation, Rajavithi Hospital, Bangkok, Thailand.
authors: Kwanta
authors: K
authors: Chinwatanachai
authors: Department of Nutrition, Rajavithi Hospital, Bangkok, Thailand.
authors: Lawan
authors: L
authors: Jamprasert
authors: Department of Nursing, Rajavithi Hospital, Bangkok, Thailand.
authors: Onarmon
authors: O
authors: Maleehuan
authors: Department of Nursing, Rajavithi Hospital, Bangkok, Thailand.
authors: Vachira
authors: V
authors: Janthakun
mesh_terms: D000368:Aged; D000970:Antineoplastic Agents / Q000627:therapeutic use*; D016022:Case-Control Studies; D005221:Fatigue / Q000209:etiology* / Q000628:therapy*; D005260:Female; D006801:Humans; D008175:Lung Neoplasms / Q000188:drug therapy*; D008297:Male; D008875:Middle Aged; D010353:Patient Education as Topic; D011788:Quality of Life; D012648:Self Care / Q000379:methods*; D016896:Treatment Outcome
chemical_list: D000970:Antineoplastic Agents