Fatigue in Cancer Patients─A Concept Analysis─

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  • がん患者の倦怠感の概念分析
  • ガン カンジャ ノ ケンタイカン ノ ガイネン ブンセキ

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<p>Abstract</p><p>Purpose：The purpose of this study was to clarify the characteristics of fatigue in cancer patients. Method：Relevant literature retrieved until August 2011 from four databases：Ichushi Web, CINAHL, MEDLINE, PsycINFO, using search terms, ‘fatigue’ and ‘cancer’ yielded sixty-two articles. Using Rodger’s model of concept analysis, we extracted attributes, antecedents, and consequences of the concept. Results：Four attributes of the concept ‘fatigue in cancer patients’ were identified：1）lack of energy；2）sense of uncertainty；3）uncontrollable；and 4）changeable. Three antecedents were identified：1）characteristics of cancer and pattern of treatments；2）change of internal or external environment；and 3）patients characteristics. Three consequences were identified：1）coping behavior；2）lower quality of life；and 3）reduction of survival time. Discussion and Conclusion：Through concept analysis fatigue in cancer patients was defined as：a sense of uncertainty with lack of energy which produced a sense of uncontrollability resulting from the changeable influences of cancer and its treatment, and the changes of internal or external environments. These results suggest that patients needs accessibility to intervention that enhance physical and psychological symptom management, and maintaining of living functions. Nurses need to identify patterns of fatigue in cancer patients in Japan and build suitable programs that include social support systems.</p>

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