Cancer-related fatigue -: Suffering a different fatigue
Cancer-related fatigue -: Suffering a different fatigue
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DOI：
10.1046/j.1523-5394.2000.82007.x
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发表时间：
2000-03-01
期刊：
影响因子：
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通讯作者：
Holley, S
中科院分区：
文献类型：
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作者：
Holley, S
目的：这项自然主义调查的目的是从患者的角度了解癌症相关性疲劳(GRF)和“典型”疲劳之间的差异，并描述它对他们生活的影响。研究描述：样本包括17名同意参与的成年癌症患者，产生了23次深入的录音访谈。参与者包括一家专门的癌症中心和一家退伍军人事务医院的住院和门诊患者。象征性互动是访谈所使用的框架，用于了解个人和群体如何构建和发现事件的意义。记录的数据按遇险类别进行编码，以对文本信息进行分类，并将文本减少到更相关和更易于管理的数据位。从每个编码类别中选择5到10个有代表性的片段，由第二个编码者独立编码，以评估编码者间的可靠性。结果：与典型的疲劳相比，GRF起病更快，能量消耗更多，强度更大，持续时间更长，更严重，更难租。所有参与者都同意GRF与日常生活中典型的疲劳不同。临床意义：这项研究的发现表明，由于这种不同的疲劳，GRF参与者不仅体验到了这种症状，而且还遭受了痛苦。目前的肿瘤学文献和文本并没有描述这项研究中的发病率。这些数据可以作为体验式教学指南的一部分，以帮助医疗保健学生和从业者理解CRF的体验。这种提高的认识将为临床医生实施管理策略提供更好的基础。基于这些数据，正在开发一种GRF遇险仪器。
PURPOSE: The purpose of this naturalistic inquiry was to understand, from the patient's perspective, the differences between cancer-related fatigue (GRF) and "typical" fatigue and to describe it's impact on their lives.DESCRIPTION OF STUDY: The sample consisted of 17 adult patients with cancer who agreed to participate, yielding 23 in-depth audio-taped interviews. Participants included inpatients and outpatients from a dedicated cancer center and a Veterans Affairs Hospital. Symbolic interaction was the framework used for the interviews to understand how individuals and groups construct and discover the meaning of events. Transcribed data were coded by distress category to classify the textual information and to reduce the text to more relevant and manageable bits of data. Five to 10 representative excerpts from each coding category were chosen and were coded independently by a second coder to evaluate intercoder reliability.RESULTS: GRF was found to be more rapid in onset, more energy draining, more intense, longer lasting, more severe, and more unrenting when compared with "typical" fatigue GRF caused distress in the physical, social, spiritual, psychological, and cognitive domains of the participants' lives. All participants agreed that GRF was different than the typical fatigue of everyday life.CLINICAL IMPLICATIONS: This study's findings indicate that because of this different fatigue, GRF, participants did not just experience the symptom, but they suffered with it. The current oncology literature and texts do not portray the morbidity in this study. These data can be used as part of an experiential teaching guide to assist healthcare students and practioners in understanding the CRF experience. This increased awareness will afford clinicians a better foundation for implementing management strategies. A GRF distress instrument is in development based on these data.