Creating Individualized Symptom Management Goals and Strategies for Cancer-Related Fatigue for Patients With Recurrent Ovarian Cancer.
Creating Individualized Symptom Management Goals and Strategies for Cancer-Related Fatigue for Patients With Recurrent Ovarian Cancer.
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DOI：
10.1097/ncc.0000000000000407
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发表时间：
2017
期刊：
影响因子：
2.6
通讯作者：
Donovan HS
中科院分区：
文献类型：
--
作者：
Hagan TL;Arida JA;Hughes SH;Donovan HS
癌症相关性疲劳(CRF)是复发性卵巢癌女性患者最常见的症状之一，但它仍然非常难以处理。症状管理通常要求患者设定目标和策略来管理他们的CRF，但对如何创建个性化的CRF症状管理目标和策略知之甚少。描述癌症患者管理癌症相关疲劳的目标和策略，以及他们个性化两者的过程。本研究是对基于网络的症状管理RCT--书面症状研究--的定性分析和支持性定量描述。研究人员对N=47名参与者的CRF症状护理计划进行了内容分析，以确定参与者目标中的共同主题，对策略进行分类，并描述个性化过程。参与者的CRF目标被确定为四个一般主题：1)享受与朋友和家人在一起的时间，2)做我喜欢的事情，3)有精力进行体育活动，4)跟上我需要做的事情。CRF战略被分为13组，包括节约能源、增加活动和与医疗保健提供者交谈。一个多步骤的个性化过程产生了对个人有意义的策略。参与者个性化他们的CRF策略的过程包括识别、确认、测试和评估不同的CRF策略，并导致细化、具体和个性化的策略，旨在最终确保参与者实现他们的目标。临床医生可以帮助患者个性化他们的CRF目标和策略。CRF目标和策略的个性化有助于患者直观地了解改善CRF将如何影响他们的生活。
Cancer-related fatigue (CRF) is one of the most common symptoms among women with recurrent ovarian cancer, yet it remains extremely difficult to manage. Symptom management typically requires patients to set goals and strategies to manage their CRF, but little is known about how to create individualized CRF symptom management goals and strategies. To describe cancer patients’ goals and strategies for managing cancer-related fatigue along with their process of individualizing both. This study is a qualitative analysis with supportive quantitative description of a web-based symptom management RCT, the WRITE Symptom Study. Researchers conducted a content analysis on N=47 participants’ CRF symptom care-plans to identify common themes in participants’ goals, categorize strategies, and describe the individualization process. Four general themes were identified among participants’ CRF goals: 1) Enjoying time with friends and family, 2) Doing the things I enjoy, 3) Having energy to be physically active, and 4) Keeping up with what I need to do. CRF strategies were categorized into 13 groups including conserving energy, increasing activity, and talking with healthcare providers. A multistep individualization process resulted in personally-meaningful strategies. The process by which participants individualized their CRF strategies consisted of identifying, confirming, testing, and evaluating different CRF strategies and resulted in refined, specific and individualized strategies intended to eventually ensure participants achieve their goal. Clinicians can assist patients in individualizing their CRF goals and strategies. Individualization of CRF goals and strategies assists patients in visualizing how improving CRF will impact their life.