Background: Cancer is considered one of the foremost common causes of death. Fatigue is among the distressing symptoms for cancer patients receiving chemotherapy. Adequate coping is essential for individual to deal with the effects of cancer related treatment. The objective of the study was to find out the fatigue experience and coping strategies among cancer patients receiving chemotherapy.Methods: A descriptive, cross-sectional research design was used for the study. The samples was taken from day care and medical oncology ward of BP Koirala Memorial Cancer Hospital, Bharatpur. A total of 120 cancer patients receiving chemotherapy of 18 years and above were selected by using non probability consecutive sampling technique. Data was collected by using standard tool, Fatigue Symptom Inventory and Brief Cope. Data analysis was done by descriptive and inferential statistics.Results: The study revealed that 82.5% of respondents had experienced fatigue and 50.8% respondents had used adequate coping strategies where “self distraction”(2.76±1.02) was the most used coping strategy by the respondents. Fatigue experience and coping strategies had negative correlation (r=-0.490, p=<0.001).Conclusions: Majority of the respondents had experienced fatigue, and half of the respondents used adequate coping strategies. The different methods of coping strategies for fatigue and chemotherapy related effects should be expanded as per the best available evidence to lower fatigue and other adverse effects.Keywords: Cancer; chemotherapy; coping strategies; fatigue.
Background: Cancer is considered one of the foremost common causes of death. Fatigue is among the distressing symptoms for cancer patients receiving chemotherapy. Adequate coping is essential for individual to deal with the effects of cancer related treatment. The objective of the study was to find out the fatigue experience and coping strategies among cancer patients receiving chemotherapy.Methods: A descriptive, cross-sectional research design was used for the study. The samples was taken from day care and medical oncology ward of BP Koirala Memorial Cancer Hospital, Bharatpur. A total of 120 cancer patients receiving chemotherapy of 18 years and above were selected by using non probability consecutive sampling technique. Data was collected by using standard tool, Fatigue Symptom Inventory and Brief Cope. Data analysis was done by descriptive and inferential statistics.Results: The study revealed that 82.5% of respondents had experienced fatigue and 50.8% respondents had used adequate coping strategies where “self distraction”(2.76±1.02) was the most used coping strategy by the respondents. Fatigue experience and coping strategies had negative correlation (r=-0.490, p=<0.001).Conclusions: Majority of the respondents had experienced fatigue, and half of the respondents used adequate coping strategies. The different methods of coping strategies for fatigue and chemotherapy related effects should be expanded as per the best available evidence to lower fatigue and other adverse effects.
Introduction: Communication is fundamental for an individual to verbalize their feelings. Inability of the patient receiving mechanical ventilation to communicate the needs to the health care provider often leads to psychological stress. Objective: The objective of the study is to assess the communication difficulties and psychological stress in patients receiving mechanical ventilation. Methodology: A cross-sectional research design was used for the study. A total of 48 patient extubated within the preceding 72 hours, was taken as a sample by using a convenience sampling method. Data were collected by using a interview technique in patients from January–September 2018 from a 41- bedded ICU at Nobel Medical College Teaching Hospital. Data analysis was done by descriptive and inferential statistics. Results: Difficulty in communication was found where majority of the respondents (82.29%) rated general communication as extremely hard. The study further revealed that 100% of the respondents used hands for pointing and gesturing followed by shaking heads (65.38%), whisper (19.23%) and writing (11.53%). Sleeping and communication difficulty was the major problem 97.91% and 96.94% respectively. Majority of respondents (66.66%) scored Intensive Care Psychological Assessment Tool more than 7. In addition, there is significant association between the sex, total length of ventilation and prior experience with ICU (p= <0.05). Conclusion: Patient with mechanical ventilation experience a moderate to extreme level of psychological stress because they have difficulty in communicating their needs. Alternative communication methods should be developed, and health care provider should be aware about the communication difficulties, thereby reducing the stress caused by ineffective communication.
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