Aims and objectives
To measure cancerârelated fatigue (CRF), selfâcare agency (SCA) and fatigue selfâcare strategies, and to explore the relationship between CRF and SCA.
Background
Cancerârelated fatigue has been consistently rated as the most elusive, common and severe of symptoms that patients with cancer undergoing chemotherapy experience. Despite its frequency and severity, CRF is poorly managed. A renewed focus on supporting selfâcare among patients with cancer has been found to reduce symptom burden, empower patients and improve patient satisfaction. Understanding the link between selfâcare agency (i.e. capability and willingness to selfâcare) and CRF levels will help practitioners to better support individuals on the cancer journey.
Design
A descriptive, correlational survey design was employed.
Methods
Patients (n = 362) undergoing chemotherapy with a primary diagnosis of breast, colorectal, Hodgkin's and nonâHodgkin's lymphoma cancers were recruited from four oncology centres in one city in the South of Ireland. Participants completed the Piper Fatigue ScaleâRevised, Appraisal of Selfâcare Agency Scale and a researcherâdeveloped Fatigue SelfâCare Survey. Multivariate logistic regression was used to examine the relationship between CRF and selfâcare agency using a dichotomous dependent variable score of four as the cutâoff between those deemed to be fatigued (â„4) and those not fatigued (<4). As recommended by the EQUATOR Network, the STROBE checklist of items for crossâsectional studies is used to report the study.
Results
The incidence of CRF was high with 75% of participants scoring clinically relevant CRF. Higher SCA (OR = 0.96, 95% CI = 0.93â0.99, p = .011) was associated with decreased odds of developing CRF. Having nonâHodgkin's lymphoma (OR = 3.02, 95% CI = 1.29â7.07, p = .011) was associated with increased odds of developing CRF.
Conclusions
Patient's undergoing chemotherapy experience significant fatigue. Higher capability for selfâcare is associated with lower fatigue. The promotion of SCA and selfâcare strategies can impact on CRF.
Relevance to clinical practice
Understanding the link between selfâcare abilities and fatigue can lead to more individualised and tailored approaches to CRF.