Surgical Oncology: Evolution of Postoperative Fatigue and Factors Related to Its Severity

Oliveira, Murielly Marques de; Oliveira, Gabriela Ferreira de; Souza-Talarico, Juliana Nery de; Mota, Dálete Delalibera Corrêa de Faria

doi:10.1188/16.cjon.e3-e8

Cited by 21 publications

(20 citation statements)

References 48 publications

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“…[ 18 ] In fact, most of the evidence related to the postoperative period was obtained during the first 7 days after surgery, if there is no early intervention, it will last longer, even 12 months after surgery. [ 19 ] It may also cause secondary complications, prolong the length of hospital stay, and affect the patients’ return to society. [ 20 ] Acupoint massage stimulates acupoints by massage, so as to adjusting activity of Qi, activate meridians, promote blood circulation, strengthen metabolism, enhance immunity and promote sleep, so as to achieve the balance of Yin and Yang and relieve fatigue.…”

Section: Discussionmentioning

confidence: 99%

Effects of acupoint massage combined with relaxation therapy on patients with postoperative fatigue syndrome after lumbar surgery

et al. 2021

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Background : Lumbar disc herniation (LDH) is a common disease in orthopedics. Surgery is shown to provide significant faster relief of pain compared to conservative therapy. However, due to the influence of surgical trauma, anesthesia and other perioperative stress factors, patients may have complications. Among them, postoperative fatigue syndrome (POFS) is a common complication. Traditional Chinese medicine or integrated traditional Chinese and Western medicine have been proved to be effective in improving postoperative fatigue. Methods : This study is a randomized controlled trial. One hundred eighty Chinese patients with POFS of LDH will be randomly divided into control group, experimental group 1, experimental group 2 and experimental group 3 according to the ratio of 1:1:1:1. The patients in the control group will be treated with conventional treatment after operation, the patients in the experimental group 1 will be treated with acupoint massage, the patients in the experimental group 2 will be treated with relaxation therapy, and the patients in the experimental group 3 will be treated with acupoint massage combined with relaxation therapy. The whole treatment will last for 5 days. The main outcome measures will be fatigue visual analogue scale and identity-consequence fatigue scale, and the secondary outcome measures will be hospital anxiety and depression scale. Discussion : This study is to observe the effects of acupoint massage comblined with relaxation therapy on reducing postoperative fatigue of lumbar disc herniation surgical patients. Trial registration : Chinese Clinical Trial Registry ( http://www.chictr.org.cn/edit.aspx?pid=123978&htm=4 ), No. ChiCTR2100044788. Registered on March 27, 2021.

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Section: Discussionmentioning

confidence: 99%

Effects of acupoint massage combined with relaxation therapy on patients with postoperative fatigue syndrome after lumbar surgery

et al. 2021

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“…Average postoperative nausea intensity in the present study reflected sleeping difficulties; sleeping quality in turn has been found to have an impact on postoperative physical recovery (Gong, Wang, & Fan, ; Miller, Roth, Roehrs, & Yaremchuk, ). Furthermore, sleep restriction is believed to increase perceived pain intensity (Tiede et al., ) and experience of fatigue (Oliveira, Oliveira, Souza‐Talarico, & Mota, ). The recovery aspect of fatigue was associated with nausea intensity.…”

Section: Discussionmentioning

confidence: 99%

Nausea intensity as a reflector of early physical recovery after surgery

Eriksson

Årestedt

Broström

et al. 2018

Journal of Advanced Nursing

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Aim To compare different levels of self‐rated average nausea intensity with early physical recovery and determine if nausea can reflect recovery in patients undergoing general or orthopaedic surgery. Background Nausea has been found to influence postoperative physical recovery. Despite the incidence of nausea in postoperative care, there is a knowledge gap about the possibility of using average nausea intensity to reflect recovery, motivating further investigation. Design An observational design with repeated measures. Methods General and orthopaedic patients answered a questionnaire (October 2012–January 2015) about nausea and impact on recovery on postoperative days 1 (N = 479) and 2 (N = 441). Questions about average nausea intensity at rest and during activity were answered based on the Numeric Rating Scale (NRS) (0–10). Impact on recovery was evaluated using three dimensions from the postoperative recovery profile tool. Results About one‐fifth of the patients reported nausea intensity as moderate to severe on days 1 and 2. Nausea intensity was associated with eight of nine aspects of recovery on postoperative day 1. Nausea intensity on day 1 also reflected four of nine aspects of recovery on day 2. About reflecting physical recovery, the association was strongest between nausea intensity and appetite changes. Conclusions As postoperative nausea is common, regular assessments by healthcare professionals are needed. Assessment of nausea is of importance since it reflects physical recovery. This also shows the importance of treating nausea without delay. Using the NRS to measure nausea intensity is a simple method that is easy to use in clinic.

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“…Class 2, characterized by a downswing in the first period and followed by a plateau, typically comprised patients who recovered from postoperative fatigue. Oliveira et al (28) reported that fatigue after surgery in tumor patients decreased significantly in the first 2 months and persisted weekly thereafter. The trajectory of class 3 involved the highest initial level rise and then a plateau, suggesting that hormone symptoms in these patients are more obvious.…”

Section: Hormone Related Symptomsmentioning

confidence: 99%

Symptom trajectories and influencing factors of prostate cancer following radical prostatectomy in Chinese patients

Zeng¹,

Zhou²,

Luan³

et al. 2021

Ann Palliat Med

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Background: Patients following radical prostatectomy will encounter various symptoms that may vary depending on the recovery of surgery and the use of adjuvant treatments. However, few studies have used the scale developed for prostate cancer to longitudinally assess the course of symptoms in Chinese patients. This study aimed to identify the symptom trajectories and the influencing factors in the prostate cancer patients of our area.Methods: A prospective observational study was conducted, and 155 patients with prostate cancer from 3 hospitals in Shanghai were recruited. Demographic and disease-related information was collected during the hospitalization. Further information on symptoms, adjuvant treatment, and functional exercise was collected across 4 time points. Growth mixture modeling was used to identify the trajectory patterns of symptoms, and logistic regression was used to determine the predictors.Results: A total of 143 patients completed the investigation of all points, with a lost-to-follow-up rate of 7.7%. Urinary incontinence, urinary tract irritation, sexual dysfunction, pelvic pain, and hormone related symptoms all had group heterogeneity, and the number of latent category trajectories obtained was 4, 3, 3, 4, and 3 respectively. There were differences in demographic, disease, and treatment-related information between the groups.Conclusions: Patients with prostate cancer have different symptom levels across different periods after radical prostatectomy. Medical staff can predict these changes based on the initial level of symptoms and related factors such as age, prostate volume, medical comorbidities, drug of adjuvant treatment to clarify the critical points, populations, and symptoms that require monitoring during follow-up.

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Surgical Oncology: Evolution of Postoperative Fatigue and Factors Related to Its Severity

Cited by 21 publications

References 48 publications

Effects of acupoint massage combined with relaxation therapy on patients with postoperative fatigue syndrome after lumbar surgery

Effects of acupoint massage combined with relaxation therapy on patients with postoperative fatigue syndrome after lumbar surgery

Nausea intensity as a reflector of early physical recovery after surgery

Symptom trajectories and influencing factors of prostate cancer following radical prostatectomy in Chinese patients

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