A Comparison of Fatigue Among Resectable Colorectal and Pancreatic Cancer Patients

2.50
Hdl Handle:
http://hdl.handle.net/10755/621836
Category:
Full-text
Format:
Text-based Document
Type:
Poster
Level of Evidence:
N/A
Research Approach:
N/A
Title:
A Comparison of Fatigue Among Resectable Colorectal and Pancreatic Cancer Patients
Author(s):
Kuo, Hsuan-Ju; Shun, Shiow-Ching
Lead Author STTI Affiliation:
Lambda Beta-at-Large
Author Details:
Hsuan-Ju Kuo, MSN, RN, Professional Experience: 2012-2015--Registered Nurse in Endocrinology and Rheumatology ward, National Taiwan University Hospital; 2015-present--Research assistant and Teacher’s assistant, Department of Nursing, College of Medicine, National Taiwan University Author Summary: Hsuan-Ju Kuo completed her BSN from National Taiwan University, College of Medicine. After three years of practice as a registered nurse in Endocrinology/Rheumatology ward of National Taiwan University Hospital, she is currently a graduate student for her master’s degree in Department of Nursing, College of Medicine, National Taiwan University.
Abstract:

Purpose: Both colorectal and pancreatic cancer patients suffer from gastrointestinal associated symptoms that cause nutrition insufficiency. Under impaired nutritional status, cancer patients are prone to experience fatigue. However, there is currently no study that compares fatigue status between colorectal cancer and pancreatic cancer patients. Therefore, the aim of this study was to compare the perceived fatigue among patients with colorectal cancer and pancreatic cancer; and to explore the associated factors among demographic and clinical characteristics, functional lower extremity strength, and grip strength for fatigue in overall patients.

Methods: A cross-sectional research design was conducted. Data were collected using a structured questionnaire including demographic and clinical characteristic form, and the Chinese version of the Fatigue Symptom Inventory (FSI). Grip strength was tested by the JamarR plus+ digital hand dynamometer. Functional lower extremity strength was evaluated with the 30-second chair stand test. A total of 64 preoperative cancer patients, including 32 with colorectal cancer and 32 with pancreatic cancer, were recruited from a medical center in northern Taiwan. The generalized estimating equation (GEE) was used to examine the significant associated factors with fatigue for overall patients.

Results: There were no significant differences in demographic factors in the two groups. However, the disease characteristics including functional status (p=.005), cancer stage (p=.005), body mass index (p=.020), regular exercise habit (p=.001), and having comorbid chronic illness (p=.003) demonstrated significant statistical differences. Furthermore, there were significant differences in fatigue between the two preoperative cancer groups; and pancreatic cancer patients had higher FSI score than colorectal cancer patients. However, the statistical significance of cancer types disappeared after adjustment for functional status, cancer stage, body mass index, regular exercise habit, and having comorbid chronic illness. The significant associated factor with fatigue was functional status measured by Karnofsky Performance Status Scale (KPS). Patients who had lower KPS score (β=-.976, p=.018) reported higher score in FSI. There were no significant statistical differences in the 30-second chair stand test and grip strength between the two groups.

Implication for practice: Healthcare providers should pay extra attention and assess potential fatigue conditions for cancer patients with lower preoperative functional status. Nursing education regarding fatigue management may be indicated for both cancer populations who experience impaired functional status. Further research with larger sample size should be done to examine fatigue characteristics among both groups and intervention should also be developed accordingly.

Keywords:
colorectal cancer; fatigue; pancreatic cancer
Repository Posting Date:
13-Jul-2017
Date of Publication:
13-Jul-2017
Other Identifiers:
INRC17PST
Conference Date:
2017
Conference Name:
28th International Nursing Research Congress
Conference Host:
Sigma Theta Tau International
Conference Location:
Dublin, Ireland
Description:
Event Theme: Influencing Global Health Through the Advancement of Nursing Scholarship

Full metadata record

DC FieldValue Language
dc.language.isoen_USen
dc.type.categoryFull-texten
dc.formatText-based Documenten
dc.typePosteren
dc.evidence.levelN/Aen
dc.research.approachN/Aen
dc.titleA Comparison of Fatigue Among Resectable Colorectal and Pancreatic Cancer Patientsen_US
dc.contributor.authorKuo, Hsuan-Juen
dc.contributor.authorShun, Shiow-Chingen
dc.contributor.departmentLambda Beta-at-Largeen
dc.author.detailsHsuan-Ju Kuo, MSN, RN, Professional Experience: 2012-2015--Registered Nurse in Endocrinology and Rheumatology ward, National Taiwan University Hospital; 2015-present--Research assistant and Teacher’s assistant, Department of Nursing, College of Medicine, National Taiwan University Author Summary: Hsuan-Ju Kuo completed her BSN from National Taiwan University, College of Medicine. After three years of practice as a registered nurse in Endocrinology/Rheumatology ward of National Taiwan University Hospital, she is currently a graduate student for her master’s degree in Department of Nursing, College of Medicine, National Taiwan University.en
dc.identifier.urihttp://hdl.handle.net/10755/621836-
dc.description.abstract<p><strong>Purpose: </strong><span>Both colorectal and pancreatic cancer patients suffer from gastrointestinal associated symptoms that cause nutrition insufficiency. Under impaired nutritional status, cancer patients are prone to experience fatigue. However, there is currently no study that compares fatigue status between colorectal cancer and pancreatic cancer patients. Therefore, the aim of this study was to compare the perceived fatigue among patients with colorectal cancer and pancreatic cancer; and to explore the associated factors among demographic and clinical characteristics, functional lower extremity strength, and grip strength for fatigue in overall patients.</span></p> <p><strong>Methods: </strong>A cross-sectional research design was conducted. Data were collected using a structured questionnaire including demographic and clinical characteristic form, and the Chinese version of the Fatigue Symptom Inventory (FSI). Grip strength was tested by the Jamar<sup>R</sup> plus+ digital hand dynamometer. Functional lower extremity strength was evaluated with the 30-second chair stand test. A total of 64 preoperative cancer patients, including 32 with colorectal cancer and 32 with pancreatic cancer, were recruited from a medical center in northern Taiwan. The generalized estimating equation (GEE) was used to examine the significant associated factors with fatigue for overall patients.</p> <p><strong>Results: </strong>There were no significant differences in demographic factors in the two groups. However, the disease characteristics including functional status (p=.005), cancer stage (p=.005), body mass index (p=.020), regular exercise habit (p=.001), and having comorbid chronic illness (p=.003) demonstrated significant statistical differences. Furthermore, there were significant differences in fatigue between the two preoperative cancer groups; and pancreatic cancer patients had higher FSI score than colorectal cancer patients. However, the statistical significance of cancer types disappeared after adjustment for functional status, cancer stage, body mass index, regular exercise habit, and having comorbid chronic illness. The significant associated factor with fatigue was functional status measured by Karnofsky Performance Status Scale (KPS). Patients who had lower KPS score (β=-.976, p=.018) reported higher score in FSI. There were no significant statistical differences in the 30-second chair stand test and grip strength between the two groups.</p> <p><strong>Implication for practice: </strong>Healthcare providers should pay extra attention and assess potential fatigue conditions for cancer patients with lower preoperative functional status. Nursing education regarding fatigue management may be indicated for both cancer populations who experience impaired functional status. Further research with larger sample size should be done to examine fatigue characteristics among both groups and intervention should also be developed accordingly.</p>en
dc.subjectcolorectal canceren
dc.subjectfatigueen
dc.subjectpancreatic canceren
dc.date.available2017-07-13T19:50:08Z-
dc.date.issued2017-07-13-
dc.date.accessioned2017-07-13T19:50:08Z-
dc.conference.date2017en
dc.conference.name28th International Nursing Research Congressen
dc.conference.hostSigma Theta Tau Internationalen
dc.conference.locationDublin, Irelanden
dc.descriptionEvent Theme: Influencing Global Health Through the Advancement of Nursing Scholarshipen
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