Çağla TÜRKYILMAZ, Nermin KARAHALİLOĞLU, Şeyma KÜRTÜNLÜ, Elif YORULMAZ, Hatice YORULMAZ, Nalan HACIOĞLU

Evaluation of Factors Affecting Fatigue and Anxiety in Patients with Cancer

OBJECTIVEThe aim of the present study was to evaluate the factors affecting fatigue impact, severity, and anxietylevels in patients with cancer.METHODSData were collected by applying the information form, Beck Anxiety Scale, Fatigue Impact Scale, andFatigue Severity Scale to 286 patients with cancer. Statistical analysis was performed by t-test, one-wayanalysis of variance, Tukey analysis, and Pearson’s correlation coefficient.RESULTSIt was found that 80.1% of the participants were married, 60.8% graduated from primary school, 38.9%were housewives, 62.9% had an average income, 79% had been diagnosed for 6–24 months, 34.3% hadadequate information related to illness, and 81.46% had never taken any psychological help. In the study,it was observed that patients who were in the age group of 65-89 age, illiterate, poor economic status,non-working, and those who think that fatigue and anxiety symptoms are the result of treatment sufferfrom fatigue more severely in their daily live. At the same time, patients who were female, illiterate,tradesmen, had bad economic status, non-working, and with fatigue and anxiety symptoms dependenton treatment had more intense level of fatigue (p

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1. Komurcu S, Senler Cay F. Support, Oncology Handbook. In: Aydıner A, Topuz E, editors. Treatment and Symptom control in Cancer. Istanbul: Turgut Publishing; 2006 pp.80936.
2. Madeya ML, Britton D. Yorgunluk. In: Yasko JM, editor. Inspection and Maintenance Chemotherapy Related Symptoms. İstanbul: Foundation for Scientific and Technical Publications translation, printing and bindery; 1994. pp. 1337.
3. Azak A, Cınar S. Fatigue Syndrome In Patients With Lymphoma (Hodgkin And Non-Hodgkin) and Influencing Factors. THOD 2005;15(2):7883.
4. Oz F. Uncertainty in Illness Experience. Turkish J Psychiatry 2001;12(1):618.
5. Marrs JA. Stress, fears, and phobias: the impact of anxiety. Clin J Oncol Nurs 2006;10(3):31922.
6. Ulusoy M, Şahin NH, Erkmen H. Turkish version of the Beck Anxiety Inventory: Psychometric properties. J Cogn Psychother 1998; 12(2):16372.
7. Krupp LB, Alvarez LA, LaRocca NG, Scheinberg LC. Fatigure in multipl sclerosis. Arch Neurol 1988;45:4357.
8. Armutlu K, Korkmaz NC, Keser I, Sumbuloglu V, Akbiyik DI, Guney Z et al. The validity and reliability of the Fatigue Severity Scale in Turkish multiple sclerosis patients. Int J Rehabil Res 2007;30(1): 81–5.
9. Fisk JD, Pontefract A, Ritvo PG, Archibald CJ, Murray TJ. The impact of fatigue on patients with multiple sclerosis. Can J Neurol Sci 1994;21(1):914.
10.Beser N, Oz F. Anxiety-depression level and Quality of Life the Patients with Lymphoma who are Curing with Chemotherapy. J Cumhuriyet University 2003;7:4758.
11.Arıkan K. Psychological Support in Cancer Patients. Clinic Development 2004;17(1):7786.
12.Alhberg K, Ekman T, Gaston-Johansson,F, Mock V. Assessment and management of cancer-related fatigue in adults. Lancet 2003;362 (9384):64050.
13.Carpenito LJ. Nursing Diagnosis: Application to Clinical Practice. 9th Edition, J.B. Philadelphia: Lippincott Company; 2002. p. 51215.
14.Tralongo P, Respini D, Ferrau F. Fatigue and aging. Crit Rev Oncol Hematol 2003;48(Suppl):S5764.
15.Scheier AM, Williams SA. Anxiety and Quality of Life of Women Who Receive Radiation or Chemotheropy for Breast Cancer. Oncol Nurs Forum 2004; 31(1):12730.
16.Husain A, Stewart K, Arseneault R, Moineddin R, Cellarius V, Librach S, et al. Women experience higher levels of fatigue than men at the end of life: A longitudinal home palliative care study. J Pain Symptom Manage 2009;33(4):38997.
17.Dedeli Caydam Ö. Fadıloğlu Ç, Uslu R. A survey of functional living and social support in patients with cancer. Turkish J Oncology 2008; 23(3):1329.
18.Loge JH, Abrahamsen AF, Ekeberk Q, Kaasa S. Hodgkin’s disease survivors more fatigued than the general population. J Clin Oncol 1999;17(1):25361.
19.Donovan KA, Jacobsen PB, Andrykowski MA, Winters EM, Balducci L, Malik U, et al. Course of fatigue in women receiving chemotherapy and/or radiotherapy for early stage breast cancer. J Pain Symptom Manage 2004;28(4):37380.
20.Curt GA, Breitbart W, Cella D, Groopman JE, Horning SJ, Itri LM, et al. Impact of cancer-related fatigue on patients: new findigs from the Fatigue Colalition. Oncologist 2000;5(5):35360.
21.Lampic C, von Essen L, Peterson VW, Larsson G, Sjödén PO. Anxiety and depression in hospitalized patients with cancer: agreement in patient-staff dyads. Cancer Nurs 1996;19(6):41928.
22.Vogelzang NJ, Breitbart W, Cella D, Curt GA, Groopman JE, Horning SJ, et al. Patient, caregiver and oncologist perceptions of cancer-related fatigue: results of a tripart assessment survey The Fatigue Coalition. Semin Hematol 1997;34 (3 Suppl 2):412.
23.Kocaman N. Ozkan M, Armay Z, Ozkan S. The reliability and the validity study of Turkish adaptation of the revised Illness Perception Questionnaire. Anatolian Journal of Psychiatry 2007;8:27180.
24.Barsevick AM, Whitmer K, Sweeney C, Nail LM. A pilot study examining energy conservation for cancer tretment-related fatigue. Cancer Nurs 2002;25(5):33341.
25.Pınar G, Algıer L, Colak M, Ayhan A. Quality of Life in Patients with Gynecologic Cancer. International J Hematology and Oncology 2008;18(3):1419.