Cancer-related fatigue in lung cancer patients receiving chemotherapy after surgery and its related factors

Abstract

Objective To describe the level of cancer related fatigue (CRF) in lung cancer patients receiving chemotherapy after surgery,and to explore its related factors so as to provide the basis for making effective intervention measures.Methods 100 lung cancer patients receiving chemotherapy after surgery from two tertiary-level hospitals were recruited in this study by convenient sampling.The study adopted a descriptive correlation method.The level of CRF and depression,and sleep quality were investigated with the Revised Piper Fatigue Scale,Self-Rating Depression Scale (SDS),and Pittsburgh Sleep Quality Index (PSQI).Results 87％of lung cancer patients had a middle level of CRF,; 83％ of them had depression,the higher the level of depression,the higher the level of CRF.The total score of fatigue before the operation was (4.72 ± 0.88),(5.44 ± 1.26) after the operation; there was significant difference between the score of fatigue before and after the operation( t =11.98,P ＜ 0.01 ).Patients' total score of PSQI was ( 11.00 ± 3.85 ) ; their sleep quality was poor,and it also influenced the levels of CRF、The total score of CRF is positively related with the sleep quality (r =0.234,P ＜ 0.05 ).Conclusions CRF prevails in lung cancer patients receiving chemotherapy after surgery,the medical care staff shall pay much attention to their emotion and sleep quality so as to lessen their fatigue as much as possible. Key words: Lung cancer; Cancer-related fatigue; Sleep quality