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Quality of Life Research
Gepubliceerd in: Quality of Life Research 4/2024

12-12-2023

Understanding experiences of cancer-related fatigue in patients with lung cancer after their cancer treatment: a qualitative content analysis

Auteurs: Jeong-Won Shin, Beom-Joon Lee, Soojin Chung, Ki Seon Lee, Kwan-ll Kim, Jee-In Hwang

Gepubliceerd in: Quality of Life Research | Uitgave 4/2024

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Abstract

Purpose

Cancer-related fatigue (CRF) is an important symptom affecting the quality of life of patients with lung cancer. However, research on the characteristics of CRF in lung cancer and their relationship to cancer treatment is limited. We aimed to explore the unique features of CRF in patients with lung cancer, and investigate the influencing factors.

Methods

Semi-structured interviews were conducted with 21 adult patients with lung cancer until data saturation was reached. The collected data were analyzed using qualitative content analysis. An inductive coding process and deductive content analysis incorporating the established CRF domains were employed. Patient data from electronic medical records were used for data triangulation.

Results

The analysis revealed five themes of CRF: (1) energy depletion, the double burden of illness and treatment, and daily life impediments; (2) feeling down and anxious; (3) neurovascular disturbances and changes in sensory perception; (4) cognitive impairment; and (5) personal and social isolation. CRF tended to improve over time, except for persistent emotional fatigue beyond 6 months. Patients who underwent surgery followed by adjuvant cancer treatment exhibited the most diverse CRF symptoms. The concurrent chemoradiation therapy group experienced significant physical fatigue, whereas the radiosurgery group reported distinct emotional fatigue. Certain factors, such as exercise, can serve as both alleviating and aggravating factors for CRF.

Conclusion

Tailored interventions that take into account the multidimensional symptoms of CRF and patient characteristics are crucial. These findings will guide healthcare professionals when implementing patient-centered symptom management and patient education.
vorige artikel Estimating anchor-based minimal important change using longitudinal confirmatory factor analysis
volgende artikel Correction: Understanding experiences of cancer-related fatigue in patients with lung cancer after their cancer treatment: a qualitative content analysis
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Literatuur
1.
2.
Canella, C., Mikolasek, M., Rostock, M., Beyer, J., Guckenberger, M., Jenewein, J., Linka, E., Six, C., Stoll, S., Stupp, R., & Witt, C. M. (2018). Developing an integrative treatment program for cancer-related fatigue using stakeholder engagement—a qualitative study. Integrative Cancer Therapies, 17(3), 762–773.CrossRefPubMed
3.
Koeppel, M., Körbi, C., Winkels, R. M., Schmitz, K. H., & Wiskemann, J. (2021). Relationship between cancer related fatigue, physical activity related health competence, and leisure time physical activity in cancer patients and survivors. Frontiers in Sports and Active Living, 3, 687365.CrossRefPubMedPubMedCentral
4.
Marker, R. J., Ostendorf, D. M., Leach, H. J., & Peters, J. C. (2022). Cancer-related fatigue mediates the relationships between physical fitness and attendance and quality of life after participation in a clinical exercise program for survivors of cancer. Quality of Life Research, 31(11), 3201–3210.CrossRefPubMed
5.
Sarna, L., Evangelista, L., Tashkin, D., Padilla, G., Holmes, C., Brecht, M. L., & Grannis, F. (2004). Impact of respiratory symptoms and pulmonary function on quality of life of long-term survivors of non-small cell lung cancer. Chest, 125, 439–445.CrossRefPubMed
6.
Bade, B. C., Faiz, S. A., Ha, D. M., Tan, M., Barton-Burke, M., Cheville, A. L., Escalante, C. P., Gozal, D., Granger, C. L., Presley, C. J., Smith, S. M., Chamberlaine, D. M., Long, J. M., Malone, D. J., Pirl, W. F., Robinson, H. L., Yasufuku, K., & Rivera, M. P. (2023). Cancer-related fatigue in lung cancer: A research agenda: An official American Thoracic Society research statement. American Journal of Respiratory and Critical Care Medicine, 207(5), e6–e28.CrossRefPubMedPubMedCentral
7.
8.
Campos, M. P., Hassan, B. J., Riechelmann, R., & Del Giglio, A. (2011). Cancer-related fatigue: a review. Revista da Associacao Medica Brasileira (1992), 57(2), 211–219.CrossRefPubMed
9.
Walsh, C. A., & Al Achkar, M. (2021). A qualitative study of online support communities for lung cancer survivors on targeted therapies. Supportive Care in Cancer, 29(8), 4493–4500.CrossRefPubMedPubMedCentral
10.
Taylor, S., Stanworth, M., Eastwood, C., Gomes, F., Khatoon, B., & Yorke, J. (2023). Understanding the experiences of lung cancer patients during the COVID-19 pandemic: A qualitative interview study. Quality of Life Research, 32(3), 701–711.CrossRefPubMed
11.
Al Maqbali, M., Al Sinani, M., Al Naamani, Z., Al Badi, K., & Tanash, M. I. (2021). Prevalence of fatigue in patients with cancer: A systematic review and meta-analysis. Journal of Pain and Symptom Management, 61(1), 167-189.e14.CrossRefPubMed
12.
Sleight, A. G., Crowder, S. L., Skarbinski, J., Coen, P., Parker, N. H., Hoogland, A. I., Gonzalez, B. D., Playdon, M. C., Cole, S., Ose, J., Murayama, Y., Siegel, E. M., Figueiredo, J. C., & Jim, H. S. L. (2022). A new approach to understanding cancer-related fatigue: Leveraging the 3P model to facilitate risk prediction and clinical care. Cancers, 14(8), 1982. 2.CrossRef
13.
Renjith, V., Yesodharan, R., Noronha, J. A., Ladd, E., & George, A. (2021). Qualitative methods in health care research. International Journal of Preventive Medicine, 12, 20.PubMedPubMedCentral
14.
Piper, B. F., & Cella, D. (2010). Cancer-related fatigue: Definitions and clinical subtypes. Journal of the National Comprehensive Cancer Network: JNCCN, 8(8), 958–966.CrossRefPubMed
15.
Liu, D., Weng, J. S., Ke, X., Wu, X. Y., & Huang, S. T. (2022). The relationship between cancer-related fatigue, quality of life and pain among cancer patients. International Journal of Nursing Sciences, 10(1), 111–116.CrossRefPubMedPubMedCentral
16.
Guest, G., Bunce, A., & Johnson, L. (2006). How many interviews are enough? An experiment with data saturation and variability. Field Methods, 18(1), 59–82.CrossRef
17.
Tong, A., Sainsbury, P., & Craig, J. (2007). Consolidated criteria for reporting qualitative research (COREQ): A 32-item checklist for interviews and focus groups. International Journal for Quality in Health Care, 19(6), 349–357.CrossRefPubMed
18.
Hsieh, H. F., & Shannon, S. E. (2005). Three approaches to qualitative content analysis. Qualitative Health Research, 15(9), 1277–1288.CrossRefPubMed
19.
Elo, S., & Kyngäs, H. (2008). The qualitative content analysis process. Journal of Advanced Nursing, 62(1), 107–115.CrossRefPubMed
20.
Borneman, T., Piper, B. F., Koczywas, M., Munevar, C. M., Sun, V., Uman, G. C., & Ferrell, B. R. (2012). A qualitative analysis of cancer-related fatigue in ambulatory oncology. Clinical Journal of Oncology Nursing, 16(1), E26–E32.CrossRefPubMed
21.
Vasconcellos-Silva, P. R., Carvalho, D., & Lucena, C. (2013). Word frequency and content analysis approach to identify demand patterns in a virtual community of carriers of hepatitis C. Interactive Journal of Medical Research, 2(2), e12.CrossRefPubMedPubMedCentral
22.
Lincoln, Y. S., & Guba, E. G. (1986). But is it rigorous? Trustworthiness and authenticity in naturalistic evaluation. New Directions for Program Evaluation, 1986(30), 73–84.CrossRef
23.
Sandelowski, M. (1986). The problem of rigor in qualitative research. Advances in Nursing Science, 8(3), 27–37.CrossRefPubMed
24.
Bae, E. H., Greenwald, M. K., & Schwartz, A. G. (2021). Chemotherapy-induced peripheral neuropathy: Mechanisms and therapeutic avenues. Neurotherapeutics, 18(4), 2384–2396.CrossRefPubMedPubMedCentral
25.
Al, M. M. (2021). Cancer-related fatigue: An overview. British Journal of Nursing (Mark Allen Publishing), 30(4), S36–S43.CrossRef
26.
Fox, R. S., Ancoli-Israel, S., Roesch, S. C., Merz, E. L., Mills, S. D., Wells, K. J., Sadler, G. R., & Malcarne, V. L. (2020). Sleep disturbance and cancer-related fatigue symptom cluster in breast cancer patients undergoing chemotherapy. Supportive Care in Cancer, 28(2), 845–855.CrossRefPubMed
27.
Hasan, S., Renz, P., Packard, M., Horrigan, S., Gresswell, S., & Kirichenko, A. V. (2019). Effect of daily and every other day stereotactic body radiation therapy schedules on treatment-related fatigue in patients with hepatocellular carcinoma. Practical Radiation Oncology, 9(1), e38–e45.CrossRefPubMed
28.
Sugimura, H., & Yang, P. (2006). Long-term survivorship in lung cancer: A review. Chest, 129(4), 1088–1097.CrossRefPubMed
29.
Nowicki, A., Piekarska, J., & Farbicka, E. (2017). The assessment of cancer-related fatigue syndrome in patients with lung cancer during palliative chemotherapy. Advances in Respiratory Medicine, 85(2), 69–76.CrossRefPubMed
30.
Hare, C. J., Crangle, C., McGarragle, K., Ferguson, S. E., & Hart, T. L. (2022). Change in cancer-related fatigue over time predicts health-related quality of life in ovarian cancer patients. Gynecologic Oncology, 166(3), 487–493.CrossRefPubMed
31.
Hoffman, K. E., McCarthy, E. P., Recklitis, C. J., & Ng, A. K. (2009). Psychological distress in long-term survivors of adult-onset cancer: Results from a national survey. Archives of Internal Medicine, 169(14), 1274–1281.CrossRefPubMed
32.
Spratt, D. E., Sakae, M., Riaz, N., Lok, B. H., Essandoh, S., Hsu, M., Zhang, Z., Schupak, K., Setton, J., & Lee, N. Y. (2012). Time course and predictors for cancer-related fatigue in a series of oropharyngeal cancer patients treated with chemoradiation therapy. The Oncologist, 17(4), 569–576.CrossRefPubMedPubMedCentral
33.
Abrahams, H. J. G., Gielissen, M. F. M., Schmits, I. C., Verhagen, C. A. H. H. V. M., Rovers, M. M., & Knoop, H. (2016). Risk factors, prevalence, and course of severe fatigue after breast cancer treatment: A meta-analysis involving 12 327 breast cancer survivors. Annals of Oncology, 27(6), 965–974.CrossRefPubMed
34.
Thong, M. S. Y., van Noorden, C. J. F., Steindorf, K., & Arndt, V. (2020). Cancer-related fatigue: Causes and current treatment options. Current Treatment Options in Oncology, 21(2), 17.CrossRefPubMedPubMedCentral
35.
Postmus, P. E., Kerr, K. M., Oudkerk, M., Senan, S., Waller, D. A., Vansteenkiste, J., Escriu, C., Peters, S., ESMO Guidelines Committee. (2017). Early and locally advanced non-small-cell lung cancer (NSCLC): ESMO Clinical Practice Guidelines for diagnosis, treatment and follow-up. Annals of Oncology, 28(4), iv1–iv21.CrossRefPubMed
36.
De Ruysscher, D., Faivre-Finn, C., Nackaerts, K., Jordan, K., Arends, J., Douillard, J. Y., Ricardi, U., & Peters, S. (2020). Recommendation for supportive care in patients receiving concurrent chemotherapy and radiotherapy for lung cancer. Annals of Oncology, 31(1), 41–49.CrossRefPubMed
37.
Andruska, N., Stowe, H. B., Crockett, C., Liu, W., Palma, D., Faivre-Finn, C., Badiyan, S. N., Advanced Radiation Therapy Committee for the International Association for the Study of Lung Cancer. (2021). Stereotactic radiation for lung cancer: a practical approach to challenging scenarios. Journal of Thoracic Oncology, 16(7), 1075–1085.CrossRefPubMed
38.
Karthikeyan, G., Jumnani, D., Prabhu, R., Manoor, U. K., & Supe, S. S. (2012). Prevalence of fatigue among cancer patients receiving various anticancer therapies and its impact on quality of life: A cross-sectional study. Indian Journal of Palliative Care, 18(3), 165–175.CrossRefPubMedPubMedCentral
39.
Tu, M., Wang, F., Shen, S., Wang, H., & Feng, J. (2021). Influences of psychological intervention on negative emotion, cancer-related fatigue and level of hope in lung cancer chemotherapy patients based on the PERMA framework. Iranian Journal of Public Health, 50(4), 728–736.PubMedPubMedCentral
40.
de Camargos, M. G., Paiva, B. S. R., de Oliveira, M. A., de Souza Ferreira, P., de Almeida, V. T. N., de Andrade Cadamuro, S., de Almeida, C. S. L., & Paiva, C. E. (2020). An explorative analysis of the differences in levels of happiness between cancer patients, informal caregivers and the general population. BMC Palliative Care, 19(1), 106.CrossRefPubMedPubMedCentral
Metagegevens
Titel
Understanding experiences of cancer-related fatigue in patients with lung cancer after their cancer treatment: a qualitative content analysis
Auteurs
Jeong-Won Shin
Beom-Joon Lee
Soojin Chung
Ki Seon Lee
Kwan-ll Kim
Jee-In Hwang
Publicatiedatum
12-12-2023
Uitgeverij
Springer International Publishing
Gepubliceerd in
Quality of Life Research / Uitgave 4/2024
Print ISSN: 0962-9343
Elektronisch ISSN: 1573-2649
DOI
https://doi.org/10.1007/s11136-023-03578-9

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