Aditi Sawant Dessai , Jyothi Chakrabarty , B. Sulochana
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It is distinct from regular tiredness and is a pervasive and disruptive symptom for many patients, impacting daily life and work.</div></div><div><h3>Objectives</h3><div>This paper aims to assess fatigue and performance status experienced by cancer patients with anemia, and to determine the correlation between fatigue, quality of life, and performance status at a selected tertiary care hospital in Udupi district, Karnataka.</div></div><div><h3>Methods</h3><div>This study, conducted from April 2, 2022, to December 25, 2022, represents a descriptive correlational investigation involving 231 cancer patients experiencing anemia. The participants, aged 21–82 years, were selected using a purposive sampling technique and recruited from a designated tertiary care hospital in the Udupi district of Karnataka.</div></div><div><h3>Results</h3><div>The mean fatigue score was 23.93 ± 5.39 whereas the mean Health-related Quality of life and anemia symptoms scores were 62.09 ± 14.19, and 4.28 ± 3.05 respectively. The main variables' linear correlations were evaluated using Spearman's rank correlation. A very strong negative relationship was noted between fatigue and performance status, i.e., (<em>r</em> = −0.796, p = 0.01), a moderate negative relationship existed between anemia symptoms and performance status (<em>r</em> = −0.297, p = 0.01), a strong positive relationship was observed between quality-of-life domains and performance status (<em>r</em> = 0.685, p = 0.01).</div></div><div><h3>Conclusion</h3><div>Anaemia causes low-performance status and fatigue among cancer patients. As a result, fatigue lowers quality of life, particularly in terms of physical and mental health. Medical facilities should implement a self-management education program to diagnose and treat fatigue, which is associated with anaemia, low performance status, and a reduction in cancer patients' quality of life.</div></div>","PeriodicalId":46404,"journal":{"name":"Clinical Epidemiology and Global Health","volume":"31 ","pages":"Article 101899"},"PeriodicalIF":1.7000,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"The relationship between fatigue, quality of life, and performance status among cancer patients with anemia\",\"authors\":\"Aditi Sawant Dessai , Jyothi Chakrabarty , B. Sulochana\",\"doi\":\"10.1016/j.cegh.2024.101899\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<div><h3>Background</h3><div>Cancer-related fatigue is defined as “a distressing, persistent, subjective sense of physical, emotional, and cognitive tiredness or exhaustion related to cancer or cancer treatment that is not proportional to recent activity and interferes with usual functioning”. It is distinct from regular tiredness and is a pervasive and disruptive symptom for many patients, impacting daily life and work.</div></div><div><h3>Objectives</h3><div>This paper aims to assess fatigue and performance status experienced by cancer patients with anemia, and to determine the correlation between fatigue, quality of life, and performance status at a selected tertiary care hospital in Udupi district, Karnataka.</div></div><div><h3>Methods</h3><div>This study, conducted from April 2, 2022, to December 25, 2022, represents a descriptive correlational investigation involving 231 cancer patients experiencing anemia. The participants, aged 21–82 years, were selected using a purposive sampling technique and recruited from a designated tertiary care hospital in the Udupi district of Karnataka.</div></div><div><h3>Results</h3><div>The mean fatigue score was 23.93 ± 5.39 whereas the mean Health-related Quality of life and anemia symptoms scores were 62.09 ± 14.19, and 4.28 ± 3.05 respectively. The main variables' linear correlations were evaluated using Spearman's rank correlation. A very strong negative relationship was noted between fatigue and performance status, i.e., (<em>r</em> = −0.796, p = 0.01), a moderate negative relationship existed between anemia symptoms and performance status (<em>r</em> = −0.297, p = 0.01), a strong positive relationship was observed between quality-of-life domains and performance status (<em>r</em> = 0.685, p = 0.01).</div></div><div><h3>Conclusion</h3><div>Anaemia causes low-performance status and fatigue among cancer patients. As a result, fatigue lowers quality of life, particularly in terms of physical and mental health. Medical facilities should implement a self-management education program to diagnose and treat fatigue, which is associated with anaemia, low performance status, and a reduction in cancer patients' quality of life.</div></div>\",\"PeriodicalId\":46404,\"journal\":{\"name\":\"Clinical Epidemiology and Global Health\",\"volume\":\"31 \",\"pages\":\"Article 101899\"},\"PeriodicalIF\":1.7000,\"publicationDate\":\"2025-01-01\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Clinical Epidemiology and Global Health\",\"FirstCategoryId\":\"1085\",\"ListUrlMain\":\"https://www.sciencedirect.com/science/article/pii/S2213398424003968\",\"RegionNum\":0,\"RegionCategory\":null,\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"2024/12/25 0:00:00\",\"PubModel\":\"Epub\",\"JCR\":\"Q2\",\"JCRName\":\"PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Clinical Epidemiology and Global Health","FirstCategoryId":"1085","ListUrlMain":"https://www.sciencedirect.com/science/article/pii/S2213398424003968","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"2024/12/25 0:00:00","PubModel":"Epub","JCR":"Q2","JCRName":"PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH","Score":null,"Total":0}
引用次数: 0
摘要
癌症相关疲劳被定义为“与癌症或癌症治疗有关的一种痛苦的、持续的、主观的身体、情感和认知疲劳或疲惫，与近期活动不成比例，干扰正常功能”。它不同于常规疲劳，是许多患者普遍存在的破坏性症状，影响日常生活和工作。目的本研究旨在评估卡纳塔克邦Udupi地区某三级医院癌症贫血患者的疲劳和表现状态，并确定疲劳、生活质量和表现状态之间的相关性。该研究于2022年4月2日至2022年12月25日进行，涉及231例患有贫血的癌症患者。参与者年龄在21岁至82岁之间，采用有目的抽样技术从卡纳塔克邦Udupi区的一家指定三级保健医院招募。结果疲劳评分平均为23.93±5.39，健康相关生活质量评分平均为62.09±14.19，贫血症状评分平均为4.28±3.05。采用Spearman秩相关评价各主要变量的线性相关性。疲劳度与工作表现之间存在很强的负相关关系（r = - 0.796, p = 0.01），贫血症状与工作表现之间存在中度负相关关系（r = - 0.297, p = 0.01），生活质量领域与工作表现之间存在很强的正相关关系（r = 0.685, p = 0.01）。结论贫血可引起肿瘤患者工作状态低下和疲劳。因此，疲劳降低了生活质量，特别是在身心健康方面。医疗机构应实施自我管理教育计划，以诊断和治疗疲劳，疲劳与贫血、低表现状态和癌症患者生活质量下降有关。
The relationship between fatigue, quality of life, and performance status among cancer patients with anemia
Background
Cancer-related fatigue is defined as “a distressing, persistent, subjective sense of physical, emotional, and cognitive tiredness or exhaustion related to cancer or cancer treatment that is not proportional to recent activity and interferes with usual functioning”. It is distinct from regular tiredness and is a pervasive and disruptive symptom for many patients, impacting daily life and work.
Objectives
This paper aims to assess fatigue and performance status experienced by cancer patients with anemia, and to determine the correlation between fatigue, quality of life, and performance status at a selected tertiary care hospital in Udupi district, Karnataka.
Methods
This study, conducted from April 2, 2022, to December 25, 2022, represents a descriptive correlational investigation involving 231 cancer patients experiencing anemia. The participants, aged 21–82 years, were selected using a purposive sampling technique and recruited from a designated tertiary care hospital in the Udupi district of Karnataka.
Results
The mean fatigue score was 23.93 ± 5.39 whereas the mean Health-related Quality of life and anemia symptoms scores were 62.09 ± 14.19, and 4.28 ± 3.05 respectively. The main variables' linear correlations were evaluated using Spearman's rank correlation. A very strong negative relationship was noted between fatigue and performance status, i.e., (r = −0.796, p = 0.01), a moderate negative relationship existed between anemia symptoms and performance status (r = −0.297, p = 0.01), a strong positive relationship was observed between quality-of-life domains and performance status (r = 0.685, p = 0.01).
Conclusion
Anaemia causes low-performance status and fatigue among cancer patients. As a result, fatigue lowers quality of life, particularly in terms of physical and mental health. Medical facilities should implement a self-management education program to diagnose and treat fatigue, which is associated with anaemia, low performance status, and a reduction in cancer patients' quality of life.
期刊介绍：
Clinical Epidemiology and Global Health (CEGH) is a multidisciplinary journal and it is published four times (March, June, September, December) a year. The mandate of CEGH is to promote articles on clinical epidemiology with focus on developing countries in the context of global health. We also accept articles from other countries. It publishes original research work across all disciplines of medicine and allied sciences, related to clinical epidemiology and global health. The journal publishes Original articles, Review articles, Evidence Summaries, Letters to the Editor. All articles published in CEGH are peer-reviewed and published online for immediate access and citation.
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