Experiences Using Nonpharmacological Interventions for Chronic Fatigue: A Focus Group Study of Long-Term Survivors of Young Adult Cancers With Fatigue

IF 16.4 1区化学 Q1 CHEMISTRY, MULTIDISCIPLINARY

Accounts of Chemical Research Pub Date : 2024-09-05 DOI:10.1002/cnr2.2139

Trine Stub, Marleen Mathisen, Lene Thorsen, Cecilie E. Kiserud, Hanne C. Lie

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引用次数: 0

Abstract

Background

Cancer-related fatigue is a common and distressing late effect of cancer that can persist for decades after treatment completion. Although negatively affecting survivors' quality of life, few, if any, efficacious interventions for persistent, or chronic, fatigue exist.

Aims

To inform future interventions, we explored how long-term, young adult cancer survivors (YACSs) with chronic fatigue live with, and manage their fatigue over time, including their experiences with nonpharmacological interventions (NPIs) for chronic fatigue.

Methods and Results

We conducted a qualitative focus group study with 15 YACSs (13 women) with chronic fatigue, on average 7.3 years post-diagnosis. The YACS were identified and recruited through a nationwide health survey of cancer survivors (the NOR-CAYACS study). Systematic content analysis was used to identify recurrent themes. Analysis revealed five themes: (1) manifestation of fatigue, detailing chronic fatigue experiences; (2) impact on daily life, highlighting the necessity to balance rest and activity, affecting relationships; (3) NPIs, where walks in nature were notably beneficial; (4) barriers to fatigue management, including energy deficits, treatment-related bodily changes, and self-care prioritization challenges; (5) facilitators to fatigue management, emphasizing the need for regular breaks, self-care practices, and the importance of fatigue management education.

Conclusion

This study offers novel insights into the lived experiences of YACSs with chronic fatigue, a subject scarcely examined in prior research. Our findings highlight the significant impact of chronic fatigue and the individualized strategies YACSs use to cope. The research emphasizes the need for personalized interventions to support chronic fatigue management, marking a critical step forward in addressing this often-overlooked issue in survivorship care. Future research should focus on tailored approaches to improve YACSs' quality of life.

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使用非药物疗法干预慢性疲劳的经验：对患有疲劳症的青壮年癌症长期幸存者的焦点小组研究》。

背景：与癌症相关的疲劳是一种常见且令人痛苦的癌症晚期症状，可在治疗结束后持续数十年。目的：为了给未来的干预措施提供信息，我们探讨了长期患有慢性疲劳的年轻成人癌症幸存者（YACSs）如何长期忍受和管理疲劳，包括他们使用非药物干预措施（NPIs）治疗慢性疲劳的经验：我们对 15 名患有慢性疲劳的 YACS（13 名女性）进行了一项焦点小组定性研究，她们平均在确诊后 7.3 年接受治疗。这些 YACS 是通过一项全国性癌症幸存者健康调查（NOR-CAYACS 研究）确定和招募的。系统内容分析法用于识别重复出现的主题。分析揭示了五个主题：(1) 疲劳的表现，详细描述了慢性疲劳的经历；(2) 对日常生活的影响，强调了平衡休息和活动的必要性，影响了人际关系；(3) NPIs，在大自然中漫步明显有益；(4) 疲劳管理的障碍，包括能量不足、与治疗相关的身体变化以及自我护理优先级的挑战；(5) 疲劳管理的促进因素，强调了定期休息的必要性、自我护理实践以及疲劳管理教育的重要性：本研究为了解患有慢性疲劳症的青年志愿者的生活经历提供了新的视角，而这一主题在以往的研究中鲜有涉及。我们的研究结果凸显了慢性疲劳的重大影响以及青年志愿者应对疲劳的个性化策略。研究强调了支持慢性疲劳管理的个性化干预措施的必要性，这标志着在解决幸存者护理中这一经常被忽视的问题方面迈出了关键的一步。未来的研究应重点关注量身定制的方法，以提高青年艾滋病患者的生活质量。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Accounts of Chemical Research 化学-化学综合

CiteScore

31.40

自引率

1.10%

发文量

312

审稿时长

2 months

期刊介绍： Accounts of Chemical Research presents short, concise and critical articles offering easy-to-read overviews of basic research and applications in all areas of chemistry and biochemistry. These short reviews focus on research from the author’s own laboratory and are designed to teach the reader about a research project. In addition, Accounts of Chemical Research publishes commentaries that give an informed opinion on a current research problem. Special Issues online are devoted to a single topic of unusual activity and significance. Accounts of Chemical Research replaces the traditional article abstract with an article "Conspectus." These entries synopsize the research affording the reader a closer look at the content and significance of an article. Through this provision of a more detailed description of the article contents, the Conspectus enhances the article's discoverability by search engines and the exposure for the research.