Do Terminally Ill Cancer Patients' Self-Assessments and Nurses' Assessments Agree on Cancer-Related Fatigue? A Cross-Sectional Study.

IF 1.1 Q4 HEALTH CARE SCIENCES & SERVICES

Palliative medicine reports Pub Date : 2024-12-23 eCollection Date: 2024-01-01 DOI:10.1089/pmr.2024.0064

Mizuki Matsuda, Hideyuki Honma, Yu Koyama, Yuuka Kashiwagi, Mika Hattori, Yoshifumi Matsumoto, Yasuo Saijyo, Sayuri Sakai

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Abstract

Background: Cancer-related fatigue (CRF) is a distressing symptom in patients with terminal cancer. It is often under-assessed or remains unrecognized among health care professionals due to difficulties in identifying symptoms. However, fatigue ratings have not been studied extensively in incurable, terminally ill cancer patients with palliative intent or in nurses who provide daily care in palliative care teams or units.

Objective: This study examined the agreement between nurses' assessments and terminally ill cancer patients' self-assessments of CRF.

Methods: The correlation between patients' scores on the Cancer Fatigue Scale (CFS) and nurses' scores on the Japanese version of the Support Team Assessment Schedule (STAS-J) was matched in patient-nurse pairs. Paper versions of the questionnaires were answered by the patients and nurses at the time of the temperature check.

Results: Twenty-eight participants in 14 pairs with valid responses were included. There were 10 cases (71.4%) of agreement between the patients' and nurses' assessments of fatigue via the CFS and STAS-J, respectively. Among the four cases (28.6%) of incongruence, two (14.3%) were underestimated, and two were overestimated. Significant correlations were observed between the STAS-J and physical fatigue (rs = 0.66, p < 0.01), but total fatigue (rs = 0.47, p = 0.09), affective fatigue (rs= -0.09, p = 0.75), and cognitive fatigue (rs = 0.52, p = 0.06) showed no significant correlation.

Conclusion: Differences were primarily observed in affective fatigue; therefore, nurses must carefully consider affective fatigue when assessing fatigue in patients with terminal cancer.

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癌症晚期患者自我评价与护士评价是否一致？横断面研究。

背景：癌症相关性疲劳（cancer -related fatigue， CRF）是晚期癌症患者的一种令人痛苦的症状。由于难以识别症状，它往往被低估或在卫生保健专业人员中未被认识到。然而，疲劳等级还没有广泛研究的不治之症，晚期癌症患者的缓和意图或护士提供日常护理的姑息治疗团队或单位。目的：探讨护士自我评价与晚期癌症患者自我评价的一致性。方法：对患者癌症疲劳量表（CFS）得分与护士日文版支持团队评估表（STAS-J）得分进行患者-护士对匹配。在进行体温检查时，病人和护士会回答纸质版的问卷。结果：被试共28人，共14对。10例（71.4%）患者与护士分别通过CFS和STAS-J对疲劳的评价一致。在4例（28.6%）不一致病例中，低估2例（14.3%），高估2例（14.3%）。总体疲劳（rs= 0.47, p = 0.09）、情感疲劳（rs= -0.09, p = 0.75）、认知疲劳（rs= 0.52, p = 0.06）与sta - j评分存在显著相关性（rs= 0.66, p < 0.01），而认知疲劳（rs= 0.52, p = 0.06）无显著相关性。结论：在情感性疲劳方面主要存在差异；因此，护士在评估晚期癌症患者的疲劳时，必须仔细考虑情感性疲劳。

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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