Utilisation of Non-pharmacological Interventions for Management of Cancer-related Fatigue in Palliative Care Services - An Audit Cycle.

IF 1.8 Q4 HEALTH CARE SCIENCES & SERVICES

Indian Journal of Palliative Care Pub Date : 2026-04-01 Epub Date: 2026-05-12 DOI:10.25259/IJPC_440_2025

Priyanshu Priyanshu, Alisha Karim, Vidya Viswanath, Dharun Prasad Ramani, Dolorosa Fernandes, Raviteja Miriyala, Neeharika Alapati

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引用次数: 0

Abstract

Objectives: Cancer-related fatigue (CRF) is a debilitating symptom that significantly affects the quality of life of patients with cancer. Effective management requires accurate documentation and timely implementation of non-pharmacological interventions (NPIs), which are considered first-line strategies. This study aimed to assess the documentation of CRF and NPIs in palliative care and evaluate the impact of a standardized operating procedure (SOP) on documentation compliance. The aim of the study is to assess the documentation of CRF and NPIs in palliative care and evaluate the impact of implementing a standardised operating procedure (SOP) on documentation compliance.

Materials and methods: A retrospective audit was conducted in two phases: pre-multidisciplinary team (MDT) induction and post-MDT induction, followed by a re-audit after six months. Documentation rates for CRF and NPIs were statistically analysed, and associated symptom clusters were identified using Epi Info software (Version 7.6.2).

Results: CRF documentation improved from 67% in 2021 to 84% in 2022, and further to 98.5% (February 2023) and 89.3% (March 2023) and 96.7% (September 2023). NPI documentation increased from 0% in 2021 to 36% in 2022, and subsequently to 86.5%, 89.9%, and 86.5% in re-audits. Significant symptom clusters associated with CRF included loss of appetite (p < 0.01), loss of well-being (p < 0.001), and breathlessness (p < 0.01).

Conclusion: Implementation of an SOP significantly improved CRF and NPI documentation. Identification of key symptom clusters provides important insights for targeted interventions and future research in palliative care.

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在姑息治疗服务中利用非药物干预管理癌症相关疲劳-审计周期。

目的：癌症相关性疲劳（CRF）是一种使人衰弱的症状，显著影响癌症患者的生活质量。有效的管理需要准确的文件和及时实施非药物干预（npi），这被认为是一线策略。本研究旨在评估姑息治疗中CRF和npi的记录情况，并评估标准化操作程序（SOP）对记录依从性的影响。本研究的目的是评估姑息治疗中CRF和npi的文件，并评估实施标准化操作程序（SOP）对文件依从性的影响。材料和方法：回顾性审核分两个阶段进行：MDT前导入和MDT后导入，六个月后重新审核。统计分析CRF和npi的记录率，并使用Epi Info软件（Version 7.6.2）识别相关症状群。结果：CRF记录从2021年的67%提高到2022年的84%，进一步提高到98.5%（2023年2月）、89.3%（2023年3月）和96.7%（2023年9月）。新产品导入文件从2021年的0%增加到2022年的36%，随后在重新审核中增加到86.5%、89.9%和86.5%。与CRF相关的显著症状群包括食欲减退（p < 0.01）、幸福感减退（p < 0.001）和呼吸困难（p < 0.01）。结论：SOP的实施显著改善了CRF和NPI文件。关键症状群的识别为有针对性的干预措施和未来的姑息治疗研究提供了重要的见解。

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

Indian Journal of Palliative Care HEALTH CARE SCIENCES & SERVICES-

CiteScore

2.30

自引率

0.00%

发文量

期刊介绍： Welcome to the website of the Indian Journal of Palliative Care. You have free full text access to recent issues of the journal. The links connect you to •guidelines and systematic reviews in palliative care and oncology •a directory of palliative care programmes in India and IAPC membership •Palliative Care Formulary, book reviews and other educational material •guidance on statistical tests and medical writing.