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Prevalence and Associated Factors of Fatigue Among Breast Cancer Patients in Indonesia: A Cross-Sectional Study
Type
thesis
Date Issued
2024-05-23
Author(s)
YAN ADI WIBAWA
Advisor
黃采薇
Subjects
系所名稱：護理學系碩士在職專班
Publisher
護理學系碩士在職專班
Description
學位別：碩士
關鍵字：cancer-related fatigue; depression; pain; malnutrition
論文公開日期：2029-07-11
關鍵字：cancer-related fatigue; depression; pain; malnutrition
論文公開日期：2029-07-11
Abstract
Background: Fatigue is a common and debilitating symptom among breast cancer patients, impacting their quality of life. Despite its prevalence, the factors contributing to fatigue in this population, particularly in Indonesia, were not fully understood.
Objective: This study aimed to examine the associations between depression, insomnia, pain, and malnutrition with fatigue in breast cancer patients undergoing chemotherapy and to identify the predictors of fatigue severity.
Methods: A cross-sectional study was conducted with 202 breast cancer patients undergoing chemotherapy in Indonesia. Depression, insomnia, pain, and malnutrition were assessed using validated instruments. Fatigue was measured, and the associations between these factors and fatigue were analyzed using logistic regression.
Results: The study found that higher levels of depression (p < 0.001), pain (p < 0.001), and malnutrition (p = 0.001) were significantly associated with increased fatigue risk. Interestingly, insomnia was not found to be a significant predictor of fatigue. Higher hemoglobin levels were protective against fatigue (p = 0.024). The length of education was unexpectedly associated with increased fatigue, possibly due to higher expectations and associated stress. Depression, pain, and malnutrition emerged as key predictors of fatigue severity, emphasizing the multifaceted nature of this condition.
Conclusion: The findings underscore the importance of addressing both psychological and physical health in managing fatigue among breast cancer patients undergoing chemotherapy. Comprehensive care strategies that include psychological support, effective pain management, and nutritional interventions are essential for reducing fatigue and improving patient outcomes.
Implication: Nurses should conduct regular assessments of hemoglobin levels, nutritional status, and psychological health in breast cancer patients. Providing clear and consistent information about symptom management, setting realistic expectations, and offering integrated care approaches can significantly improve the quality of life for these patients. Future research should focus on longitudinal studies and intervention designs to further understand and mitigate fatigue in this population.
Objective: This study aimed to examine the associations between depression, insomnia, pain, and malnutrition with fatigue in breast cancer patients undergoing chemotherapy and to identify the predictors of fatigue severity.
Methods: A cross-sectional study was conducted with 202 breast cancer patients undergoing chemotherapy in Indonesia. Depression, insomnia, pain, and malnutrition were assessed using validated instruments. Fatigue was measured, and the associations between these factors and fatigue were analyzed using logistic regression.
Results: The study found that higher levels of depression (p < 0.001), pain (p < 0.001), and malnutrition (p = 0.001) were significantly associated with increased fatigue risk. Interestingly, insomnia was not found to be a significant predictor of fatigue. Higher hemoglobin levels were protective against fatigue (p = 0.024). The length of education was unexpectedly associated with increased fatigue, possibly due to higher expectations and associated stress. Depression, pain, and malnutrition emerged as key predictors of fatigue severity, emphasizing the multifaceted nature of this condition.
Conclusion: The findings underscore the importance of addressing both psychological and physical health in managing fatigue among breast cancer patients undergoing chemotherapy. Comprehensive care strategies that include psychological support, effective pain management, and nutritional interventions are essential for reducing fatigue and improving patient outcomes.
Implication: Nurses should conduct regular assessments of hemoglobin levels, nutritional status, and psychological health in breast cancer patients. Providing clear and consistent information about symptom management, setting realistic expectations, and offering integrated care approaches can significantly improve the quality of life for these patients. Future research should focus on longitudinal studies and intervention designs to further understand and mitigate fatigue in this population.