References

Aapro M, Scotte F, Bouillet T, Currow D, Vigano A A practical approach to fatigue management in colorectal cancer. Clin Colorectal Cancer.. 2017; 16:(4)275-285 http://doi.org/10.1016/j.clcc.2016.04.010

Abdalrahim MS, Herzallah MS, Zeilani RS, Alhalaiqa F Jordanian nurses' knowledge and attitudes toward cancer-related fatigue as a barrier of fatigue management. Journal of American Science.. 2014; 10:(2)191-197

Abu Obead K, Yaser S, Khattab M, Al-Badaynah F, Saqer L, Al-Dosouqi N Fatigue in early stage among Jordanian patients with cancer receiving chemotherapy. Middle East Journal of Nursing.. 2014; 8:(1)6-13 http://doi.org/10.5742/MEN.2014.92469

Al Qadire M, Al Khalaileh M Prevalence of symptoms and quality of life among Jordanian cancer patients. Clin Nurs Res.. 2016; 25:(2)174-191 http://doi.org/10.1177/1054773814564212

Ancoli-Israel S, Liu L, Rissling M Sleep, fatigue, depression, and circadian activity rhythms in women with breast cancer before and after treatment: a 1-year longitudinal study. Support Care Cancer.. 2014; 22:(9)2535-2545 http://doi.org/10.1007/s00520-014-2204-5

Banipal RS, Singh H, Singh B Assessment of cancer-related fatigue among cancer patients receiving various therapies: a cross-sectional observational study. Indian J Palliat Care.. 2017; 23:(2)207-211 http://doi.org/10.4103/IJPC.IJPC_135_16

Banthia R, Malcarne VL, Ko CM, Varni JW, Sadler GR Fatigued breast cancer survivors: the role of sleep quality, depressed mood, stage and age. Psychol Health.. 2009; 24:(8)965-980 http://doi.org/10.1080/08870440802110831

Barsevick AM, Irwin MR, Hinds P Recommendations for high-priority research on cancer-related fatigue in children and adults. Journal of the National Cancer Institute.. 2013; 105:(19)1432-1440 http://doi.org/10.1093/jnci/djt242

Behringer K, Goergen H, Müller H Cancer-related fatigue in patients with and survivors of Hodgkin lymphoma: the impact on treatment outcome and social reintegration. J Clin Oncol.. 2016; 34:(36)4329-4337 http://doi.org/10.1200/JCO.2016.67.7450

Berger A, Abernethy A, Atkinson A NCCN clinical practice guidelines cancer-related fatigue. J Natl Compr Canc Netw.. 2010; 8:(8)904-931 http://doi.org/10.6004/jnccn.2010.0067

Berger AM, Mitchell SA, Jacobsen PB, Pirl WF Screening, evaluation, and management of cancer-related fatigue: ready for implementation to practice?. CA Cancer J Clin. 2015; 65:(3)190-211 http://doi.org/10.3322/caac.21268

Borneman T, Piper BF, Koczywas M A qualitative analysis of cancer-related fatigue in ambulatory oncology. Clin J Oncol Nurs.. 2012; 16:(1)E26-E32 http://doi.org/10.1188/12.CJON.E26-E32

Brown LF, Kroenke K Cancer-related fatigue and its associations with depression and anxiety: a systematic review. Psychosomatics.. 2009; 50:(5)440-447 http://doi.org/10.1016/S0033-3182(09)70835-7

Campos MPO, Hassan BJ, Riechelmann R, Del Giglio A Cancer-related fatigue: a practical review. Ann Oncol.. 2011; 22:(6)1273-1279 http://doi.org/10.1093/annonc/mdq458

Carnio S, Di Stefano R, Novello S Fatigue in lung cancer patients: symptom burden and management of challenges. Lung Cancer (Auckl).. 2016; 7:73-82 http://doi.org/10.2147/LCTT.S85334

Colloca G, Venturino A, Governato I, Checcaglini F Incidence and correlates of fatigue in metastatic castration-resistant prostate cancer: a systematic review. Clin Genitourin Cancer.. 2016; 14:(1)5-11 http://doi.org/10.1016/j.clgc.2015.07.023

Curt GA, Breitbart W, Cella D Impact of cancer-related fatigue on the lives of patients: new findings from the Fatigue Coalition. Oncologist.. 2000; 5:(5)353-360 http://doi.org/10.1634/theoncologist.5-5-353

Identifying genes to predict cancer radiotherapy-related fatigue with machine-learning methods. 2018. https://doi.org/10.1145/3233547.3233636

Fabi A, Falcicchio C, Giannarelli D, Maggi G, Cognetti F, Pugliese P The course of cancer related fatigue up to ten years in early breast cancer patients: what impact in clinical practice?. Breast.. 2017; 34:44-52 http://doi.org/10.1016/j.breast.2017.04.012

Galiano-Castillo N, Ariza-García A, Cantarero-Villanueva I, Fernández-Lao C, Díaz-Rodríguez L, Arroyo-Morales M Depressed mood in breast cancer survivors: Associations with physical activity, cancer-related fatigue, quality of life, and fitness level. Eur J Oncol Nurs.. 2014; 18:(2)206-210 http://doi.org/10.1016/j.ejon.2013.10.008

Goldstein D, Bennett BK, Webber K Cancer-related fatigue in women with breast cancer: outcomes of a 5-year prospective cohort study. J Clin Oncol.. 2012; 30:(15)1805-1812 http://doi.org/10.1200/JCO.2011.34.6148

Hofman M, Ryan JL, Figueroa-Moseley CD, Jean-Pierre P, Morrow GR Cancer-related fatigue: the scale of the problem. Oncologist.. 2007; 12:(Suppl 1)4-10

Horneber M, Fischer I, Dimeo F, Rüffer JU, Weis J Cancer-related fatigue: epidemiology, pathogenesis, diagnosis, and treatment. Dtsch Arztebl Int.. 2012; 109:(9)161-171 http://doi.org/10.3238/arztebl.2012.0161

Howell D, Keshavarz H, Broadfield LToronto: Canadian Partnership Against Cancer (Cancer Journey Advisory Group) and the Canadian Association of Psychosocial Oncology; 2015 https://doi.org/10.7939/R33R6N

Jereczek-Fossa BA, Marsiglia HR, Orecchia R Radiotherapy-related fatigue. Crit Rev Oncol Hematol.. 2002; 41:(3)317-325

Jones JM, Olson K, Catton P Cancer-related fatigue and associated disability in post-treatment cancer survivors. J Cancer Surviv.. 2016; 10:(1)51-61 https://doi.org/10.1007/s11764-015-0450-2

Koornstra RH, Peters M, Donofrio S, van den Borne B, de Jong FA Management of fatigue in patients with cancer–a practical overview. Cancer Treat Rev.. 2014; 40:(6)791-799 https://doi.org/10.1016/j.ctrv.2014.01.004

Loh KP, Zittel J, Kadambi S Elucidating the associations between sleep disturbance and depression, fatigue, and pain in older adults with cancer. J Geriatr Oncol.. 2018; 9:(5)464-468 https://doi.org/10.1016/j.jgo.2018.02.006

Medysky ME, Temesi J, Culos-Reed SN, Millet GY Exercise, sleep and cancer-related fatigue: Are they related?. Neurophysiol Clin. 2017; 47:(2)111-122 https://doi.org/10.1016/j.neucli.2017.03.001

Miller KD, Siegel RL, Lin CC Cancer treatment and survivorship statistics, 2016. CA Cancer J Clin.. 2016; 66:(4)271-289 https://doi.org/10.3322/caac.21349

O'Regan P, Hegarty J The importance of self-care for fatigue amongst patients undergoing chemotherapy for primary cancer. Eur J Oncol Nurs.. 2017; 28:47-55 https://doi.org/10.1016/j.ejon.2017.02.005

Obead KA, Yaser S, Khattab M, Al-Badainah F, Saqer L, Al-dosouqi N Chemotherapy-induced fatigue among Jordanian cancer patients: What are the contributing factors?. Middle East Journal of Cancer. 2014; 5:(2)75-82

Oberoi S, Robinson PD, Cataudella D Physical activity reduces fatigue in patients with cancer and hematopoietic stem cell transplant recipients: A systematic review and meta-analysis of randomized trials. Crit Rev Oncol Hematol.. 2018; 122:52-59 https://doi.org/10.1016/j.critrevonc.2017.12.011

Piper BF, Dibble SL, Dodd MJ, Weiss MC, Slaughter RE, Paul SM The revised piper fatigue scale: psychometric evaluation in women with breast cancer. Oncol Nurs Forum.. 1998; 25:(4)677-684

Reinertsen KV, Engebraaten O, Loge JH Fatigue during and after breast cancer therapy—a prospective study. J Pain Symptom Manage.. 2017; 53:(3)551-560 https://doi.org/10.1016/j.jpainsymman.2016.09.011

Reis F, Cecatto RB, de Brito CMM, Hoff PMG, Battistella LR Impact of two different exercise programs on persistent cancer-related fatigue and physical fitness. Acta Fisiátrica.. 2012; 19:(4)198-202

Saligan LN, Olson K, Filler K The biology of cancer-related fatigue: a review of the literature. Support Care Cancer.. 2015; 23:(8)2461-78 https://doi.org/10.1007/s00520-015-2763-0

Sanders SL, Bantum EO, Owen JE, Thornton AA, Stanton AL Supportive care needs in patients with lung cancer. Psychooncology.. 2010; 19:(5)480-9 https://doi.org/10.1002/pon.1577

Singer S, Kuhnt S, Zwerenz R Age-and sex-standardised prevalence rates of fatigue in a large hospital-based sample of cancer patients. Br J Cancer.. 2011; 105:(3)445-451 https://doi.org/10.1038/bjc.2011.251

Spichiger E, Müller-Fröhlich C, Denhaerynck K, Stoll H, Hantikainen V, Dodd M Prevalence and contributors to fatigue in individuals hospitalized with advanced cancer: a prospective, observational study. Int J Nurs Stud.. 2012; 49:(9)1146-54 https://doi.org/10.1016/j.ijnurstu.2012.03.003

Steen R, Dahl AA, Hess SL, Kiserud CE A study of chronic fatigue in Norwegian cervical cancer survivors. Gynecol Oncol.. 2017; 146:(3)630-635 https://doi.org/10.1016/j.ygyno.2017.05.028

Tian L, Lin L, Li HL Prevalence and associated factors of cancer-related fatigue among cancer patients in eastern China. Oncologist.. 2016; 21:(11)1349-1354 https://doi.org/10.1634/theoncologist.2015-0537

Torre LA, Bray F, Siegel RL, Ferlay J, Lortet-Tieulent J, Jemal A Global cancer statistics, 2012. CA Cancer J Clin.. 2015; 65:(2)87-108 https://doi.org/10.3322/caac.21262

Van Vulpen JK, Peeters PH, Velthuis MJ, Van Der Wall E, May AM Effects of physical exercise during adjuvant breast cancer treatment on physical and psychosocial dimensions of cancer-related fatigue: A meta-analysis. Maturitas.. 2016; 85:104-111 https://doi.org/10.1016/j.maturitas.2015.12.007

Wang XS, Woodruff JF Cancer-related and treatment-related fatigue. Gynecol Oncol.. 2015; 136:(3)446-452 https://doi.org/10.1016/j.ygyno.2014.10.013

Wang XS, Zhao F, Fisch MJ Prevalence and characteristics of moderate to severe fatigue: a multicenter study in cancer patients and survivors. Cancer.. 2014; 120:(3)425-432

Wilkie DJ, Ezenwa MO Pain and symptom management in palliative care and at end of life. Nurs Outlook.. 2012; 60:(6)357-364 https://doi.org/10.1016/j.outlook.2012.08.002

Assessment of cancer-related fatigue among Jordanian patients: a cross-sectional survey

23 January 2020
15 min read
Volume 29 · Issue 2

Abstract

Background:

Cancer-related fatigue (CRF) is considered to be one of the most common symptoms reported by cancer patients. However, little information is available regarding the variables associated with CRF among Jordanian patients.

Aims:

To assess the prevalence of CRF and explore its predictors among Jordanian patients.

Methods:

A cross-sectional survey design was used.

Findings:

Of the 240 patients surveyed, 210 (87.5%) had fatigue at the time of the survey. The total mean fatigue score was 6.2 (SD=1.7) out of a maximum possible score of 10. The results also showed that being unemployed, with longer hospitalisation, low haemoglobin, and having lung cancer seem to predict higher levels of CRF.

Conclusion:

Several variables and factors associated with CRF were identified. In response to these results, healthcare providers should pay more attention to CRF, which needs to be assessed on a regular basis and to be managed with the available pharmacological and non-pharmacological interventions.

Patients diagnosed with cancer may experience various symptoms resulting from the process of the disease and its treatment (Wilkie and Ezenwa, 2012). Cancer-related fatigue (CRF) is one of the most common symptoms reported by patients (Barsevick et al, 2013), regardless of the type of cancer (Brown and Kroenke 2009; Barsevick et al, 2013). In general, CRF is perceived by the individual as a lack of energy, reduced physical or mental ability, general weakness, or becoming easily tired (Jones et al, 2016). CRF is one of the most prevalent symptoms of cancer and its treatment, with its prevalence ranging from 50% to 90% (Campos et al, 2011).

One descriptive study was conducted to examine the prevalence and severity of cancer-related symptoms in a sample of 498 patients diagnosed with cancer in Jordan (Al Qadire and Al Khalaileh, 2016). The results indicated that fatigue was the most prevalent symptom among the study participants, reported by 92.5%. (Al Qadire and Al Khalaileh, 2016). Despite the negative consequences of CRF on the patients and their family members, little information is available regarding the demographic, psychosocial and clinical variables associated with CRF among Jordanian patients.

Register now to continue reading

Thank you for visiting British Journal of Nursing and reading some of our peer-reviewed resources for nurses. To read more, please register today. You’ll enjoy the following great benefits:

What's included

  • Limited access to clinical or professional articles

  • Unlimited access to the latest news, blogs and video content