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Effect of Self Care Management Program regarding Fatigue among Adolescents' Cancer Patients

Received: 10 April 2015     Accepted: 28 April 2015     Published: 11 May 2015
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Abstract

Fatigue is a common and complex, subjective symptom with physical, emotional and cognitive dimensions. The aim of the study is to evaluate the effect of self-care management program regarding fatigue among adolescents' cancer patients. Research design Quasi-experimental design was used to complete this study. Setting: The study was conducted at the Outpatient Unit at Specialized Children Hospital in Kalyobia Governorate, and Cancer Institute in Cairo City. Sample: Simple random sample of forty six adolescents' patients with cancer who were newly or old diagnosed with cancer. Tools: Two tools were used to collect the study data: I): An interviewing Questionnaire which includes five parts: a): A study subjects' characteristics. b): Burden of the disease on patients. c): Present medical history of the study subject. d): Adolescents' patients' knowledge regarding fatigue. e): Self-care practices as reported regarding fatigue. II): Multidimensional assessment of fatigue (MAF) scale which includes 12 questions -after modifying- ranged from no fatigue to sever felling with fatigue. Results: 65.2% aged less than14 years as the same percentage were female while 63.0% engaged in secondary education and 54.3 living in urban areas. 43.5% of study subjects had dependent on other persons for daily living activities, 69.6% having no any sports. Overall the results have statistically significant differences before and after implementing the program regarding (MAF) scale. Conclusion: the study concluded that the adolescent patient with cancer had inadequate knowledge regarding fatigue, and the health educational program was succeed to increasing their knowledge, and improving health practices to deal with fatigue, their overall activities were improved after implementation the program regarding MAF scale. Recommendations: The study recommended that the importance of health educational program for patients and families regarding self care management of fatigue related cancer should be provided.

Published in American Journal of Nursing Science (Volume 4, Issue 3)
DOI 10.11648/j.ajns.20150403.18
Page(s) 101-106
Creative Commons

This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.

Copyright

Copyright © The Author(s), 2015. Published by Science Publishing Group

Keywords

Adolescent, Cancer Patients, Self Care, Fatigue

References
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[3] Spichiger, E., Rieder E., Fröhlich C., and Kesselring A. (2012): Fatigue in patients undergoing chemotherapy, their self-care and the role of health professionals: A qualitative study, European Journal of Oncology Nursing, 16,( 2), Pages 165–171
[4] Mitchell S. (2010): Cancer-Related Fatigue: State of the Science, PM&R, 2, (5), Pages 364–383
[5] Perdikaris P., Merkouris A., Patirakic E., Tsoumakas K.,Vasilatou-Kos midis E., and Matziou V., (2009): Evaluating cancer related fatigue during treatment according to children's, adolescents' and parents' perspectives in a sample of Greek young patients, 13, (5); Pp 399–408
[6] Erickson J., MacPhers on C., Ameringer S., Baggott C.,Linder L., and Stegenga K.(2013): Symptoms and symptom clusters in adolescents receiving cancer treatment: A review of the literature, International Journal of Nursing Studies, 50, (6), P.p 847–869
[7] El Malla H,(2014): improving care of children with cancer in Egypt , Institute of Clinical Sciences, Sahlgrenska Academy at University of Gothenburg, p7
[8] Piamjariyakul U., Williams P., Prapakorn S., Kim M., Park L., Rojjanasrirata W., and Williams A. (2010): Cancer therapy-related symptoms and self-care in Thailand, European Journal of Oncology Nursing, 14, (5), P.p 387–394.
[9] Everts F., Lee M., and Meezenbroek E. (2015): Web-based individual Mindfulness-Based Cognitive Therapy for cancer-related fatigue — A pilot study, internet international, Available online 30 March 2015
[10] Zekry O., Ahmed M., and Abd Elwahid H. (2013): The impact of fatigue on health related quality of life in adolescents with benign joint hypermobility syndrome, The Egyptian Rheumatologist, 35, ( 2), Pages 77–85
[11] Hassan G. (2011): Effect of Guided Imagery relaxation Sessions versus story telling on reducing the intensity of nausea and vomiting in children undergoing chemotherapy, Master Thesis. Faculty of Nursing, Menofia University
[12] Corner J., and Bailey C. (2008): Cancer nursing in context. 2nd ed. Black well Comp, Singapore. United Kingdom. PP: 447-475, 578.
[13] Wells M. (2004): The Impact of Cancer. In: Cancer Nursing Care In Context, 2nd ed. Swanton Co, Victoria. P: 62.
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[16] Hofman M, Ryan J, Figueroa- Moseley CD, Pierre J, and Morrow G, (2007): Cancer- related Fatigue: The scale of the problem. The Oncologist Journal; 12:4-10.
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  • APA Style

    Eman N. Ramadan, Shimmaa M. Moustafa, Ebtisam M. Abd El aal. (2015). Effect of Self Care Management Program regarding Fatigue among Adolescents' Cancer Patients. American Journal of Nursing Science, 4(3), 101-106. https://doi.org/10.11648/j.ajns.20150403.18

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    ACS Style

    Eman N. Ramadan; Shimmaa M. Moustafa; Ebtisam M. Abd El aal. Effect of Self Care Management Program regarding Fatigue among Adolescents' Cancer Patients. Am. J. Nurs. Sci. 2015, 4(3), 101-106. doi: 10.11648/j.ajns.20150403.18

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    AMA Style

    Eman N. Ramadan, Shimmaa M. Moustafa, Ebtisam M. Abd El aal. Effect of Self Care Management Program regarding Fatigue among Adolescents' Cancer Patients. Am J Nurs Sci. 2015;4(3):101-106. doi: 10.11648/j.ajns.20150403.18

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  • @article{10.11648/j.ajns.20150403.18,
      author = {Eman N. Ramadan and Shimmaa M. Moustafa and Ebtisam M. Abd El aal},
      title = {Effect of Self Care Management Program regarding Fatigue among Adolescents' Cancer Patients},
      journal = {American Journal of Nursing Science},
      volume = {4},
      number = {3},
      pages = {101-106},
      doi = {10.11648/j.ajns.20150403.18},
      url = {https://doi.org/10.11648/j.ajns.20150403.18},
      eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.ajns.20150403.18},
      abstract = {Fatigue is a common and complex, subjective symptom with physical, emotional and cognitive dimensions. The aim of the study is to evaluate the effect of self-care management program regarding fatigue among adolescents' cancer patients. Research design Quasi-experimental design was used to complete this study. Setting: The study was conducted at the Outpatient Unit at Specialized Children Hospital in Kalyobia Governorate, and Cancer Institute in Cairo City. Sample: Simple random sample of forty six adolescents' patients with cancer who were newly or old diagnosed with cancer. Tools: Two tools were used to collect the study data: I): An interviewing Questionnaire which includes five parts: a): A study subjects' characteristics. b): Burden of the disease on patients. c): Present medical history of the study subject. d): Adolescents' patients' knowledge regarding fatigue. e): Self-care practices as reported regarding fatigue. II): Multidimensional assessment of fatigue (MAF) scale which includes 12 questions -after modifying- ranged from no fatigue to sever felling with fatigue. Results: 65.2% aged less than14 years as the same percentage were female while 63.0% engaged in secondary education and 54.3 living in urban areas. 43.5% of study subjects had dependent on other persons for daily living activities, 69.6% having no any sports. Overall the results have statistically significant differences before and after implementing the program regarding (MAF) scale. Conclusion: the study concluded that the adolescent patient with cancer had inadequate knowledge regarding fatigue, and the health educational program was succeed to increasing their knowledge, and improving health practices to deal with fatigue, their overall activities were improved after implementation the program regarding MAF scale. Recommendations: The study recommended that the importance of health educational program for patients and families regarding self care management of fatigue related cancer should be provided.},
     year = {2015}
    }
    

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  • TY  - JOUR
    T1  - Effect of Self Care Management Program regarding Fatigue among Adolescents' Cancer Patients
    AU  - Eman N. Ramadan
    AU  - Shimmaa M. Moustafa
    AU  - Ebtisam M. Abd El aal
    Y1  - 2015/05/11
    PY  - 2015
    N1  - https://doi.org/10.11648/j.ajns.20150403.18
    DO  - 10.11648/j.ajns.20150403.18
    T2  - American Journal of Nursing Science
    JF  - American Journal of Nursing Science
    JO  - American Journal of Nursing Science
    SP  - 101
    EP  - 106
    PB  - Science Publishing Group
    SN  - 2328-5753
    UR  - https://doi.org/10.11648/j.ajns.20150403.18
    AB  - Fatigue is a common and complex, subjective symptom with physical, emotional and cognitive dimensions. The aim of the study is to evaluate the effect of self-care management program regarding fatigue among adolescents' cancer patients. Research design Quasi-experimental design was used to complete this study. Setting: The study was conducted at the Outpatient Unit at Specialized Children Hospital in Kalyobia Governorate, and Cancer Institute in Cairo City. Sample: Simple random sample of forty six adolescents' patients with cancer who were newly or old diagnosed with cancer. Tools: Two tools were used to collect the study data: I): An interviewing Questionnaire which includes five parts: a): A study subjects' characteristics. b): Burden of the disease on patients. c): Present medical history of the study subject. d): Adolescents' patients' knowledge regarding fatigue. e): Self-care practices as reported regarding fatigue. II): Multidimensional assessment of fatigue (MAF) scale which includes 12 questions -after modifying- ranged from no fatigue to sever felling with fatigue. Results: 65.2% aged less than14 years as the same percentage were female while 63.0% engaged in secondary education and 54.3 living in urban areas. 43.5% of study subjects had dependent on other persons for daily living activities, 69.6% having no any sports. Overall the results have statistically significant differences before and after implementing the program regarding (MAF) scale. Conclusion: the study concluded that the adolescent patient with cancer had inadequate knowledge regarding fatigue, and the health educational program was succeed to increasing their knowledge, and improving health practices to deal with fatigue, their overall activities were improved after implementation the program regarding MAF scale. Recommendations: The study recommended that the importance of health educational program for patients and families regarding self care management of fatigue related cancer should be provided.
    VL  - 4
    IS  - 3
    ER  - 

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Author Information
  • Community Health Nursing, Faculty of Nursing, Benha University. Benha, Egypt

  • Pediatric Nursing, Faculty of Nursing, Zigzag University, Zigzag, Egypt

  • Community Health Nursing, Faculty of Nursing, Benha University. Benha, Egypt

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