The Development of a Self-Management Program for Fatigue in Breast Cancer Patients Receiving Chemotherapy at the Chemotherapy Unit of Hua Hin Hospital, Prachuap Khiri Khan Province
Keywords:
Self-management, Fatigue, Breast Cancer Patients, ChemotherapyAbstract
The purposes of this research and development study were to 1) develop a self-management program for fatigue reduction in breast cancer patients undergoing chemotherapy, 2) evaluate the effectiveness of the program. The sample group was 70 breast cancer patients after mastectomy and undergoing 2nd Cycle chemotherapy, divided into experimental and comparison groups contained 39 subjects. The research instruments, the program and the fatigue assessment form, its reliability was 0.98. The data were then analyzed for finding descriptive statistics and t-tests. The results revealed as follows:
1. The results of the situation analysis showed that breast cancer patients undergoing chemotherapy, there was a difference in fatigue according to the duration of the chemotherapy. If there was not adequate rest, they had more fatigue than usual. Self-management to reduce fatigue behaved through sleep, prayer, meditation, hobbies, and used the information combined with evidences to develop a self-management program to reduce fatigue, consisting of self-monitoring. self-assessment, behavior modification, self reinforcement, and the use of essential oil lotion.
2. The results of the program trial, it was found that fatigue level among the breast cancer patients in the experimental group was reduced fatigue after undergoing the program and statistically significantly lower than the comparison group at the .05 level.
Therefore, nursing care of breast cancer patients undergoing chemotherapy should promote self-management ability to reduce fatigue and relieve stress. Including allowing relatives to participate in the self-management process to strengthen the patient's treatment.
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