PMID: 11898182Mar 20, 2002Paper

Cancer-related fatigue. Suffering a different fatigue

Cancer Practice
S Holley

Abstract

The purpose of this naturalistic inquiry was to understand, from the patient's perspective, the differences between cancer-related fatigue (CRF) and "typical" fatigue and to describe its impact on their lives. The sample consisted of 17 adult patients with cancer who agreed to participate, yielding 23 in-depth audio-taped interviews. Participants included inpatients and outpatients from a dedicated cancer center and a Veterans Affairs Hospital. Symbolic interactionism was the framework used for the interviews to understand how individuals and groups construct and discover the meaning of events. Transcribed data were coded by distress category to classify the textual information and to reduce the text to more relevant and manageable bits of data. Five to 10 representative excerpts from each coding category were chosen and were coded independently by a second coder to evaluate intercoder reliability. CRF was found to be more rapid in onset, more energy draining, more intense, longer lasting, more severe, and more unrelenting when compared with "typical" fatigue. CRF caused distress in the physical, social, spiritual, psychological, and cognitive domains of the participants' lives. All participants agreed that CRF was different th...Continue Reading

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