英文摘要
|
Cancer is prevalent in the elderly population. Among the symptoms of discomforts caused by cancer progression and cancer treatments, fatigue is the most common one. This symptom may interrupt the preferred state of patients’ physical, psychological, spiritual, and social wellbeing. Elderly cancer patients have to face the fatigue caused by disease and aging plus its possible influence on the quality of life. The management of the disease or treatment-related fatigue has become the present focus of cancer care. The detection of drug interactions, treatment and improvements of symptoms, such as existing anemia, sleep disorder, insomnia, metabolic abnormalities, pain, and depression, implementation of non-medication nursing guidance, exercise, psychological and behavioral treatments, social support, and spiritual practice are all ways to help the elderly to effectively cope with the fatigue issue. There are two types of fatigue assessment tools: single-dimensional and multi-dimensional, with the former focusing on the level or severity of fatigue while the latter on the level and severity of fatigue, physiological responses, emotional feelings, perceived feelings, self-assessment, accompanied or alleviated symptoms, behavioral responses, influence on life, incidence, and mental distress. The elderly tend to experience sensory impairment and cognitive or motor dysfunction. Therefore, before the use of any fatigue assessment tool in this patient population, it is necessary to first assess their educational background, cognitive functions, and vision, while measuring the characteristics of tool to select a suitable one for them. Medical and nursing professionals can use proper fatigue assessment tools to effectively assess fatigue of elderly cancer patients in order to assist them with the fatigue perception and self-care ability to achieve better quality of life.
|
参考文献
|
-
Aapro, M. S.,Cella, D.,Zagari, M.(2002).Age, anemia, and fatigue.Seminars in Oncology,29(3 Suppl 8),55-59.
-
Ahlberg, K.,Ekman, T.,Gaston-Johansson, F.,Mock, V.(2003).Assessment and management of cancer-related fatigue in adults.The Lancet,362(9384),640-650.
-
Donovan, K. A.,Jacobsen, P. B.,Andrykowski, M. A.,Winters, E. M.,Balducci, L.,Malik, U.,McGrath, P.(2004).Course of fatigue in women receiving chemotherapy and/or radiotherapy for early stage breast cancer.Journal of Pain & Symptom Management,28(4),373-380.
-
Erturk, M.,Yildirim, Y.,Kilic, S. P.,Ozer, S.,Aykar, F. S.(2015).Pain and fatigue in elderly cancer patients: Turkey example.Holistic Nursing Practice,29(3),167-173.
-
Eyigor, S.,Eyigor, C.,Uslu, R.(2010).Assessment of pain, fatigue, sleep and quality of life (QoL) in elderly hospitalized cancer patients.Archives of Gerontology and Geriatrics,51(3),e57-e61.
-
Flahaerty, E.(2000).Assessing pain in older adults.Director,8(3),101-102.
-
Franklin, D. J.,Packel, L.(2006).Cancer-related fatigue.Archives of Physical Medicine and Rehabilitation,87(3 Suppl),91-93.
-
Herr, K. A.,Spratt, K.,Mobily, P. R.,Richardson, G.(2004).Pain intensity assessment in older adults use of experimental pain to compare psychometric properties and usability of selected pain scales with younger adults.Clinical Journal of Pain,20(4),207-219.
-
Lange, M.,Rigal, O.,Clarisse, B.,Giffard, B.,Sevin, E.,Barillet, M.,Joly, F.(2014).Cognitive dysfunctions in elderly cancer patients: a new challenge for oncologists.Cancer Treatment Reviews,40(6),810-817.
-
Muss, H. B.(2009).Cancer in the elderly: Asocietal perspective from the United States.Clinical Oncology,21(2),92-98.
-
National Cancer Institute (2015, April 29). Fatigue. Retrieved from http://www.cancer.gov/about-cancer/treatment/side-effects/fatigue
-
National comprehensive cancer network(2003).Cancer-related fatigue: Clinical practice guidelines in oncology.Journal of the National Comprehensive Cancer,1(3),308-331.
-
Nevidjon, B.,Sowers, K. W.(2000).A nurse’s guide to cancer care.Philadelphia:Lippincott.
-
Poluri, A.,Mores, J.,Cook, D. B.,Findley, T. W.,Cristian, A.(2005).Fatigue in the elderly population.Physical Medicine and Rehabilitation Clinics of North America,16(1),91-108.
-
Rao, A. V.,Cohen, H. J.(2008).Fatigue in older cancer patients: Etiology, assessment, and treatment.Seminars in Oncology,35(6),633-642.
-
Respini, D.,Jacobsen, P. B.,Thors, C.,Tralongo, P.,Balducci, L.(2003).The prevalence and correlates of fatigue in older cancer patients.Critical Reviews in Oncology-Hematology,47(3),273-279.
-
Reuille, K. M.(2002).Using self-regulation theory to develop an intervention for cancer-related fatigue.Clinical Nurse Specialist,16(6),312-319.
-
Ryan, J. L.,Carroll, J. K.,Ryan, E. P.,Mustian, K. M.,Fiscella, K.,Morrow, G. R.(2007).Mechanisms of cancer-related fatigue.Oncologist,12(1 Suppl),22-34.
-
Schwartz, A. L.,Nail, L. M.,Chen, S.,Meek, P.,Barsevick, A. M.,King, M. E.,Jones, L. S.(2000).Fatigue patterns observed in patients receiving chemotherapy and radiotherapy.Cancer Investigation,18(1),11-19.
-
Stanton, M.,Franco, G.,Scoggins, R.(2012).Case management needs of older and elderly cancer survivors.Professional Case Management,17(2),61-69.
-
Sugawara, Y.,Akechi, T.,Okuyama, T.,Matsuoka, Y.,Nakano, T.,Inagaki, M.,Uchitomi, Y.(2005).Occurrence of fatigue and associated factors in disease-free breast cancer patients without depression.Supportive Care in Cancer,13(8),628-636.
-
Tralongo, P.,Respini, D.,Ferrau, F.(2003).Fatigue and aging.Critical Reviews in Oncology-Hematology,48,S57-S64.
-
Wang, X. S.(2008).Pathophysiology of cancer-related fatigue.Clinical Journal of Oncology Nursing,12(5 Suppl),11-20.
-
Wells, J. N.,Fedric, T.(2001).Helping patients manage cancer-related fatigue.Home Healthcare Nurse,19(8),486-493.
-
內政部統計處(2015,1月17日).內政統計通報.取自 http://www.moi.gov.tw/stat/news_content.aspx?sn=9148&page=2 [Department of Statistic, Ministry of the Interior, Taiwan ROC. (2015, January 17). Statistical report of Interior. Retrieved from http://www.moi.gov.tw/stat/news_content.aspx?sn=9148&page=2]
-
行政院經建會(2012,8 月 24 日 ).中華民國2012年至 2060年人口推計。 取自 http://iknow.stpi.narl.org.tw/Post/Files/policy/2012/policy_12_037_2.pdf [Council for Economic Planning and Development, Executive Yuan, Taiwan, ROC. (2012, August 24). Population prediction of Taiwan ROC: from 2012 to 2060, Retrieved from http://iknow.stpi.narl.org.tw/Post/Files/policy/2012/policy_12_037_2.pdf]
-
林哲鈺, Z. Y.,張金堅(2013)。老年癌症病人的治療現狀與展望。臺灣醫界,56(10),529-533。
-
衛生福利部國民健康署(2015,4月29日).中華民國 101年癌症登記報告.取自 http://www.hpa.gov.tw/Bhpnet/Portal/File/StatisticsFile/201504290915220898/101%e5%b9%b4%e7%99%8c%e7%97%87%e7%99%bb%e8%a8%98%e5%b9%b4%e5%a0%b1.pdf [Health Promotion Administration, Ministry of Health and Welfare, Taiwan, ROC. (2015, April 29). Cancer registry annual report, 2012 Taiwan. Retrieved from http://www.hpa.gov.tw/Bhpnet/Portal/File/StatisticsFile/201504290915220898/101%e5%b9%b4%e7%99%8c%e7%97%87%e7%99%bb%e8%a8%98%e5%b9%b4%e5%a0%b1.pdf]
-
衛生福利部統計處(2015,8 月 21 日 ).民國103年死因統計年報.取自 http://www.mohw.gov.tw/cht/DOS/Statistic.aspx?flist_no=312&fod_list_no=5488 [Statistics, Ministry of Health and Welfare, Taiwan, ROC. (2015, August 21). 2014 statistics of causes of death. Retrieved from http://www.mohw.gov.tw/cht/DOS/Statistic.aspx?f_list_no=312&fod_list_no=5488]
|