Objective To analyze the influencing factors and nursing strategies of cancer-induced fatigue in patients with gastric cancer after chemotherapy.
Methods A total of 121 gastric cancer patients with postoperative chemotherapy were selected as study subjects. Combined with the demographic data of patients, the influencing factors of cancer-related fatigue in patients with postoperative chemotherapy for gastric cancer were investigated by social support scale, pain expression scale and mental resilience scale, so as to put forward nursing strategies.
Results The score of cancer-induced fatigue in patients with gastric cancer after chemotherapy was (39.46±9.35) points, and the age, education level and monthly income were related to the occurrence of cancer-induced fatigue in patients with chemotherapy after gastric cancer after chemotherapy (P < 0.05). The results of Pearson′s test showed that the cancer-related fatigue was negatively correlated with comprehension of social support(r=-0.545, P < 0.01), pain expression(r=-0.418, P < 0.01) and psychological resilience(r=-0.564, P < 0.01). The results of multiple linear regression analysis showed that the age, education level, monthly income, comprehension of social support, pain expression and psychological resilience were the independent influencing factors of cancer-induced fatigue(P < 0.05 to P < 0.01).
Conclusions Elderly, low-education and low-income patients with gastric cancer after chemotherapy are prone to the cancer-induced fatigue. Nurses can carry out targeted nursing measures for different patients, such as developing narrative medicine techniques, encouraging patients′ spouses, children or friends to share responsibilities and provide social support. Using empathy, inspiration and other ways to cooperate with peer support education to improve patients′ self-disclosure level and learn mindfulness-based stress reduction techniques can reduce the incidence of cancer-induced fatigue in these patients.
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