Patient-related barriers to fatigue communication: initial validation of the fatigue management barriers questionnaire.

作者: Steven D Passik , Kenneth L Kirsh , Kathleen Donaghy , Elizabeth Holtsclaw , Dale Theobald

DOI: 10.1016/S0885-3924(02)00518-3

关键词:

摘要: Fatigue is a highly prevalent and distressing symptom of cancer its treatment. However, patients often fail to communicate with their oncologists about fatigue. In this study, we attempted identify the patient-related barriers communication fatigue, as cited by patients. Two hundred were sampled across Community Cancer Care, Inc. (CCC) network Indiana using Behavior Inventory-Brief scale (CBI-B), Zung Self-Rating Depression Scale (ZSDS), Functional Assessment Inventory-Fatigue (FACT-F), Management Barriers Questionnaire (FMBQ), questionnaire devised experts in field cancer-related There no significant correlations between instrument scores demographic variables. Scores on instruments did not differ significantly based whether patient was from rural or urban site. One thirty-two (66%) reported that they had never spoken doctor The most frequently reasons for lack fatigue included doctor's failure offer interventions (47%), patients' awareness effective treatments (43%), desire patient's part treat without medications (40%), wanting complain (28%). Patients medical staff offered mean 11.63 recommendations dealing FMBQ found correlate self-efficacy (CBI-B, r = -0.20, P < 0.01) weakly number made (r -0.15, 0.05). noted have acceptable internal consistency (alpha 0.88) validity may prove be useful understanding why do Multiple contribute comment but overcome if physicians screen assess symptom.

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