화학요법을 받는 일부 유방암 환자의 시간경과에 따른 피로도의 변화

Abstract

Objective : The purpose of this study was to identify the change patterns of fatigue during the first two cycles of breast cancer chemotherapy. Method : This study was a longitudinal descriptive study for 14 women who were receiving chemotherapy with AC(Adriamycin, Cytoxan) or AMF(Adriamycin, Mitotoxin, 5Fluorourasil) after surgery for stage I or II breast cancer. The data were collected from September 1, 2001 to March 30, 2002. Revised Piper Fatigue Scale-Korean version was used to collect data; self-filling quwstionnaire out and personal interview were performed 3days after chemotherapy 1 and 2 and midpoint of chemotherapy cycle 1 and 2. Result : Total and subscale fatigue scores were significantly different over time, with higher scores higher at treatments and lower scores at cycle midpoints. Fatigue scores were highest in the sensory subscale dimension and lowest in behavioral dimensions. The data revealed some particular individual types of fatigue patterns named 'roller-coaster pattern', 'continuous high pattern', 'continuous low pattern' and '2nd cycle high pattern'. Conclusions : Roller-coaster pattern of fatigue in group and particular individual types of fatigue patterns were identified. This study provides knowledge to assist in development of scientifically based interventions to modify fatigue related to chemotherapy treatment for breast cancer