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Effekterna av fysisk aktivitet vid cancerrelaterad fatigue
Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Public Health and Caring Sciences.
Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Public Health and Caring Sciences.
2019 (Swedish)Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
Abstract [en]

Background: Cancer is a troublesome disease for the individual; physically, mentally and socially. The disease and its treatment have many side effects, of which fatigue is experienced as the most trying by the patient. Cancer-related fatigue is perceived and defined as a painful, stubborn, and subjective experience of general, physical, psychological, emotional fatigue related to cancer or its treatment. Current research hows that individualized physical activity is a recommended care action in cancer-related fatigue, however, the effect of physical activity on the different dimensions of fatigue has not been established.

 

Aim: The purpose of this study is to identify the effect of physical activity on the different aspects of cancer-related fatigue.

 

Method: This study is a literature overview comprising 12 original research articles. The articles were randomized controlled trials (RCT) and quasi-experimental studies. The databases Pubmed, Cochrane, and SBU were used for the search. Included articles were reviewed for quality according to a method presented by Forsberg & Wengström (2015). 

 

Result: Eleven articles showed the effectiveness of physical activity physical fatigue. An uncertain effect was seen on general fatigue. No significant decrease in fatigue was shown between the control- and intervention group on mental and emotional fatigue.

 

Conclusion: It can be shown through these studies that there is evidence that physical activity has a positive effect on physical fatigue and an uncertain effect on general fatigue. Physical activity should therefore be applied as a nursing measure in the clinic more frequently. The intervention should be individualized and focused on the individual's strengths and weaknesses. However, the same positive effects on the aspects of mental and emotional fatigue are not seen. There is a need for another type of intervention to alleviate the degree of mental as well as emotional cancer related fatigue. Consequently, the need for further research on mental and emotional fatigue is great.

Abstract [sv]

Bakgrund: Cancer är en mycket påfrestande sjukdom för individen; fysiskt, psykiskt och socialt. Cancersjukdomen och dess behandling har många biverkningar, av vilka fatigue upplevs som den besvärligaste av patienten. Cancerrelaterad fatigue definieras som en plågsam, envis och subjektiv upplevelse av generell, fysisk, psykisk, emotionell trötthet eller utmattning relaterad till cancer och dess behandling. Aktuell forskning visar att individualiserad fysisk aktivitet är en rekommenderad omvårdnadsåtgärd vid cancerrelaterad fatigue, däremot är effekten av fysisk aktivitet på cancerrelaterad fatigue inte fastställd. Syfte: Syftet med denna studie är att kartlägga vilken effekt fysisk aktivitet har på de generella, fysiska, psykiska samt emotionella aspekterna cancerrelaterad fatigue. Metod: Denna studie är en allmän litteraturöversikt innefattande 12 originalartiklar. Artiklarna var randomiserade kontrollerade studier (RCT) samt kvasiexperimentella studier. För sökning användes databaserna Pubmed, Cochrane samt SBU. Inkluderade artiklar kvalitetsgranskades enligt metod från Forsberg och Wengström (2015). Resultat: Elva artiklar visade på fysisk aktivitets effektivitet vid fysisk fatigue samt oviss effekt vid generell fatigue. Däremot sågs ingen signifikant minskning mellan kontroll-och interventionsgruppen gällande de psykiska och emotionella aspekterna av fatigue. Slutsats: Det framkom i denna studie att fysisk aktivitet har en positiv effekt på fysisk fatigue samt en oviss effekt på generell fatigue, därför bör fysisk aktivitet förskrivas som omvårdnadsåtgärd vid fysisk fatigue oftare. Interventionen bör individanpassas och fokuseras på individens styrkor och svagheter. Det visade sig även att fysisk aktivitet inte hade någon signifikant effekt på psykisk och emotionell fatigue. Därmed är behovet av vidare forskning beträffande lindrandet av psykisk och emotionell fatigue stort.

Place, publisher, year, edition, pages
2019. , p. 40
Keywords [en]
Cancer, Fatigue, Physical activity
National Category
Nursing
Identifiers
URN: urn:nbn:se:uu:diva-397732OAI: oai:DiVA.org:uu-397732DiVA, id: diva2:1372502
Subject / course
Caring Sciences
Educational program
Registered Nurse Programme
Supervisors
Examiners
Available from: 2019-11-28 Created: 2019-11-24 Last updated: 2019-11-28Bibliographically approved

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