The Trajectory of Fatigue and Quality of Life in Stomach Cancer Patients Receiving Chemotherapy

위암환자의 항암 화학요법에 따른 피로와 삶의 질 변화 양상

  • 양영희 (단국대학교 의과대학 간호학과)
  • Published : 2002.08.01


This study aimed to identify the change patterns of fatigue and quality of life during consecutive chemotherapies and to determine the relationship of these two variables. Method: Stomach cancer patients receiving chemotherapy were recruited from a university hospital in Seoul. Each chemotherapy, subjects were asked to respond to the questionnaires regarding their fatigue and quality of life. The number of subjects who completed 4 cycles and over was 11. Fatigue was measured with Lee's tool(1999). Quality of life was measured with a tool revised by the author based on Padilla et al(1983). Result: Most patients were in 1st stage(5 patients) or 3rd stage(5 patients). Fatigue was revealed at its highest level in the 3rd or 4th chemotherapy and at its lowest level in the 1st or 6th chemotherapy. A quality of life appeared at its highest level in the 5th or 6th chemotherapy and the lowest level in 3rd or 4th chemotherapy. Conclusion: Among 6 cycles of chemotherapy, in 3-4th chemotherapy the fatigue was the highest and the quality of life were the lowest. Many patients decided to stop treatment at the same period. Therefore we can recognize cancer patients receiving chemo- therapy are in the highest risk at the time of the 3-4 th chemotherapy.


  1. Barnett, M. L. (1997). Fatigue, in S.E. Otto(3rd Ed), Oncology Nursing, St Louis-Mosby, 669-678
  2. Choi, I. J. (1999). A study on factors to fatigue in cancer patients receiving chemotherapy. Unpublished Master's dissertation. Yonsei University
  3. Clark, P. M, & Lacasse, C. (1998). Cancer-related fatigue : Clinical practice Issues, Clin J Oncol Nurs, 2(2), 45-53
  4. Curt, G. A., Breibart, W., Cella, D., Groopman, J. E., Horning, S. J., Itri, L. M., Johnson, D. H., Miaskowiski, C., Scherr, S. L., Portenoy, R. k., & Vogelzang, N. J. (2000). Impact of cancer-related fatigue on the lives of patients : New findings from the fatigue coalition. Oncologist, 5(5), 353-60
  5. Jang, H. K. (1993). A study of quality of life in cancer patients receiving chemotherapy. Unpublished Master Dissertation, Jeunnam University, Jeunju
  6. Jamar, S. (1989). Fatigue in women receiving chemotherapy for ovarian cancer, in Funk, S., Torniquist, E., Champagne, M., Archer, Copp, L., & Wiess, R.(eds). Key aspects of comport : management of pain, fatigue and nausea, New York : Springer, 224-228
  7. Kim, J. S. (1997). An Effect of Home Care Nursing for Chemotherapy Patients. Doctoral Dissertation from Seoul National University, Seoul, Korea
  8. Kim, M. J., Jun, M H, Kim, Y. H (1996). The Study on Nausea.Vomiting and Calorie Intake for Gastrectomy Patients Receiging Cisplatin J Korean Acad Adult Nurs, 8(1), 29-40
  9. King. C. R., Haberman, M, Berry, D. L., Bush, N., Butler, L., Dow, K. H, Ferrell, B., Grant, M, Gue, D., Hinds, P., Kreuer, J., Padilla, G., & Underwood, S. (1997). Quality of life and cancer experience : The state-of-the-knowledge, ONF. 24(1), 27-41
  10. Kwon, Y. E. (1990). A study of the relationship between perceived social support and quality of life of cancer patients. Unpublished master dissertation, Yonseri University
  11. Kwon, Y. E. (1997). A structured model for fatigue-regulation behaviors in cancer patients undergoing chemotherapy, Unpublished doctoral dissertation, Hanyang University, Seoul, Korea
  12. Kwon, Y. E. (1999). A study of the relation ship between fatigue and quality of life in cnaceer patients undergoing chemotherrapy. J Korean Acad Adult Nurs, 11(4), 820-829
  13. Lee, E. H. (1999). Construct validity of the revised Piper Fatigue Scale in Korean women with breast cancer. J Korean Acad Nurs, 29(2), 485-493
  14. Lee, Y. H. (2000). The relationship of fatigue and quality of life in cancer patients receiving chemotherapy. Unpublished Master dissertation, Kosin University, Pusan
  15. Molassiotis, A, & Chan, C. W. H. (2001). Fatigue patterns in chinese patients receiving chemotherapy, Eur J Onool Nurs, 5(1), 60-67
  16. Padilla, G. V., & Grant, M M (1985), Quality of life as a cancer nursing outcom variable, Adv Nurs Sci, 8(1), 45-60
  17. Padilla, G. V., Presant, C., Grant, M. M, Metter,G, Lipsett, J., & Heide,F(1983). Quality of life index for patients with cancer. Res Nurs Health, 6, 117-126
  18. Park, E. A. (1999). The changes in the degree of fatigue and salivary cortisol concentration with the elapse of chemotherapy in broast cancer patients. Unpublished Master dissertation, Keimung University, Daaaegu, Korea
  19. Packard-Holley, S. (1997). Fatigue in cancer patients: a descriptive study. Cancer Nurs, 14(4), 13-119
  20. Piper, B. F., Dibble, S. L., Dodd, M L., Weiss, M.C. Slaughter, R F., Paul, S. M. (1998). The revised Piper Fatigue Scale : psychometric evaluation in women with breast cancer, Oncool Nurs Forum, 25(4), 677-684
  21. Portenoy, R. K. & Irti, L. M. (1999). Cancer-related fatigue: Guidelines for evaluation and management, Oncologist, 4(1), 1-10
  22. Richardson, A, Ream, E., & Wilson-Barnett, J. (1998). Fatigue in patients receiving chemotherapy: Patterns of change. Cancer Nurs, 21(1), 17-30
  23. Shin, H S., PARK, H J., Park, M H, Yeun, K S., Kim, H K, Moom, H. L., Song, Hh. (1999). The changes in quality of life with the elapse of chemotherapy in Head and Neck cancer patients. Hosp, 4, 23-36
  24. Song, M R. (1992). An exploratory study on factors related to fatigue among chemotherapy patients. Unpublished master dissertation, Seoul National University, Seoul, Korea
  25. Wells, J. N. B., & Fedric, T. (2001). Helping patients manage Cancer-Related Fatigue. Home Health Nurse, 19(8), 486-493
  26. Yang, Y. H, Lee, D. S. (2000). The Relationship of Anorexia. Nutritional Status in Patients Receiving Chemotherapy. J Korean Acad Nurs, 30(3), 721-730
  27. Yang, Y. H, Kwon, S. J., & Kim, C. I.(2001). The nutritional status of the patients with canter during the chemotherapies. J Korean Acad Nurs, 31(6), 978-987
  28. Zittoun, R., Achard, S., & Runzniewski, M(1999).Assessment of quality of life during intensive chemotherapy or bone marrow transplantation Psycho-Oncology, 8, 64-73