Effectiveness of Program Management Fatigue in Palliative Cancer Patient

Abstract

          Background: Patients with advanced cancer receiving palliative care often experience fatigue, which limits daily activities and decreases quality of life. Objective: To compare fatigue levels before and after participation in a fatigue management program and to examine patient satisfaction with the program. Methods: This quasi experimental study employed a one-group pretest–posttest design. The participants were 15 palliative cancer patients admitted to the Buddharaksa Ward, Lopburi Cancer Hospital, purposively selected with a Palliative Performance Scale (PPS)≥50%. The instruments included (1) a fatigue assessment scale adapted from the Edmonton Symptom Assessment System (ESAS) and (2) a fatigue management program modified from SKT meditation postures 1 and 7. Data were analyzed using descriptive statistics and the Paired Samples t-test to compare mean fatigue scores before and after the intervention. Results: The mean fatigue score before participation was 4.87 ± 2.00 and after participation was 1.67±1.76, showing a statistically significant difference (P<0.001). Participants reported high satisfaction with the program (mean = 2.95, SD = 0.21). Conclusion: The fatigue management program effectively reduced fatigue and achieved high patient satisfaction. It can be applied as a nursing intervention to promote comfort and improve quality of life among palliative cancer patients.