| Summary: | 碩士 === 長庚大學 === 護理學研究所 === 97 === Cancer-related fatigue is one of the most distressing and prevalent symptoms during cancer treatment, it is subjective and multidimensional concept, including physical, psychological aspects. Fatigue has documented the impact the quality of life. Patients have suffered from fatigue even though the cancer treatment has completed. However, patients may be too weak to report their own fatigue, or had cognitive ability to report their fatigue. Thus, parental proxy report may provide the fatigue for children with cancer. Therefore, the purpose of this study was to was to examine the agreement of fatigue data between the child self-reported and parental proxy-reported. In total, 98 patients with cancer and one of their parents participated in the study. The PedsQL Multidimensional Fatigue Scale was used for data collection. The Cronbach α for the total scale was .848, .712 for the subscale of general fatigue, .69 for cognitive fatigue, .754for the subscale of sleep/rest fatigue. Mean scores for each subscale was used to examine the difference between patient self-reported and parental proxy-reported data. The results shows that parental proxy-reported had higher score in "general fatigue" "sleep/rest fatigue" "cognitive fatigue" and total fatigue scores, which indicated that parents overestimate the fatigue status of cancer children. There was no statistical differences in "cognitive fatigue", which indicated that parental proxy-reported data can be used to report child’s cognitive fatigue. There were no relationship among chemotherapy drug, corticosteroids, and hemoglobin level and fatigue.
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