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Multidimensional Model of Energy in Patients With Cancer.
Asakitogum, David Ayangba; Nutor, Jerry John; Pozzar, Rachel; Hammer, Marilyn; Alismail, Sarah; Kober, Kord M; Miaskowski, Christine.
Afiliación
  • Asakitogum DA; School of Nursing, University of California, San Francisco. Electronic address: david.asakitogum@ucsf.edu.
  • Nutor JJ; School of Nursing, University of California, San Francisco.
  • Pozzar R; Phyllis F. Cantor Center for Research in Nursing and Patient Care Services, Dana-Farber Cancer Institute, Boston, MA.
  • Hammer M; Phyllis F. Cantor Center for Research in Nursing and Patient Care Services, Dana-Farber Cancer Institute, Boston, MA.
  • Alismail S; Beckman Research Institute, City of Hope, Duarte, CA.
  • Kober KM; School of Nursing, University of California, San Francisco.
  • Miaskowski C; School of Nursing, University of California, San Francisco; School of Medicine, University of California, San Francisco.
Semin Oncol Nurs ; 40(3): 151644, 2024 Jun.
Article en En | MEDLINE | ID: mdl-38692969
ABSTRACT

OBJECTIVES:

Evidence suggests that energy is a distinct symptom from fatigue in patients with cancer. The purpose of this paper is to present the Multidimensional Model of Energy in Patients with Cancer (MMEPC) that is based on emerging evidence and to make recommendations for clinical practice and future research.

METHODS:

The literature was reviewed to determine various factors associated with variations in energy in patients with cancer. In addition, some of the emerging evidence in the model is supported by studies of energy in the general population and in patients with other chronic conditions.

RESULTS:

Based on a review of the literature, specific concepts in the MMEPC include person factors, clinical factors, cancer-related factors, biological factors, factors associated with energy balance, and co-occurring symptoms. The evidence to support the association between each of these factors and variations in energy levels in patients with cancer is described and synthesized.

CONCLUSION:

This article provides emerging evidence on factors that influence variations in energy levels in patients with cancer. While the fundamental biobehavioral and biologic mechanisms that underlie variations in energy levels are not well understood, the model can be used to design pre-clinical and clinical studies of energy in patients with cancer. In addition, while emerging evidence supports the hypothesis that fatigue and energy are distinct symptoms, additional research on common and distinct risk factors and underlying mechanisms is warranted to be able to develop and test precision interventions for one or both symptoms. IMPLICATIONS FOR NURSING PRACTICE The risk factors (eg, being female, sleep quality) associated with variations in energy levels in patients with cancer identified in this paper have important clinical implications. Clinicians can use the identified risk factors to guide their assessments; identify high-risk patients with decrements in energy decrement; and develop targeted energy conservation interventions for the patients.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Fatiga / Neoplasias Límite: Humans Idioma: En Revista: Semin Oncol Nurs Asunto de la revista: ENFERMAGEM / NEOPLASIAS Año: 2024 Tipo del documento: Article Pais de publicación: Estados Unidos
Texto completo
Añadir a Mi BVS
Imprimir
XML
PubMed Links
Buscar en Google

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Fatiga / Neoplasias Límite: Humans Idioma: En Revista: Semin Oncol Nurs Asunto de la revista: ENFERMAGEM / NEOPLASIAS Año: 2024 Tipo del documento: Article Pais de publicación: Estados Unidos