Application of Self-Regulation Model for Management of Fatigue and Anemia among Cancer Patients undergoing Chemotherapy

Abstract

Background: Cancer related fatigue and anemia are prevalent distressing symptomsamong cancer patients which significantly impacting their daily life and treatmentoutcomes, the information provided by the self-regulation model helps patients tomaintain their coping skills, improve their ability to manage their signs and symptoms,and moreover, adapt to the healthcare event. Aim: the aim of this study was toevaluate the effect of the application of Self-regulation model for management offatigue and anemia among cancer patients undergoing chemotherapy. Subjects andmethod: A Purposive sample of (60) adult patients who were followed up at theoncology department and its related outpatient's clinic of Tanta Main UniversityHospital. Tools: tool (I) Cancer Patients` Bio- Socio-demographic Data. Tool (II)Fatigue Symptom Inventory. Tool (III) Functional Assessment of Cancer Therapy –Anemia. Tool (IV) Self-Regulation Questionnaire. Results: the main findings showedthat cancer patients` level of fatigue, physical wellbeing, emotional wellbeing, socialwellbeing, functional wellbeing and self-regulation had all significant improvement inthe study group since P value was ≤ 0.05 post implementation of the Self-regulationmodel. Conclusion and recommendation: implementation of Self-regulation modelhad significant effect on management of cancer related fatigue and anemia. Self-regulation model has shown that emotional and cognitive regulation affect healthrelated behaviors, which in turn impacts how patients manage and control their healththreat. It was recommended that Self-regulation model would be incorporated into thenursing curriculum and health education