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Attitudes About Coping With Fatigue in Patients With Gastric Cancer

A Q-Methodology Study

Yeun, Eun Ja, PhD, RN; Jeon, Misoon, PhD, RN

doi: 10.1097/SGA.0000000000000390
Original Article: PDF Only

Cancer-related fatigue is the most common symptom in patients with cancer. Coping methods for cancer-related fatigue differ from those of patients without cancer, as the situations faced by patients with cancer are unique. This study aimed to identify subjectivity concerning coping with fatigue in Korean patients with gastric cancer. Q-methodology was used to examine subjective perceptions regarding coping with fatigue among Korean patients with gastric cancer. A convenience sample of 33 participants, who had been hospitalized in 2 university hospitals in South Korea, was recruited to participate in the study and 37 selected Q-samples were classified into a normal forced distribution using a 9-point bipolar grid. The obtained data were analyzed by using PC-QUANL for Windows. Three factors representing distinct attitudes about coping with fatigue emerged among Korean patients with gastric cancer: an optimistic mind, dependency on medicine, and exercise preference. The 3 factors explained 39.4% of the total variance (23.7%, 7.9%, and 7.8%, respectively). Based on the study findings, it is important to develop customized nursing interventions that consider the characteristics of each patient group with gastric cancer. Health professionals should assess the attitudes of patients with gastric cancer about coping with fatigue, explore their situation, and consider their lifestyle.

Eun Ja Yeun, PhD, RN, is Professor, Department of Nursing, Konkuk University, Chungju, Chungbuk, Republic of Korea.

Misoon Jeon, PhD, RN, is Professor, Department of Nursing, Baekseok University, Cheonan, Chungnam, Republic of Korea.

Correspondence to: Misoon Jeon, PhD, RN, Department of Nursing, Baekseok University, 76 Munam-ro, Dongam-gu, Cheonan, Chungnam, 31065, Republic of Korea. (

Received December 10, 2017; accepted April 15, 2018.

Author contributions: Study design: E.J.Y. and M.J.; data collection and analysis: E.J.Y. and M.J.; and manuscript writing: E.J.Y. and M.J.

The authors declare no conflict of interest with respect to authorship and/or publication of this article.

© 2019 by the Society of Gastroenterology Nurses and Associates, Inc.