Factors Analysis About Postoperative Fatigue Syndrome With Esophageal Cancer Patients

Objectives To investigate esophageal cancer patients postoperative fatigue status and to explore the influent factors of fatigue after surgery patients.Methods180patients with esophageal cancer were recruited from Department of Thoracic Surgery of a tertiary-care hospital in Shandong Province during May2012to December2012in a cross-sectional study. Patients were investigated with general information questionnaire, Profile of Mood States-Short Form. VAS, PSSS, Postoperative rehabilitation assessment questionnaire and then data were analyzed by SPSS16.0with descriptive analysis, parametric analyses (t-test,ANOVA analysis) Kruskal-Wallis test for comparison including more than two groups and Pearson correlation analysis was performed to analyze.Results A total of180questionnaires were distributed, of which172were returned and164(83.1%) were usable. Detailed information was as follows:1. Fatigue scores of patient with esophageal cancer from high to low:postoperative fatigue scores for three days was (7.17±1.57). postoperative fatigue scores for three days was (4.95±1.53), discharge fatigue scores (3.42±1.10), preoperative fatigue scores (2.06±1.62)2. Mood scores of patient with esophageal cancer from high to low:mood score after3days was (34.73±11.0), mood score after seven days was (25.59±7.92), preoperative mood scores was (24.1±9.70), discharge mood scores was (21.50±5.14) 3. Pain scores of patients with esophageal cancer in different points from high to low: postoperative pain scores for three days was (6.87±1.48), postoperative pain scores for seven days was (4.63±1.41), discharge pain scores (3.33±1.26).4. Fatigue scores of esophageal cancer patients with different population and disease characteristics exist differences:fatigue scores with order than70years old patients was higher than that of30-50years old3days after surgery, fatigue scores with elementary school and the following was higher than that of high school and technical secondary school7days after surgery. Fatigue scores on the top right chest anastomosis were higher than that on the bow anastomosis at3and7days after surgery. There exist statistical differences between top right chest anastomosis and under anastomosis. Preoperative fatigue scores of patients with basic diseases were higher than those without basic diseases.5. Preoperative fatigue scores with esophageal cancer patients and mood scores were positively correlated, preoperative fatigue score and social support scores were negatively correlated. Fatigue scores at3and7days after surgery were positively correlated with mood and pain scores (P<0.01) and they were negatively correlated with albumin, dominant hand grip strength, triceps skin fold thickness and social support scores (P<0.05). Fatigue scores at7days after surgery were also negatively correlated with total Protein(P<0.05). Fatigue scores discharging from hospital were positively correlated with mood and pain scores (P<0.01) and they were negatively correlated with dominant hand grip strength and recovery (P <0.01)Conclusions1. Preoperative fatigue scores with esophageal cancer patients were positively correlated with pain and mood scores, they were negatively correlated with social support scores. The heavier the negative emotions, the greater the pain, the fatigue degree was more serious, the better the social support, the lighter the fatigue degree. Nursing caregivers should pay attention to take effective measures relieve the fatigue.2. There were differences of POFS in patients with different demography and clinical characteristics. Female patients’POFS was heavier than male patients. The older experience much heavier POFS than the young. The higher the education level was, the lighter the POFS was. The patients with top right chest anastomosis were heavier of POFS than those with arch anastomosis and under the bow. Those with underlying diseases were heavier of POFS than those without underlying diseases.3. POFS was negatively correlated with total protein and albumin, while positively associated with triceps skin fold and dominant hand grip strength. The better the nutritional status, the lighter the fatigue degree. We should strengthen nutrition support to relieve the fatigue.4. POFS was negatively correlated with the postoperative rehabilitation. We should pay attention to reduce the fatigue and promote the overall rehabilitation of esophageal cancer patients through relieving pain, psychological and nutritional interventions and so on.