Effect of the Continuous Care Model on Cancer-Related Fatigue in Women with Breast Cancer Undergoing Chemotherapy: A Quasi-Experimental Study
| Author | Alireza Salar | en |
| Author | Zahra Sarafrazi | en |
| Author | Asadollah Shakeri | en |
| Author | Fatemeh Kiani | en |
| Author | Zahra Pournamdar | en |
| Author | Nazanin Yousefian Miandoab | en |
| Author | Anahita Sarabandi | en |
| Author | Maryam Azizi | en |
| Author | Mahmood Rezvaniamin | en |
| Author | Mehdi Rezvaniamin | en |
| Orcid | Alireza Salar [0000-0002-5280-0283] | en |
| Orcid | Zahra Pournamdar [0000-0001-9859-0106] | en |
| Orcid | Nazanin Yousefian Miandoab [0000-0002-2614-2918] | en |
| Orcid | Anahita Sarabandi [0000-0002-4905-454X] | en |
| Orcid | Maryam Azizi [0000-0001-6031-1829] | en |
| Orcid | Mehdi Rezvaniamin [0000-0003-4951-7767] | en |
| Issued Date | 2026-07-31 | en |
| Abstract | Background: Cancer-related fatigue is one of the most common and burdensome symptoms among women with breast cancer and may impair daily functioning, treatment adherence, and quality of life. Objectives: This study aimed to determine the effect of the Continuous Care Model on cancer-related fatigue among women with breast cancer. Methods: This two-group quasi-experimental study with a pretest-posttest control-group design was conducted in 2023 among 80 women with breast cancer who were referred to chemotherapy units in hospitals affiliated with Zahedan University of Medical Sciences, Iran. Eligible patients were selected by convenience sampling and then assigned to an intervention group (n = 40) or a control group (n = 40) using A/B cards. The intervention group received the Continuous Care Model delivered in 4 stages: orientation, sensitization, control, and evaluation. The control group received routine care. Fatigue was assessed using the Cancer Fatigue Scale. Data were analyzed using paired t tests, independent t tests, chi-square tests, and analysis of covariance in SPSS version 26. Results: Baseline fatigue did not differ significantly between the intervention and control groups (43.92 ± 5.57 vs 45.42 ± 5.31; P = 0.222). After the intervention, fatigue decreased to 12.95 ± 5.84 in the intervention group but increased to 53.95 ± 4.41 in the control group. The mean change was -30.97 ± 7.24 in the intervention group and +8.52 ± 3.02 in the control group; the between-group difference in change was statistically significant (P < 0.001). In an analysis of covariance adjusted for baseline fatigue, the intervention remained associated with lower posttest fatigue (P < 0.001). Conclusions: The Continuous Care Model produced statistically and clinically substantial reductions in cancer-related fatigue among women with breast cancer undergoing chemotherapy. This nurse-led, low-cost, follow-up-based model may be incorporated into routine oncology nursing care. | en |
| DOI | https://doi.org/10.5812/jjcdc-172225 | en |
| URI | https://brieflands.com/journals/jjcdc/articles/172225 | en |
| Keyword | Continuous Care | en |
| Keyword | Cancer-related Fatigue | en |
| Keyword | Breast Cancer | en |
| Keyword | Chemotherapy | en |
| Keyword | Oncology Nursing | en |
| Keyword | Quasi-experimental Study | en |
| Publisher | Brieflands | en |
| Title | Effect of the Continuous Care Model on Cancer-Related Fatigue in Women with Breast Cancer Undergoing Chemotherapy: A Quasi-Experimental Study | en |
| Type | Research Article | en |
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