In order to determine which strategies are most effective in relieving
fatigue of women undergoing treatment for cancer, women receiving eit
her chemotherapy (n = 45) or radiation therapy (n = 54) were interview
ed twice to determine their level of fatigue and the effectiveness of
the strategies they used to relieve their fatigue. The subjects were i
nterviewed either at the start and mid-point of any cycle of chemother
apy, or at the beginning and end of a 5- or 6-week course of radiation
therapy. At each interview, the subjects completed the Pearson Byars
Fatigue Feeling Checklist and the Fatigue Relief Scale. At the second
interview, the patients were significantly more fatigued than they had
been at the first interview (p < 0.0001). The more effective the fati
gue-relieving strategies at the second interview the less fatigue expe
rienced by the women (p < 0.0001). At both interviews, subjects used s
imilar strategies to relieve their fatigue. Sleep and exercise were am
ong the most effective strategies. However, there was a wide range of
scores for each strategy used, indicating variability among subjects a
s to the effectiveness of the strategy. The results of the study provi
de nurses with some guidance as to strategies they might suggest to pa
tients who experience fatigue.