Effekterna av fysisk aktivitet vid cancerrelaterad fatigue

Sammanfattning: Background: Cancer is a troublesome disease for the individual; physically, mentally and socially. The disease and its treatment have many side effects, of which fatigue is experienced as the most trying by the patient. Cancer-related fatigue is perceived and defined as a painful, stubborn, and subjective experience of general, physical, psychological, emotional fatigue related to cancer or its treatment. Current research hows that individualized physical activity is a recommended care action in cancer-related fatigue, however, the effect of physical activity on the different dimensions of fatigue has not been established.   Aim: The purpose of this study is to identify the effect of physical activity on the different aspects of cancer-related fatigue.   Method: This study is a literature overview comprising 12 original research articles. The articles were randomized controlled trials (RCT) and quasi-experimental studies. The databases Pubmed, Cochrane, and SBU were used for the search. Included articles were reviewed for quality according to a method presented by Forsberg & Wengström (2015).    Result: Eleven articles showed the effectiveness of physical activity physical fatigue. An uncertain effect was seen on general fatigue. No significant decrease in fatigue was shown between the control- and intervention group on mental and emotional fatigue.   Conclusion: It can be shown through these studies that there is evidence that physical activity has a positive effect on physical fatigue and an uncertain effect on general fatigue. Physical activity should therefore be applied as a nursing measure in the clinic more frequently. The intervention should be individualized and focused on the individual's strengths and weaknesses. However, the same positive effects on the aspects of mental and emotional fatigue are not seen. There is a need for another type of intervention to alleviate the degree of mental as well as emotional cancer related fatigue. Consequently, the need for further research on mental and emotional fatigue is great.