Actors influencing cancer-related fatigue and the construction of a risk prediction model in lung cancer patients

PurposeThe paper aims to investigate the factors influencing cancer-related fatigue (CRF) in lung cancer patients and construct a CRF risk prediction model, providing effective intervention strategies for clinical medical staff.MethodsThis paper employs convenience sampling to select 400 lung cancer...

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Main Authors: Mei-Ning Zhang, Yi-Chen Zhou, Zhu Zeng, Cun-Liang Zeng, Bo-Tao Hou, Gui-Rong Wu, Qiao Jiao, Dai-Yuan Ma
Format: Article
Language:English
Published: Frontiers Media S.A. 2025-01-01
Series:Frontiers in Oncology
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Online Access:https://www.frontiersin.org/articles/10.3389/fonc.2024.1485317/full
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author Mei-Ning Zhang
Yi-Chen Zhou
Zhu Zeng
Cun-Liang Zeng
Bo-Tao Hou
Gui-Rong Wu
Qiao Jiao
Dai-Yuan Ma
author_facet Mei-Ning Zhang
Yi-Chen Zhou
Zhu Zeng
Cun-Liang Zeng
Bo-Tao Hou
Gui-Rong Wu
Qiao Jiao
Dai-Yuan Ma
author_sort Mei-Ning Zhang
collection DOAJ
description PurposeThe paper aims to investigate the factors influencing cancer-related fatigue (CRF) in lung cancer patients and construct a CRF risk prediction model, providing effective intervention strategies for clinical medical staff.MethodsThis paper employs convenience sampling to select 400 lung cancer patients who visited a tertiary hospital in Dazhou, Sichuan Province, from January 2021 to January 2022. A questionnaire survey was conducted using the Revised Piper Fatigue Scale (PFS-R), Pittsburgh Sleep Quality Index (PSQI), and Hospital Anxiety and Depression Scale (HADS) to collect data on patient demographics and sociological characteristics, disease-related information, physiological indicators, sleep quality, mental health, and other relevant factors. To explore the factors influencing CRF in lung cancer patients, single-factor analysis and multiple logistic regression analysis were performed. A CRF risk prediction model was then established, with its predictive performance and calibration evaluated using ROC curves.FindingsThe results of multivariate logistic regression analysis showed that gender, age, education level, living status, daily exercise, clinical stage, course of disease, treatment mode, chronic disease, BMI, hemoglobin, serum albumin, blood glucose, potassium concentration, magnesium concentration, PSQI score and HAD score were the influencing factors of CRF in lung cancer patients (P<0.05). The AUC of the model construction group and the model validation group were 0.863 and 0.838, respectively, and the results of Hosmer-Lemeshow fit test showed that χ2 = 7.540, P=0.378>0.05 of the model construction group and χ2 = 8.120, P=0.320>0.05 of the model validation group indicated that the model had high prediction accuracy.Originality/valueThe risk prediction model for CRF holds significant clinical value. It can help medical staff to promptly identify high-risk patients, develop personalized intervention strategies, alleviate fatigue symptoms, and improve overall patient quality of life.
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institution Kabale University
issn 2234-943X
language English
publishDate 2025-01-01
publisher Frontiers Media S.A.
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series Frontiers in Oncology
spelling doaj-art-29bd445915fd4c98b43f925cfbc3bf742025-01-24T05:21:23ZengFrontiers Media S.A.Frontiers in Oncology2234-943X2025-01-011410.3389/fonc.2024.14853171485317Actors influencing cancer-related fatigue and the construction of a risk prediction model in lung cancer patientsMei-Ning Zhang0Yi-Chen Zhou1Zhu Zeng2Cun-Liang Zeng3Bo-Tao Hou4Gui-Rong Wu5Qiao Jiao6Dai-Yuan Ma7Nursing Department, Dazhou Central Hospital, Dazhou, Sichuan, ChinaDepartment of Oncology, Dazhou Central Hospital, Dazhou, Sichuan, ChinaNursing Department, Dazhou Central Hospital, Dazhou, Sichuan, ChinaCardiac Vascular Surgery, Dazhou Central Hospital, Dazhou, Sichuan, ChinaDepartment of Oncology, Dazhou Central Hospital, Dazhou, Sichuan, ChinaDepartment of Oncology, Dazhou Central Hospital, Dazhou, Sichuan, ChinaDepartment of Oncology, Dazhou Integrated Traditional Chinese Medicine (TCM) and Western Medicine Hospital, Dazhou, Sichuan, ChinaDepartment of Oncology, Affiliated Hospital of North Sichuan Medical College, Nanchong, Sichuan, ChinaPurposeThe paper aims to investigate the factors influencing cancer-related fatigue (CRF) in lung cancer patients and construct a CRF risk prediction model, providing effective intervention strategies for clinical medical staff.MethodsThis paper employs convenience sampling to select 400 lung cancer patients who visited a tertiary hospital in Dazhou, Sichuan Province, from January 2021 to January 2022. A questionnaire survey was conducted using the Revised Piper Fatigue Scale (PFS-R), Pittsburgh Sleep Quality Index (PSQI), and Hospital Anxiety and Depression Scale (HADS) to collect data on patient demographics and sociological characteristics, disease-related information, physiological indicators, sleep quality, mental health, and other relevant factors. To explore the factors influencing CRF in lung cancer patients, single-factor analysis and multiple logistic regression analysis were performed. A CRF risk prediction model was then established, with its predictive performance and calibration evaluated using ROC curves.FindingsThe results of multivariate logistic regression analysis showed that gender, age, education level, living status, daily exercise, clinical stage, course of disease, treatment mode, chronic disease, BMI, hemoglobin, serum albumin, blood glucose, potassium concentration, magnesium concentration, PSQI score and HAD score were the influencing factors of CRF in lung cancer patients (P<0.05). The AUC of the model construction group and the model validation group were 0.863 and 0.838, respectively, and the results of Hosmer-Lemeshow fit test showed that χ2 = 7.540, P=0.378>0.05 of the model construction group and χ2 = 8.120, P=0.320>0.05 of the model validation group indicated that the model had high prediction accuracy.Originality/valueThe risk prediction model for CRF holds significant clinical value. It can help medical staff to promptly identify high-risk patients, develop personalized intervention strategies, alleviate fatigue symptoms, and improve overall patient quality of life.https://www.frontiersin.org/articles/10.3389/fonc.2024.1485317/fulllung cancercancer-related fatiguesleep qualityanxietydepressionrisk prediction model
spellingShingle Mei-Ning Zhang
Yi-Chen Zhou
Zhu Zeng
Cun-Liang Zeng
Bo-Tao Hou
Gui-Rong Wu
Qiao Jiao
Dai-Yuan Ma
Actors influencing cancer-related fatigue and the construction of a risk prediction model in lung cancer patients
Frontiers in Oncology
lung cancer
cancer-related fatigue
sleep quality
anxiety
depression
risk prediction model
title Actors influencing cancer-related fatigue and the construction of a risk prediction model in lung cancer patients
title_full Actors influencing cancer-related fatigue and the construction of a risk prediction model in lung cancer patients
title_fullStr Actors influencing cancer-related fatigue and the construction of a risk prediction model in lung cancer patients
title_full_unstemmed Actors influencing cancer-related fatigue and the construction of a risk prediction model in lung cancer patients
title_short Actors influencing cancer-related fatigue and the construction of a risk prediction model in lung cancer patients
title_sort actors influencing cancer related fatigue and the construction of a risk prediction model in lung cancer patients
topic lung cancer
cancer-related fatigue
sleep quality
anxiety
depression
risk prediction model
url https://www.frontiersin.org/articles/10.3389/fonc.2024.1485317/full
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