Fatigue, weight gain, and altered sexuality in patients with breast cancer: exploration of a symptom cluster

Oncol Nurs Forum. 2004 Nov 16;31(6):1069-75. doi: 10.1188/04.ONF.1069-1075.

Abstract

Purpose/objectives: To identify the symptom cluster of fatigue, weight gain, and altered sexuality caused by treatment for breast cancer.

Data sources: Published research and literature review articles.

Data synthesis: Fatigue, weight gain, and altered sexuality commonly occur after breast cancer chemotherapy. Each symptom has a significant impact on quality of life; however, viewing them as a symptom cluster magnifies their impact.

Conclusions: These symptoms have yet to be studied as a cluster. Exercise appears to be an intervention common to each that may be effective in reducing the severity of these treatment side effects.

Implications for nursing: Nurses should view symptoms caused by breast cancer treatment holistically, keeping in mind that a reciprocal relationship often exists among symptoms. Identification of symptom clusters with empirically derived interventions may enhance quality of care and quality of life for patients.

Publication types

  • Review

MeSH terms

  • Breast Neoplasms / complications
  • Breast Neoplasms / therapy*
  • Fatigue / diagnosis
  • Fatigue / etiology*
  • Fatigue / therapy
  • Female
  • Humans
  • Sexual Dysfunction, Physiological / diagnosis
  • Sexual Dysfunction, Physiological / etiology*
  • Sexual Dysfunction, Physiological / therapy
  • Weight Gain*