Lokalizacja kontroli bólu a zmęczenie u pacjentów z chorobą nowotworową na różnych etapach leczenia
Location of Pain Control and Fatigue in Oncological Patients at Various Stages of Treatment

Summary/Abstract: RESEARCH OBJECTIVE: The aim of the article is to show the mutual relationship between pain and fatigue associated with cancer at various stages of oncological treatment. THE RESEARCH PROBLEM AND METHODS: The main problem is to determine the nature of the relationship between the location of pain control and the feeling of fatigue in patients with a diagnosed cancer and treated causally and symptomatically. The study was carried out on 80 cancer patients: 40 patients treated causally and 40 symptomatically. The following research tools were used in the study: The Beliefs about Pain Control Questionnaire S. Skevington and Cumulative Fatigue Symptoms Questionnaire R. Kosugo. THE PROCESS OF ARGUMENTATION: The first part of the paper highlights the subjective and multidimensional nature of pain and the difficulty in assessing it. Taking into account the influence of cognitive processes, special importance is given to a sense of control, which is an individual characteristic of a human being and a personality dimension. It can be presented on the continuum scale: from the sense of external control to the sense of internal control. The second part of the article describes fatigue, which is one of the most common symptoms reported by patients at various stages of cancer treatment, regardless of its nature and body location. Fatigue associated with the cancer process can not be explained at the level of pathophysiology or biochemistry, and its causes are varied and not fully explained. They can vary in course of illness, during treatment and convalescence. Current standards of patient care recommend chronic fatigue symptoms to be monitored and discussed with each cancer patient, regardless of his or her general condition and severity. RESEARCH RESULTS: Analysis of the conducted studies showed that the internal localization of pain control in the oncologically treated patients correlates negatively with general fatigue, anxiety about their abilities and symptoms of physiological fatigue. On the other hand, symptomatically treated patients correlate negatively with mental overload. In addition, external pain control associated with the influence of physicians is positively related to anxiety about patient abilities, both in the causally and symptomatically treated. CONCLUSIONS, INNOVATIONS AND RECOMMENDATIONS: The own studies emphasize the role of locating pain control in explaining the fatigue that is associated with cancer. It can be observed that internal pain control reduces the likelihood of fatigue, while external control attributed to influence of physicians increases the symptoms of chronic fatigue in oncological patients treated causally and symptomatically.

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