Attentional fatigue following breast cancer surgery

Research in Nursing and Health - Tập 15 Số 3 - Trang 199-207 - 1992
Bernadine Cimprich1
1School of Nursing, University of Wisconsin-Madison 53792.

Tóm tắt

AbstractAttentional fatigue usually follows intense use of mental effort and is manifested as a decreased capacity to concentrate, that is, to direct attention. The purpose of this study was to examine the capacity to direct attention in persons with cancer during the initial phase of illness. The sample consisted of 32 women without cognitive or affective disorders who underwent surgery for localized (Stage I or II) breast cancer. Subjects manifested attentional deficits of varying intensity on a battery of tests of directed attention on the day before discharge from the hospital, which was a mean of 3 days following mastectomy or breast conservation surgery. Unexpectedly, the two surgical groups did not differ significantly in attentional capacity and functioning. Attentional test scores were not significantly correlated with narcotic pain medication interval, mood state, or self‐ratings of attentional functioning. However, as number of days postsurgery increased, attentional performance decreased. The theoretical basis for further examination of attentional fatigue in people with cancer or other life‐threatening illnesses is discussed.

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Tài liệu tham khảo

Aistars J., 1987, Oncology Nursing Forum, 14, 25

10.1177/003591576906201005

10.3322/canjclin.41.1.19

Burish T., 1987, Handbook of psychology and health, 137

10.1097/00012272-199203000-00007

10.1001/archpsyc.1982.04290050061012

10.1097/00002820-198706000-00005

Eckstrom R., 1976, Kit of factor‐referenced cognitive tests

Fiske A., 1981, Control and automatic processing during tasks requiring sustained attention: A new approach to vigilance, Human Factors, 23, 737, 10.1177/001872088102300610

10.1017/S0033291700054283

Frank‐Stromborg M., 1984, Oncology Nursing Forum, 11, 16

10.1002/1097-4679(198407)40:4<972::AID-JCLP2270400417>3.0.CO;2-W

Isen A., 1984, Handbook of social cognition, 179

James W., 1983, The principles of psychology

10.1126/science.143.3609.970

Kahneman D., 1984, Varieties of attention, 29

Kaplan R., 1989, The experience of nature: A psychological perspective

Kaplan S., 1987, Public environments, 55

Kaplan S., 1982, Environment and cognition

10.1002/1097-0142(19880915)62:6<1231::AID-CNCR2820620631>3.0.CO;2-8

Levy S., 1989, Breast conservation versus mastectomy: Distress sequelae as a function of choice, Journal of Clinical Oncology, 47, 367, 10.1200/JCO.1989.7.3.367

10.1080/00207598208247445

Lezak M. D., 1983, Neuropsychological assessment

10.1016/0022-3956(75)90020-5

10.1080/17470214808416738

Mages N., 1979, Health psychology–A handbook, 255

McCorkle R., 1978, Development of a symptom distress scale, Cancer Nursing, 373

Mesulam M., 1985, Principles of behavioral neurology

10.1097/00002820-198910000-00003

Oberst M., 1985, Topics in Clinical Nursing, 7, 46

Parasuraman R., 1986, Handbook of perception and human performance: Vol. II. Cognitive processes and performance, 43

10.1037/h0031333

10.1016/0166-2236(87)90116-0

Posner M., 1975, Information processing and cognition, 55

Scott D., 1983, Topics in Clinical Nursing, 4, 20

Smith A., 1973, Symbol digit modalities test

10.1037/h0032954

Wechsler D., 1955, Manual for the Wechsler adult intelligence scale

10.2190/UQ2G-UGV1-3PPC-6387

Williams M., 1988, The physical environment and patient care, Annual Review of Nursing Research., 6, 61, 10.1891/0739-6686.6.1.61