Women’s experience of managing fatigue during breast cancer treatment: Strategies from patients in a low resource setting

Cancer-related fatigue can lead to a reduced health-related quality of life (HRQOL) among patients with cancer. We explored the experiences of fatigue among women undergoing breast cancer treatment at a public hospital in South Africa. We recruited 12 participants using purposive sampling. In-depth, semi-structured interviews were conducted by registered clinical psychologists. Interviews were audio recorded and transcribed. A thematic analysis of the data produced three themes, namely “fatigue is tiredness”, “the pervasive impact of fatigue” and “fatigue management strategies”. These strategies included rest, pacing, physical activity, energy drinks, instrumental support and cognitive strategies such as distraction and self-talk. Our recommendation is that healthcare providers need to prioritise communication about fatigue and provide appropriate management strategies.