Voss Joachim G
School of Nursing, University of California at San Francisco, San Francisco California, USA.
J Pain Symptom Manage. 2005 Feb;29(2):173-84. doi: 10.1016/j.jpainsymman.2004.05.006.
Variation in the intensity of fatigue according to selected demographic, cultural, and health/illness variables was explored in 372 patients with HIV/AIDS, and the contribution of fatigue to physical and mental health in this population was investigated within the UCSF Symptom Management Model (UCSF-SMM). The sample included 73% African Americans and 63% males. Moderate to severe fatigue intensity was reported by 58% of the total sample. Women, Hispanics, the disabled and those with inadequate income or insurance reported higher fatigue intensity scores. Two hierarchical regression models explored the contributions of fatigue to physical and mental health. Fatigue contributed 2% to the total variance (37.4%) in physical health, but did not contribute as an independent predictor of the total variance (23.2%) in mental health. The results of this study imply the need for further gender and ethnic-specific fatigue research, as well as symptom cluster research.
在372名艾滋病毒/艾滋病患者中，研究了根据选定的人口统计学、文化和健康/疾病变量所呈现的疲劳强度差异，并在加州大学旧金山分校症状管理模型（UCSF-SMM）中调查了疲劳对该人群身心健康的影响。样本包括73%的非裔美国人以及63%的男性。58%的总样本报告有中度至重度疲劳强度。女性、西班牙裔、残疾人士以及收入或保险不足者报告的疲劳强度得分更高。两个层次回归模型探讨了疲劳对身心健康的影响。疲劳对身体健康总方差（37.4%）的贡献率为2%，但并非心理健康总方差（23.2%）的独立预测因素。本研究结果表明有必要进一步开展针对性别和种族的疲劳研究以及症状群研究。
