Blesch K S, Paice J A, Wickham R, Harte N, Schnoor D K, Purl S, Rehwalt M, Kopp P L, Manson S, Coveny S B
Rush-Presbyterian-St. Luke's Medical Center, Chicago, IL.
Oncol Nurs Forum. 1991 Jan-Feb;18(1):81-7.
Fatigue is regarded as a universal and unavoidable side effect of cancer therapy, yet its epidemiology and prevalence in populations of people with cancer have not been well-documented. Using the conceptual framework of Piper, et al., this study examined and described the perception and manifestations of fatigue and its physiological, biochemical, and behavioral correlates. A convenience sample (N = 77) of people with lung (n = 33) or breast cancer (n = 44) completed several instruments: a brief questionnaire, the Rhoten Fatigue Scale, a visual analogue scale (VAS), the Rhoten Fatigue Checklist, and the shortened version of the Profile of Mood States (POMS). Data on other factors thought to influence fatigue were collected via medical record audit. Seventy-five of 76 people (99%) completing the VAS experienced some level of fatigue. Significant correlates of fatigue included level of pain and POMS scores. Preliminary findings suggest that fatigue is a common problem with a complex etiology and that nurses must consider potential contributing factors when assessing fatigue and its impact on the individual.
疲劳被视为癌症治疗普遍且不可避免的副作用，然而其在癌症患者群体中的流行病学及患病率尚未得到充分记录。本研究采用派珀等人的概念框架，对疲劳的认知、表现及其生理、生化和行为相关性进行了研究和描述。一个由肺癌患者（n = 33）或乳腺癌患者（n = 44）组成的便利样本（N = 77）完成了多项测评工具：一份简短问卷、罗滕疲劳量表、视觉模拟量表（VAS）、罗滕疲劳检查表以及情绪状态剖面图（POMS）的简化版。通过病历审核收集了其他被认为会影响疲劳的因素的数据。在完成VAS测评的76人中，有75人（99%）经历了一定程度的疲劳。疲劳的显著相关因素包括疼痛程度和POMS得分。初步研究结果表明，疲劳是一个病因复杂的常见问题，护士在评估疲劳及其对个体的影响时必须考虑潜在的促成因素。
