Department of Biobehavioral Health Science, College of Nursing, University of Illinois at Chicago, IL 60612, USA.
J Psychosom Res. 2010 Jul;69(1):33-41. doi: 10.1016/j.jpsychores.2010.01.021. Epub 2010 Mar 23.
Fatigue is a common and distressing complaint among people with diabetes and likely to hinder the ability to perform daily diabetes self-management tasks. A review of the literature about diabetes-related fatigue was conducted with an eye toward creating a framework for beginning to conduct more focused studies on this subject.
A literature search containing the terms diabetes, fatigue, tiredness, and symptoms was conducted to search for literature that addressed diabetes-related fatigue.
Diabetes presents many potential pathways for fatigue, but focused studies on this symptom are rare. Furthermore, research on diabetes-related fatigue is limited by fatigue's nonspecific symptoms and because fatigue researchers have yet to agree on standardized definition, measurement, or diagnostic criteria. Additionally, few diabetes randomized clinical trials included measurement of patient-reported outcomes, such as symptoms or health-related quality of life in their study designs, although one that did provided some meaningful finding that symptom-focused education improved self-management practices, Hb(A1c) levels, quality of life, and symptom distress.
There is a need to standardize the definition, measurement, and diagnostic criteria of fatigue in diabetes. We present a model that can guide focused studies on fatigue in diabetes. The model capitalizes on the multidimensional phenomena (physiological, psychological, and lifestyle) associated with fatigue in diabetes.
疲劳是糖尿病患者常见且令人痛苦的主诉，可能会妨碍其执行日常糖尿病自我管理任务的能力。本文对糖尿病相关疲劳的文献进行了回顾，以期为更深入地研究这一主题奠定基础。
使用“糖尿病、疲劳、疲倦、症状”等术语进行文献检索，以查找针对糖尿病相关疲劳的文献。
糖尿病可能通过多种途径导致疲劳，但针对这一症状的针对性研究较为少见。此外，由于疲劳症状无特异性，且疲劳研究人员尚未就标准化定义、测量或诊断标准达成一致，因此针对糖尿病相关疲劳的研究受到限制。此外，尽管有一项糖尿病随机临床试验在其研究设计中包含了患者报告的结局（如症状或健康相关生活质量）的测量，但很少有糖尿病随机临床试验这样做，而该研究提供了一些有意义的发现，即症状为导向的教育改善了自我管理实践、HbA1c 水平、生活质量和症状困扰。
有必要对糖尿病患者疲劳的定义、测量和诊断标准进行标准化。我们提出了一个可以指导糖尿病患者疲劳研究的模型。该模型利用了与糖尿病相关疲劳相关的多维现象（生理、心理和生活方式）。
