Alsén Pia, Brink Eva, Brändström Yvonne, Karlson Björn W, Persson Lars-Olof
Department of Nursing, Health and Culture, University West, Trollhättan, Sweden.
Int J Nurs Pract. 2010 Aug;16(4):326-34. doi: 10.1111/j.1440-172X.2010.01848.x.
Fatigue and depressive symptoms are relatively common among patients recovering from myocardial infarction (MI). The symptoms of depression and fatigue overlap. The present study aimed at identifying patient fatigue and at examining the incidence of fatigue, particularly without coexisting depression, after MI. The sample comprised 204 consecutive patients who had completed the questionnaires Hospital Anxiety and Depression Scale and the Multidimensional Fatigue Inventory-20 after MI (1 week and 4 months). The results showed that fatigue had decreased after 4 months compared with the time of MI onset. Compared with the general population, patients reported significantly higher levels of fatigue. Furthermore, fatigue was associated with depression, but 33% of the sample reported fatigue without coexisting depression after 4 months. In order to prevent or treat patients' symptoms of fatigue after MI, the concepts of fatigue and depression should be assessed separately so as to exclude overlapping effects.
疲劳和抑郁症状在心肌梗死（MI）康复患者中相对常见。抑郁和疲劳症状相互重叠。本研究旨在识别患者的疲劳状况，并检查心肌梗死后疲劳的发生率，尤其是不存在并发抑郁的情况。样本包括204例连续的患者，他们在心肌梗死后（1周和4个月）完成了医院焦虑抑郁量表和多维疲劳量表-20问卷。结果显示，与心肌梗死发病时相比，4个月后疲劳有所减轻。与普通人群相比，患者报告的疲劳水平显著更高。此外，疲劳与抑郁相关，但4个月后33%的样本报告存在疲劳且无并发抑郁。为了预防或治疗心肌梗死后患者的疲劳症状，应分别评估疲劳和抑郁的概念，以排除重叠效应。
