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[癌症相关疲劳。心理社会支持]

[Cancer-related fatigue. Psychosocial support].

作者信息

de Vries U, Reif K, Petermann F

机构信息

Zentrum für Klinische Psychologie und Rehabilitation, Universität Bremen, Bremen.

出版信息

Urologe A. 2012 Mar;51(3):413-20; quiz 421. doi: 10.1007/s00120-012-2844-3.

DOI:10.1007/s00120-012-2844-3
PMID:22399113
Abstract

Cancer-related fatigue is a subjective sensation of uncontrollable physical, emotional and/or cognitive tiredness and weakness, which occurs in the context of cancer or cancer-treatment. Cancer-related fatigue occurs at all stages of cancer treatment and can persist long after medical treatment. It profoundly affects patients' quality of life and limits their personal, social, and occupational lives. Cancer-related fatigue is also associated with significant levels of distress, and it imposes financial burdens by limiting a patient's ability to work. Current psychosocial interventions with strong or sufficient evidence include physical training, cognitive-behavioral training, relaxation techniques, psychoeducation and patient education. This article gives an overview of currently available psychosocial interventions and information on their implementation.

摘要

癌症相关疲劳是一种主观上无法控制的身体、情绪和/或认知上的疲倦与虚弱感,它发生在癌症或癌症治疗过程中。癌症相关疲劳在癌症治疗的各个阶段都会出现,并且在治疗结束后可能会持续很长时间。它会严重影响患者的生活质量,限制他们的个人、社交和职业生活。癌症相关疲劳还与显著的痛苦程度相关联,并且由于限制了患者的工作能力而带来经济负担。目前有充分或有力证据支持的心理社会干预措施包括体育锻炼、认知行为训练、放松技巧、心理教育和患者教育。本文概述了当前可用的心理社会干预措施及其实施信息。

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本文引用的文献

1
[Chronic fatigue in cancer patients].[癌症患者的慢性疲劳]
Med Klin (Munich). 2010 Nov;105(11):779-86. doi: 10.1007/s00063-010-1132-5. Epub 2010 Dec 7.
2
Effect of pretreatment distress on daily fatigue after chemotherapy for breast cancer.预处理困扰对乳腺癌化疗后日常疲劳的影响。
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Outcomes of a cancer-related fatigue clinic in a comprehensive cancer center.综合性癌症中心中癌症相关性疲劳诊所的结果。
J Pain Symptom Manage. 2010 Apr;39(4):691-701. doi: 10.1016/j.jpainsymman.2009.09.010. Epub 2010 Mar 11.
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Exercise and cancer rehabilitation: a systematic review.运动与癌症康复:系统综述。
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Cancer-related fatigue and its associations with depression and anxiety: a systematic review.癌症相关性疲劳及其与抑郁和焦虑的关系:系统综述。
Psychosomatics. 2009 Sep-Oct;50(5):440-7. doi: 10.1176/appi.psy.50.5.440.
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Psychosocial interventions for reducing fatigue during cancer treatment in adults.成人癌症治疗期间减轻疲劳的心理社会干预措施。
Cochrane Database Syst Rev. 2009 Jan 21;2009(1):CD006953. doi: 10.1002/14651858.CD006953.pub2.
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Cancer-related fatigue: a systematic and meta-analytic review of non-pharmacological therapies for cancer patients.癌症相关疲劳:癌症患者非药物治疗的系统评价与荟萃分析
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Exercise for the management of cancer-related fatigue in adults.成人癌症相关疲劳管理的运动疗法
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9
Mechanisms of cancer-related fatigue.癌症相关疲劳的机制。
Oncologist. 2007;12 Suppl 1:22-34. doi: 10.1634/theoncologist.12-S1-22.
10
The course of severe fatigue in disease-free breast cancer patients: a longitudinal study.无病乳腺癌患者严重疲劳的病程:一项纵向研究。
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