Pearson Elizabeth J M, Morris Meg E, McKinstry Carol E
La Trobe Rural Health School, College of Science, Health and Engineering, La Trobe University, Bundoora, Victoria, 3086, Australia.
Allied Health, College of Science, Health and Engineering, La Trobe University, Bundoora, Victoria, 3086, Australia.
Support Care Cancer. 2015 Dec;23(12):3521-9. doi: 10.1007/s00520-015-2723-8. Epub 2015 Apr 7.
This study aims to identify the current practices of health professionals in the assessment and treatment of cancer-related fatigue (CRF).
Health professionals working with oncology clients participated in an electronic survey distributed via professional associations and oncology societies.
One hundred twenty-nine professionals from nursing, medical, and allied health disciplines participated in an electronic survey. Overall, there was a perception that CRF was inadequately managed at some facilities. Routine fatigue screening processes in the workplace were reported by more than half of participants; however, less than one quarter used a clinical guideline or conducted in-depth CRF assessments. Awareness of interventions for CRF varied amongst participants with one quarter able to list five appropriate interventions for cancer-related fatigue. Access to services for managing fatigue was inconsistent across service types, with post-treatment triage a high priority for CRF in some organisations yet not others. Participants identified a need for improved guidelines, enhanced expertise and better access to services for people with CRF.
There is a need for further education in CRF management for a range of health disciplines in oncology and additional resources to facilitate translation of CRF guidelines into clinical practice.
本研究旨在确定卫生专业人员在评估和治疗癌症相关疲劳（CRF）方面的当前做法。
与肿瘤患者合作的卫生专业人员参与了通过专业协会和肿瘤学会分发的电子调查。
来自护理、医学和相关卫生学科的129名专业人员参与了电子调查。总体而言，人们认为一些机构对CRF的管理不足。超过一半的参与者报告了工作场所的常规疲劳筛查流程；然而，不到四分之一的人使用临床指南或进行深入的CRF评估。参与者对CRF干预措施的认识各不相同，四分之一的人能够列出五种针对癌症相关疲劳的适当干预措施。不同服务类型在获取疲劳管理服务方面不一致，在一些组织中，治疗后分诊是CRF的高度优先事项，而在其他组织中则不然。参与者认为需要改进指南、提高专业知识水平，并为CRF患者提供更好的服务获取途径。
肿瘤学领域的一系列卫生学科需要进一步接受CRF管理方面的教育，并需要额外的资源来促进将CRF指南转化为临床实践。
