Franc Magdalena, Michalski Bogdan, Kuczerawy Ilona, Szuta Justyna, Skrzypulec-Plinta Violetta
Doctor Studies, Medical Department, Silesia Medical University, Katowice, Poland.
Department of Gynecological Oncology, Women School of Health, Silesia Medical University, Katowice, Poland.
Prz Menopauzalny. 2014 Dec;13(6):352-5. doi: 10.5114/pm.2014.47989. Epub 2014 Dec 30.
Fatigue is one of the most important factors which has a considerable influence on treatment and the life quality of oncological patients. The fatigue syndrome is often diagnosed during cancer treatment and this syndrome is not related to the physical effort. Cancer related fatigue is a patient's subjective, psychologically, physically and emotionally based feeling. It is disproportionate to patient's daily activity. The pathogenesis of this syndrome remains still unknown. However, on the basis of various questionnaires, it is possible to test the disease's complex nature. Cancer related fatigue causes deterioration of patient's life along with lower motivation to struggle with the disease. It is thought that the factor which increases the incidence of cancer related fatigue is a long-term use of drugs such as opioids, benzodiazepine, and medicines containing codeine, tranquilizers, anxiolytics and antidepressants. On the basis of the results, one can choose an appropriate treatment method for cancer related fatigue such as rehabilitation, psychotherapy or public assistance. A great number of patients consider excessive fatigue a typical concomitant symptom in neoplastic disease; therefore, they do not report it. It is of a paramount importance to make patients aware of the fact that cancer related fatigue is a serious disease which can be treated.
疲劳是对肿瘤患者的治疗和生活质量有相当大影响的最重要因素之一。疲劳综合征常在癌症治疗期间被诊断出来，且该综合征与体力活动无关。癌症相关疲劳是患者基于主观心理、身体和情绪的一种感受。它与患者的日常活动不相称。这种综合征的发病机制仍然不明。然而，基于各种问卷调查，可以检测该疾病的复杂性质。癌症相关疲劳会导致患者生活质量下降，同时与疾病抗争的动力降低。人们认为，增加癌症相关疲劳发生率的因素是长期使用阿片类药物、苯二氮䓬类药物、含可待因药物、镇静剂、抗焦虑药和抗抑郁药等。根据结果，可以为癌症相关疲劳选择合适的治疗方法，如康复治疗、心理治疗或社会援助。大量患者认为过度疲劳是肿瘤疾病的典型伴随症状；因此，他们不会报告此事。让患者意识到癌症相关疲劳是一种可治疗的严重疾病这一点至关重要。
