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癌症相关疲劳的治疗:综述。

Cancer-related fatigue treatment: An overview.

机构信息

Department of Biomedical Engineering, The University of Texas at Arlington, Arlington 76019, TX, United States of America.

Department for Management of Science and Technology Development, Ton Duc Thang University, Ho Chi Minh City, Vietnam; Faculty of Applied Sciences, Ton Duc Thang University, Ho Chi Minh City, Vietnam; IJN-UTM Cardiovascular Engineering Centre, Faculty of Biosciences and Medical Engineering, Universiti Teknologi Malaysia, Skudai 81300, Johor, Malaysia.

出版信息

J Cancer Res Ther. 2017 Oct-Dec;13(6):916-929. doi: 10.4103/jcrt.JCRT_50_17.

Abstract

Cancer-related fatigue is a symptom of cancer where most patients or the general practitioners tend to misinterpret due to the insufficient understanding or knowledge of cancer-related fatigue (CRF). This paper will provide a better perspective for the patients and the health professionals on how to manage and handle CRF for both mild and severe fatigue patients. Articles were selected from the searches of PubMed database that had the terms "randomized controlled trials," "cancer," "fatigue," "pharmacologic treatment," and "nonpharmacologic treatment" using both Mesh terms and keywords. The authors have reviewed the current hypothesis and evidence of the detailed etiology of the CRF present in the literature for healthier management, directives, and strategies to improve the treatment of cancer-related fatigue. An algorithm has been blueprinted on screening, and management, of the CRF, and various kinds of effective treatments and assessment tools have been briefly studied and explained. Although many strategies seemed promising, the quality of randomized controlled trials is generally quite low in studies, making it difficult to draw conclusions about the effectiveness of each self-care strategies. Therefore, future studies require better design and reporting of methodological issues to ensure evidence-based self-care recommendations for people receiving cancer treatment.

摘要

癌症相关疲劳是癌症的一种症状,由于对其认识或了解不足,大多数患者或全科医生往往会对其产生误解。本文将为患者和医疗专业人员提供一个更好的视角,介绍如何管理和应对癌症相关疲劳,包括轻度和重度疲劳患者。文章通过使用医学主题词(Mesh)和关键词,从PubMed数据库搜索中选取,搜索词包括“随机对照试验”“癌症”“疲劳”“药物治疗”和“非药物治疗”。作者回顾了文献中关于癌症相关疲劳详细病因的当前假说和证据,以实现更健康的管理、指导方针和策略,从而改善癌症相关疲劳的治疗。文中还规划了癌症相关疲劳的筛查和管理算法,并简要研究和解释了各种有效的治疗方法和评估工具。尽管许多策略看起来很有前景,但研究中随机对照试验的质量普遍较低,难以得出关于每种自我护理策略有效性的结论。因此,未来的研究需要更好地设计和报告方法学问题,以确保为接受癌症治疗的患者提供基于证据的自我护理建议。

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