Academic Rheumatology, Bristol Royal Infirmary, Bristol, UK; Department of Nursing and Midwifery, University of the West of England, Bristol, UK.
Department of Allied Health Professionals, University of the West of England, Bristol, UK.
Best Pract Res Clin Rheumatol. 2020 Apr;34(2):101526. doi: 10.1016/j.berh.2020.101526. Epub 2020 May 27.
Fatigue is highly prevalent in inflammatory arthritis, and people living with the symptom have described it as overwhelming and a challenge to manage. In this article, we explore the experience, impact and non-pharmacological management of fatigue from a multi-disciplinary perspective. We start by presenting qualitative evidence from people living with fatigue, including the physical, cognitive and emotional nature of the symptom and its impact on daily life. This is followed by discussion of current conceptual models of mechanisms and factors that may cause and maintain fatigue, within and between individuals. We then address the issue of fatigue measurement and modes of assessment, which is an integral aspect of management and evaluating support provision. This leads to a review of the research evidence for non-pharmacological interventions to reduce fatigue severity and impact. Finally, we consider implementation of this evidence in clinical practice and we introduce some key practical tools and techniques.
疲劳在炎症性关节炎中非常普遍，有这种症状的人形容它令人难以承受，难以管理。在本文中，我们从多学科的角度探讨了疲劳的体验、影响和非药物管理。我们首先介绍了来自患有疲劳症的人的定性证据，包括症状的身体、认知和情绪性质及其对日常生活的影响。其次，我们讨论了当前可能导致和维持个体内部和之间疲劳的机制和因素的概念模型。然后，我们解决了疲劳测量和评估模式的问题，这是管理和评估支持提供的一个组成部分。这导致了对减轻疲劳严重程度和影响的非药物干预措施的研究证据的审查。最后，我们考虑在临床实践中实施这一证据，并介绍了一些关键的实用工具和技术。
