Endocrinology Department, The First People's Hospital of Zunyi, Zunyi, China.
Respiratory Department, The First People's Hospital of Zunyi, Zunyi, China.
West J Nurs Res. 2021 Feb;43(2):172-181. doi: 10.1177/0193945920938636. Epub 2020 Jul 5.
This review aimed to evaluate the level of fatigue in adults with type 2 diabetes measured by the validated Diabetes Symptom Checklist (DSC)and related factors. Ten studies were included. Both DSC (n = 4) and the revised (n = 6) have been used to measure fatigue. When the latter was used (n = 1082), the pooled level of fatigue was 1.77 (on a 0-5 scale). When the former was used (n = 674), the pooled level of fatigue was 1.73 (on a 0-10 scale). Participant demographics (e.g., gender), health information (e.g., BMI), and diabetes-specific factors (e.g., A1C and diabetes distress) were associated with fatigue. Fatigue was negatively related to self-care behaviors. The prevalence of significant fatigue remains unclear due to a lack of a cut-off point of the instrument. Future research is warranted to identify the threshold for clinically significant fatigue and investigate the causal relationship. Nurses are recommended to perform a routine assessment of fatigue.
本综述旨在评估使用经过验证的糖尿病症状检查表（DSC）测量的 2 型糖尿病成人的疲劳程度及其相关因素。共纳入 10 项研究。DSC（n=4）和修订版（n=6）都被用于测量疲劳。当使用后者（n=1082）时，疲劳的汇总水平为 1.77（0-5 分制）。当使用前者（n=674）时，疲劳的汇总水平为 1.73（0-10 分制）。参与者的人口统计学特征（如性别）、健康信息（如 BMI）和糖尿病特定因素（如 A1C 和糖尿病困扰）与疲劳有关。疲劳与自我护理行为呈负相关。由于缺乏工具的截断值，因此尚不清楚显著疲劳的患病率。需要进一步的研究来确定临床显著疲劳的阈值，并探讨因果关系。建议护士常规评估疲劳。
