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测量疲劳:元综述。

Measuring fatigue: a meta-review.

机构信息

Division of Dermatology, Women's College Hospital, Toronto, Ontario, Canada.

Division of Dermatology, Department of Medicine, University of Toronto, Toronto, Ontario, Canada.

出版信息

Int J Dermatol. 2021 Sep;60(9):1053-1069. doi: 10.1111/ijd.15341. Epub 2020 Dec 10.

Abstract

There is a lack of validated tools to measure fatigue in patients with inflammatory skin, neuropsychiatric, and medical disorders. The use of nonvalidated tools may compromise the quality of data. The purpose of this meta-review was to evaluate existing fatigue scales commonly used to assess fatigue in other inflammatory conditions and to identify if there are scales that have been validated in dermatologic conditions. The PubMed/MEDLINE and SCOPUS databases were systematically searched from inception through March 10, 2020, in accordance with the PRISMA statement. Validated tools were identified and assessed according to their main measurement properties. The literature search identified 403 references, and eight studies were eligible and assessed in this review. The unidimensional fatigue scales included were the Functional Assessment of Chronic Illness Therapy - Fatigue (FACIT-F), Brief Fatigue Inventory, Fatigue Severity Scale, Numerical Rating Scale - Fatigue, and Visual Analog Scale - Fatigue. The multidimensional fatigue scales found were the Checklist Individual Strength, Chalder Fatigue Scale, Multidimensional Assessment of Fatigue, Multidimensional Fatigue Inventory Scale, and Piper Fatigue Scale. To measure fatigue, a brief scale with the ability to detect change is needed as there is a growing interest in evaluating this dimension of treatment response. In addition, a good content validity is also needed. From this systematic review, none of the selected scales have had content validation, even though the FACIT was validated in patients with psoriatic arthritis. Validation studies in specific disorders are urgently warranted.

摘要

目前缺乏用于评估炎症性皮肤、神经精神和内科疾病患者疲劳的经验证工具。使用未经验证的工具可能会影响数据质量。本荟萃回顾的目的是评估目前常用于评估其他炎症性疾病患者疲劳的常用疲劳量表,并确定是否有已在皮肤科疾病中验证的量表。根据 PRISMA 声明,从创建至 2020 年 3 月 10 日,系统地检索了 PubMed/MEDLINE 和 SCOPUS 数据库。根据其主要测量特性对经验证的工具进行了识别和评估。文献检索确定了 403 篇参考文献,其中 8 项研究符合本综述的纳入标准并进行了评估。所纳入的单维度疲劳量表包括慢性疾病治疗功能评估 - 疲劳量表(FACIT-F)、简短疲劳量表、疲劳严重程度量表、疲劳数字评定量表和疲劳视觉模拟量表。发现的多维度疲劳量表包括个体力量检查表、Chalder 疲劳量表、疲劳多维评估、多维疲劳量表和 Piper 疲劳量表。为了评估疲劳,需要使用能够检测变化的简短量表,因为人们越来越感兴趣于评估治疗反应的这一维度。此外,还需要具有良好的内容效度。从这项系统回顾中可以看出,即使 FACIT 在银屑病关节炎患者中得到了验证,所选量表中也没有一个具有内容效度。迫切需要针对特定疾病进行验证研究。

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