D'Silva Fatima, Javeth Athar, Singh Pritanjali
Department of Medical Surgical Nursing, Nitte Usha Institute of Nursing Sciences, NITTE (Deemed to Be University), Mangalore, Karnataka, India.
Department of Medical Surgical Nursing, College of Nursing, Patna, Bihar, India.
Indian J Palliat Care. 2022 Jan-Mar;28(1):88-98. doi: 10.25259/IJPC_455_20. Epub 2022 Jan 15.
Cancer-related fatigue (CRF) is one of the most frequent and prevalent symptoms expressed by cancer patients and cancer survivors. It is a multifactorial phenomenon that causes a direct detrimental impact on quality of life.
This systematic review aims to identify different clinical evaluation scales and interventions available for fatigue associated with cancer.
A methodology of the systematic literature review was carried out. Two separate databases PubMed and Google Scholar searches were performed using different MeSH terms.
A total of 2611 research articles were screened and identified 10 unidimensional scales (four with one item scales and six with numerous item scales) and 13 multidimensional scales which are available for the screening and clinical evaluation of fatigue. Reviews have also revealed non-pharmacological interventions such as exercise, complementary therapies, nutritional and psychoeducational interventions, sleep therapy, energy therapy, bright white light, restorative therapies upcoming anthroposophical medicine, and various pharmacological agents effective in managing CRF.
Clinical evaluation of fatigue and its management is crucial for improving the quality of life. Yet, more rigorous research studies with higher statistical power need to be conducted on these interventions to generate adequate evidences for managing the CRF.
癌症相关疲劳（CRF）是癌症患者和癌症幸存者最常出现和普遍存在的症状之一。它是一种多因素现象，对生活质量有直接的不利影响。
本系统评价旨在确定可用于癌症相关疲劳的不同临床评估量表和干预措施。
采用系统文献综述方法。使用不同的医学主题词在两个独立的数据库PubMed和谷歌学术中进行检索。
共筛选出2611篇研究文章，确定了10个单维度量表（4个单项量表和6个多项量表）和13个多维度量表，可用于疲劳的筛查和临床评估。综述还揭示了非药物干预措施，如运动、补充疗法、营养和心理教育干预、睡眠疗法、能量疗法、明亮白光、即将出现的人智学医学康复疗法，以及各种有效管理CRF的药物制剂。
疲劳的临床评估及其管理对于提高生活质量至关重要。然而，需要对这些干预措施进行更严格、具有更高统计学效力的研究，以产生足够的证据来管理CRF。
