Kjerulff K H, Langenberg P W
Department of Epidemiology and Preventive Medicine, School of Medicine, University of Maryland at Baltimore 21201, USA.
Med Care. 1995 Apr;33(4 Suppl):AS156-63.
In a study of the outcomes of hysterectomy, 1,205 patients rated their fatigue levels via three single-item measures and the Profile of Mood States (POMS) Fatigue Scale. The single-item fatigue measures asked patients to indicate how often they were tired during the day, how often feeling tired had prevented them from doing what they wanted to do, and how big a problem feeling tired was for them. All four measures of fatigue were found to be correlated with pain, activity limitation, and psychological dysfunction, although the POMS Fatigue Scale was more strongly related to psychological dysfunction than the other fatigue measures. All four measures indicated substantial relief from fatigue 6 months after hysterectomy among the participants in this study. Patients who remained or became fatigued by 6 months posthysterectomy had more physician contacts than those not fatigued, and were less satisfied with the results of the surgery. Fatigue was found to be a useful outcome measure of medical treatment. Each of the fatigue measures examined provided unique and useful information, with no one fatigue measure proving to be substantially superior to the others.
在一项关于子宫切除术结果的研究中，1205名患者通过三项单项指标以及情绪状态量表（POMS）疲劳量表对自己的疲劳程度进行了评估。单项疲劳指标要求患者指出他们白天感到疲倦的频率、感到疲倦妨碍他们做想做之事的频率，以及感到疲倦对他们来说是多大的问题。研究发现，所有四项疲劳指标均与疼痛、活动受限和心理功能障碍相关，尽管与其他疲劳指标相比，POMS疲劳量表与心理功能障碍的关联更为紧密。所有四项指标均显示，本研究中的参与者在子宫切除术后6个月时疲劳状况得到了显著缓解。子宫切除术后6个月仍感到疲劳或变得疲劳的患者比未感到疲劳的患者看医生的次数更多，对手术结果的满意度也更低。研究发现，疲劳是医疗治疗的一个有用的结果指标。所考察的每一项疲劳指标都提供了独特且有用的信息，没有一项疲劳指标被证明明显优于其他指标。
