Glaus A
Pflege. 1994 Sep;7(3):183-97.
Fatigue has been described as a major distressing symptom in cancer patients. Its multidimensional concept can not be fully explained yet. The lack of valid, reliable measurement tools is one of the problems which inhibited further development of assessment in nursing as well as medical care. It was the aim of this study to 1) create and test a simple, easy to use Visual Analogue Fatigue Scale, 2) to explore levels and manifestations of fatigue in three sub-samples, 3) to analyse the expression of fatigue and to discern therapeutic, physiological and psychological factors linked with subjective ratings of fatigue. A prospective, non-randomised, descriptive design was used. The study-population included three sub-samples: 20 hospitalised cancer patients, 12 hospitalised patients with chronic inflammatory bowel disease and 30 healthy individuals. Subjects documented their levels and expression of fatigue with a Visual Analogue Fatigue Scale and the Yoshitake Symptom Checklist. Cancer patients demonstrated clearly different symptoms of fatigue than gastroenterology patients and than healthy individuals. Peak-levels of fatigue were highest in healthy individuals but showed different characteristics and impact on wellbeing. Daily fatigue-evolution profiles were subsample-specific and demonstrated the difference between fatigue as a healthy phenomenon and fatigue as a distressing symptom.
疲劳被描述为癌症患者的一种主要痛苦症状。其多维度概念尚未得到充分解释。缺乏有效、可靠的测量工具是阻碍护理及医疗评估进一步发展的问题之一。本研究的目的是：1）创建并测试一种简单易用的视觉模拟疲劳量表；2）探究三个子样本中疲劳的程度及表现；3）分析疲劳的表达，并辨别与疲劳主观评分相关的治疗、生理和心理因素。采用了前瞻性、非随机、描述性设计。研究人群包括三个子样本：20名住院癌症患者、12名住院慢性炎症性肠病患者和30名健康个体。受试者使用视觉模拟疲劳量表和吉武症状清单记录他们的疲劳程度及表现。癌症患者表现出的疲劳症状与胃肠病患者及健康个体明显不同。健康个体的疲劳峰值最高，但具有不同特征及对幸福感的影响。每日疲劳演变情况因子样本而异，显示出作为健康现象的疲劳与作为痛苦症状的疲劳之间的差异。
