Glaus A
Medizinische Klinik C, Kantonsspital, St. Gallen, Switzerland.
Support Care Cancer. 1993 Nov;1(6):305-15. doi: 10.1007/BF00364968.
Fatigue is a very complex phenomenon. It has been described as a major distressing symptom in cancer patients. It is a multidimensional experience that focuses not only on biochemical or pathophysiological causes, but also involves psychological and behavioural aspects. Until today, measurement of fatigue has been a neglected topic in medicine and nursing and a nihilistic attitude still prevails. The lack of valid, reliable tools of measurement is one of the problems inhibiting further research. Only recently has quality-of-life research begun to acknowledge this phenomenon and include fatigue in assessment. In this study, fatigue was measured and explored in cancer patients non-cancer patients and in healthy individuals. A clear distinction evolved between "healthy" fatigue in healthy individuals and "unhealthy" fatigue in cancer patients, where the impact of fatigue was far more negative. Characteristic fatigue profiles underlined these findings. The new visual-analogue fatigue scale, to measure fatigue four times daily, proved to be very useful. Further research is needed to develop therapeutic strategies and to support the patients who have to cope with this distressing symptom.
疲劳是一种非常复杂的现象。它被描述为癌症患者的主要痛苦症状。这是一种多维度的体验，不仅关注生化或病理生理原因，还涉及心理和行为方面。直到如今，疲劳的测量在医学和护理领域一直是一个被忽视的话题，虚无主义态度仍然盛行。缺乏有效、可靠的测量工具是阻碍进一步研究的问题之一。直到最近，生活质量研究才开始认识到这一现象并将疲劳纳入评估。在本研究中，对癌症患者、非癌症患者和健康个体的疲劳进行了测量和探究。健康个体的“健康”疲劳与癌症患者的“不健康”疲劳之间出现了明显区别，其中疲劳的影响更为负面。特征性疲劳概况强调了这些发现。新的视觉模拟疲劳量表，每天测量四次疲劳，被证明非常有用。需要进一步研究以制定治疗策略并支持那些必须应对这种痛苦症状的患者。
