Longitudinal screening and management of fatigue, pain, and emotional distress associated with cancer therapy
Longitudinal screening and management of fatigue, pain, and emotional distress associated with cancer therapy
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DOI：
10.1007/s00520-007-0291-2
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发表时间：
2008-02-01
影响因子：
3.1
通讯作者：
Cella, David
中科院分区：
文献类型：
--
作者：
Butt, Zeeshan;Wagner, Lynne I.;Cella, David
工作目标疲劳、疼痛和情绪困扰是癌症患者的常见症状。我们试图了解患者对这些症状的看法及其治疗方法。材料和方法在基线评估和两个月的随访评估中，我们通过标准化问卷和半结构化访谈询问了实体瘤或淋巴瘤患者的不同样本（N=99），包括他们的疲劳、疼痛和痛苦、对这些症状的治疗以及对治疗的满意度。在这项观察性研究中，患者报告疲劳、疼痛、情绪困扰和总体生活质量达到预期水平。在所有的评估中，至少有一半的样本经历了至少一些疲劳、疼痛或痛苦。总的来说，患者和医生确实就这些问题进行了沟通，至少75%的患者发现这些讨论对他们有帮助。结论改善症状识别和沟通可以优化对因症状负担过重而有发病风险和生活质量下降的患者的检测。
Goals of work Fatigue, pain, and emotional distress are common symptoms among patients with cancer. We sought to learn about patient perceptions of these symptoms and their treatment.Materials and methods At a baseline assessment and two monthly follow-up assessments, we asked a diverse sample of patients with solid tumor or lymphoma (N=99) about their fatigue, pain and distress, their treatment for these symptoms, and their satisfaction with treatment via standardized questionnaires and semistructured interviews.Main results In this observational study, patients reported fatigue, pain, emotional distress, and general quality of life at expected levels. Across all assessments, at least half of our sample experienced at least some fatigue, pain, or distress. On the whole, patients and providers do communicate about these concerns, and at least 75% of patients found these discussions helpful when they occurred.Conclusions Improved symptom identification and communication may optimize the detection of those at risk of morbidity and decreased quality of life because of excess symptom burden.