Fatigue in cancer patients.

Fatigue in cancer patients.
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DOI:
10.1038/bjc.1993.319
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发表时间:
1993-08
影响因子:
8.8
通讯作者:
DEHAES, JCJM
DEHAES, JCJM
中科院分区:
医学1区
文献类型:
--
作者:
SMETS, EMA;GARSSEN, B;SCHUSTERUITTERHOEVE, ALJ;DEHAES, JCJM

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In this paper an overview is presented on what is currently known of fatigue in cancer. Fatigue is considered to be a multi-dimensional concept, that should be measured as such. However, fatigue has been assessed mostly by single items in general symptom checklists. The few specific instruments that have been used in cancer patient populations are discussed. The majority of cancer patients, about 70%, report feelings of fatigue during radio- or chemotherapy. Follow-up results show that, at least for some diagnoses, patients remain fatigued long after treatment has ended. Somatic and psychological mechanisms that have been proposed to explain fatigue are discussed. It is argued that the significance of the results obtained on fatigue as a symptom in cancer depends on comparison with other patient and non-patient populations. Also the occurrence of a response-shift has to be considered, leading to under reporting of fatigue. Finally, possible interventions to decrease feelings of fatigue are presented.
DOI: 10.1038/bjc.1990.434
发表时间: 1990-12
影响因子: 8.8
作者:
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期刊: CANCER NURSING
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DOI: 10.1016/0277-5379(91)90295-o
发表时间: 1991-01-01
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