Cancer-Related Fatigue in Cancer Survivorship
Cancer-Related Fatigue in Cancer Survivorship
复制标题
癌症幸存者中的癌症相关疲劳
DOI：
10.1016/j.mcna.2017.06.007
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发表时间：
2017-11-01
影响因子：
5.9
通讯作者：
Escalante, Carmen P.
中科院分区：
文献类型：
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作者：
Ebede, Chidinma C.;Jang, Yongchang;Escalante, Carmen P.
癌症相关性疲劳（CRF）由于身体、情绪和认知疲惫的痛苦感而显著干扰日常功能。CRF的评估很重要，应在最初的癌症诊断期间、整个癌症治疗期间和治疗后使用疲劳评分量表（轻度-重度）进行。CRF管理的一般方法适用于所有疲劳水平的癌症幸存者，包括教育，咨询和其他策略。非药物干预包括心理社会干预、锻炼、瑜伽、物理治疗、饮食管理和睡眠治疗。药物干预包括精神兴奋剂。当CRF伴有抑郁症时，抗抑郁药也可能受益。
Cancer-related fatigue (CRF) significantly interferes with usual functioning because of the distressing sense of physical, emotional, and cognitive exhaustion. Assessment of CRF is important and should be performed during the initial cancer diagnosis, throughout cancer treatment, and after treatment using a fatigue scoring scale (mild-severe). The general approach to CRF management applies to cancer survivors at ail fatigue levels and includes education, counseling, and other strategies. Nonpharmacologic interventions include psychosocial interventions, exercise, yoga, physically based therapy, dietary management, and sleep therapy. Pharmacologic interventions include psychostimulants. Antidepressants may also benefit when CRF is accompanied by depression.