Fatigue in patients with diabetes: a review.
Fatigue in patients with diabetes: a review.
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DOI：
10.1016/j.jpsychores.2010.01.021
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发表时间：
2010-07
影响因子：
4.7
通讯作者：
Quinn, Laurie
中科院分区：
文献类型：
--
作者：
Fritschi, Cynthia;Quinn, Laurie
在糖尿病患者中，疲劳是一种常见而令人痛苦的主诉，可能会阻碍糖尿病患者执行日常自我管理任务的能力。对有关糖尿病相关疲劳的文献进行了综述，着眼于建立一个框架，以便开始对这一主题进行更有针对性的研究。进行包含糖尿病、疲劳、疲劳和症状等术语的文献搜索，以搜索与糖尿病相关的疲劳的文献。糖尿病出现了许多潜在的疲劳途径，但针对这一症状的重点研究很少。此外，由于疲劳的非特定症状，以及疲劳研究人员尚未就标准化定义、测量或诊断标准达成一致，对糖尿病相关疲劳的研究受到限制。此外，很少有糖尿病随机临床试验在研究设计中包括对患者报告的结果的测量，例如症状或与健康相关的生活质量，尽管有一项研究确实提供了一些有意义的发现，即以症状为重点的教育改善了自我管理实践、糖化血红蛋白水平、生活质量和症状苦恼。有必要对糖尿病疲劳的定义、测量和诊断标准进行标准化。我们提出了一个模型，可以指导对糖尿病疲劳的重点研究。该模型利用了与糖尿病疲劳相关的多维现象(生理、心理和生活方式)。
Fatigue is a common and distressing complaint among people with diabetes, and likely to hinder the ability to perform daily diabetes self-management tasks. A review of the literature about diabetes-related fatigue was conducted with an eye toward creating a framework for beginning to conduct more focused studies on this subject. A literature search containing the terms diabetes, fatigue, tiredness, and symptoms was conducted to search for literature that addressed diabetes-related fatigue. Diabetes presents many potential pathways for fatigue, but focused studies on this symptom are rare. Furthermore, research on diabetes-related fatigue is limited by fatigue's non-specific symptoms and because fatigue researchers have yet to agree on standardized definition, measurement or diagnostic criteria. Additionally, few diabetes randomized clinical trials included measurement of patient-reported outcomes, such as symptoms or health-related quality of life in their study designs, though one that did provided some the meaningful finding that symptom-focused education improved self-management practices, HbA1c levels, quality of life and symptom distress. There is a need to standardized definition, measurement and diagnostic criteria of fatigue in diabetes. We present a model that can guide focused studies on fatigue in diabetes. The model capitalizes on the multidimensional phenomena (physiological, psychological, and lifestyle) associated with fatigue in diabetes.
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