The rapid assessment of fatigue severity in cancer patients - Use of the brief fatigue inventory

The rapid assessment of fatigue severity in cancer patients - Use of the brief fatigue inventory
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DOI:
10.1002/(sici)1097-0142(19990301)85:5
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发表时间:
1999-03-01
期刊:
影响因子:
6.2
通讯作者:
Huber, SL
Huber, SL
中科院分区:
医学1区
文献类型:
--
作者:
Mendoza, TR;Wang, XS;Huber, SL

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背景资料。疲劳是癌症患者的主要疾病和治疗负担。已经创建了几个量表来衡量疲劳,但许多量表很长,对病情严重的患者来说很难完成,或者对非英语患者来说很难翻译。用于临床筛查和临床试验的快速评估疲劳严重程度的简明疲劳量表。方法:该研究连续招募了305名成年癌症住院患者和门诊患者,他们能够理解和完成研究中使用的自我报告测量。研究人员还对290名居住在社区的成年人进行了同样的测试,以获得比较样本。研究人员填写了一份表格,指出了癌症的主要部位和阶段,对患者的东方合作肿瘤学小组的表现状态进行了评级,描述了疼痛的特征,并描述了目前提供给患者的疼痛治疗。结果:BFI被证明是一种内部稳定(可靠)的测量方法,它只涉及一个维度,最好地解释为疲劳的严重程度。它与类似的疲劳指标高度相关。超过98%的患者能够完成它。确定了定义严重疲劳的一系列评分。结论:BFI是一种可靠的工具,可以快速评估癌症患者的疲劳程度,并识别那些严重疲劳的患者。癌症杂志1999;85:1186-96。(C)1999年美国癌症协会。
BACKGROUND. Fatigue is a major disease and treatment burden for cancer patients. Several scales have been created to measure fatigue, but many are long and difficult for very ill patients to complete, or they are not easy to translate for non-English speaking patients. The Brief Fatigue Inventory was developed for the rapid assessment of fatigue severity for use in both clinical screening and clinical trials.METHODS. The study enrolled 305 consecutive, consenting adult inpatients and outpatients with cancer who could understand and complete the self-report measures used in the study. The same instruments also were administered to 290 community-dwelling adults to obtain a comparison sample. Research staff completed a form that indicated the primary site and stage of the cancer, rated the Eastern Cooperative Oncology Group performance status of the patient, described the characteristics of the pain, and described the current pain treatment being provided to the patients.RESULTS. The BFI was shown to be an internally stable (reliable) measure that tapped a single dimension, best interpreted as severity of fatigue. It correlated highly with similar fatigue measures. Greater than 98% of patients were able to complete it. A range of scores defining severe fatigue was identified.CONCLUSIONS. The BFI is a reliable instrument that allows for the rapid assessment of fatigue level in cancer patients and identifies those patients with severe fatigue. Cancer 1999;85:1186-96. (C) 1999 American Cancer Society.