Fatigue and weakness in cancer patients: the symptoms experience.

Fatigue and weakness in cancer patients: the symptoms experience.
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DOI:
10.1016/s0749-2081(05)80008-7
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发表时间:
1995-11-01
影响因子:
2.2
通讯作者:
Winningham, M L
Winningham, M L
中科院分区:
医学4区
文献类型:
--
作者:
Nail, L M;Winningham, M L

文献摘要

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目标:为了区分疲劳和虚弱和审查症状管理,并建议方向的研究和practice.DATA SOURCES:文章和书籍章节有关疲劳和weakness.CONCLUSIONS:疲劳和虚弱是重要的,但长期被忽视的症状,和相对较少的努力已投入到开发技术,以减轻这些症状。需要研究来区分这些概念,确定疲劳和虚弱之间的关系,描述其原因,并制定旨在预防和治疗这些症状的干预措施。早期评估风险因素、活动性和感觉问题,和通常的活动水平将有助于确定哪些患者可能受益于护理干预或转介职业或物理治疗。重要的是要反复评估这些症状与治疗,情境变化,用于管理其他症状的干预措施和肿瘤进展的关系。制定临床指南和干预策略将大大有助于患者的功能独立性和生活质量。
OBJECTIVES: To distinguish between fatigue and weakness and review symptom management for both and to suggest directions for research and practice.DATA SOURCES: Articles and book chapters pertaining to fatigue and weakness.CONCLUSIONS: Fatigue and weakness are important but long-neglected symptoms, and comparatively little effort has been invested in developing techniques to mitigate these symptoms. Research is needed to differentiate between these concepts, to determine the relation between fatigue and weakness, to delineate their causes, and to develop interventions aimed at the prevention and treatment of these symptoms.IMPLICATIONS FOR NURSING PRACTICE: Early assessment of risk factors, mobility and sensory problems, and usual level of activity will help identify those patients who may benefit from nursing interventions or referrals for occupational or physical therapy. It is important to repeatedly evaluate these symptoms in relation to treatment, situational changes, interventions used to manage other symptoms, and tumor progression. Developing clinical guidelines and intervention strategies will contribute greatly to the functional independence and the quality of life of patients.