癌症患者的乏力状况调查及影响因素

Assessment of Fatigue and Fatigue-related Factors in Cancer Patients

摘要: 目的调查癌症患者乏力的发生率及发生程度,研究癌症相关性乏力的影响因素,初步探讨减轻乏力的可能方法。方法用简明乏力量表(BriefInventory,BFI)及附表,调查286例癌症患者,评估乏力程度及相关症状,分析乏力程度影响因素。结果乏力发生率90.21%(258/286),以中、重度乏力为主77.97%(223/286)。疼痛和焦虑是最常见的乏力相关症状。血红蛋白、血清白蛋白、血清肌酐、白细胞及中性粒细胞计数与乏力程度有显著相关性(P<0.05)。结论乏力在癌症患者中有较高的发生率,重视乏力相关症状如疼痛、焦虑等的处理,加强患者的营养支持,对于减轻癌症患者的乏力,改善他们的生活质量可能有所帮助。

Abstract: Objective To study the incidence and degree of cancer-related fatigue, analyze its influential factors and bring forward some practical resolving measures. Methods 286 cancer patients were surveyed with the Brief Inventory(BFI)and its supplemental scale. The incidence and degree of cancer-related fatigue and its influential factors were analyzed. Results 258 of 286 cases ( 90.21% ) had different degree of fatigue. Pain and anxiety occurred the most frequently as fatigue associated symptoms. Hemoglobin, albu...