摘要
背景 慢性阻塞性肺疾病(COPD)是全球性的公共卫生问题,其发生率和死亡率逐年升高。疲劳是COPD患者常见主诉之一,对COPD患者生存质量产生严重的负面影响。目的 对COPD患者疲劳的研究现状、评估工具、影响因素进行范围综述,为制定个性化的干预方法提供思路。方法 采用范围综述研究框架,在Web of Science、PubMed、EmBase、CINAHL、ProQuest、the Cochrane Library、中国知网、万方数据知识服务平台、维普网、中国生物医学数据库中,检索并筛选有关COPD患者疲劳的文献,检索时限为建库至2022年7月。根据纳入和排除标准确定相关文献,并对文献进行数据提取、收集、总结并报告研究结果。结果 共纳入52篇文献。研究结果显示COPD患者疲劳的评估工具种类繁多,但总体上缺乏多维性和特异性评估工具。研究中较为常用的工具为慢性病治疗疲劳功能评估量表(FACIT)和疲劳程度量表(FSS)。患者疲劳发生率、持续时间和严重程度在不同研究结果之间存在一定差异。疲劳的主要影响因素包括社会人口学因素、疾病相关因素、躯体因素及心理因素。结论 疲劳是COPD患者的重要症状,严重影响患者的生存质量,临床医护人员须采用特异性的研究工具对其进行准确评估,并根据影响因素制定个性化的干预措施,以帮助患者改善疲劳症状。
Background Chronic obstructive pulmonary disease(COPD)is a global public health problem with increasing incidence and mortality. Fatigue is a common complaint of COPD patients,which seriously impairs the quality of life. Objective To conduct a scoping review of current research status and tools about fatigue as well as fatigue-related factors in COPD,providing ideas for the development of relevant individualized intervention schemes. Methods Methodological framework was used. Studies on fatigue in COPD were searched from databases of Web of Science,PubMed,EmBase,CINAHL,ProQuest,the Cochrane Library,CNKI,WanFang,CQVIP,and SinoMed from inception to July 2022,and enrolled according to the inclusion and exclusion criteria. Relevant data were extracted,collected,summarized and reported.Results A total of 52 studies were included. Taken overall,a wide variety of assessment tools for fatigue in COPD featured by lack of multidimensionality and specificity were used,among which common were the Functional Assessment of Chronic Illness Therapy and the Fatigue Severity Scale. There were certain disparities in the incidence,duration,and severity of fatigue in COPD across studies. The main influencing factors of fatigue include sociodemographic factors,COPD-related factors,somatic factors,and psychological factors. Conclusion As fatigue is a major symptom that seriously declines the quality of life in COPD patients,clinical care providers need to use specific tools to accurately assess fatigue,and to develop individualized interventions to improve fatigue according to its influencing factors.
作者
王通
权海善
田博文
李莹
崔倩倩
刘瑶
朱花花
WANG Tong;QUAN Haishan;TIAN Bowen;LI Ying;CUI Qianqian;LIU Yao;ZHU Huahua(School of Nursing,Yanbian University,Yanji 133000,China)
出处
《中国全科医学》
CAS
北大核心
2023年第7期893-902,共10页
Chinese General Practice
关键词
肺疾病
慢性阻塞性
疲劳综合征
慢性
研究现况
评估工具
影响因素分析
范围综述
Pulmonary disease
chronic obstructive
Fatigue syndrome
chronic
Research status
Assessment tools
Root cause analysis
Scoping review
