Cancer-related fatigue in patients before and after radical prostatectomy. Results of a prospective multi-centre study

被引：11
|
作者：
Koehler, Norbert [1 ]
Gansera, Lutz [1 ]
Holze, Sigrun [2 ]
Friedrich, Michael [1 ]
Rebmann, Udo [3 ]
Stolzenburg, Jens-Uwe [2 ]
Truss, Michael C. [4 ]
Fahlenkamp, Dirk [5 ]
Scholz, Hans-Joerg [6 ]
Braehler, Elmar [1 ]
机构：
[1] Univ Leipzig, Dept Med Psychol & Med Sociol, D-04103 Leipzig, Germany
[2] Univ Leipzig, Dept Urol, D-04103 Leipzig, Germany
[3] Diakonissenkrankenhaus Dessau, Dept Urol, Dessau Rosslau, Germany
[4] Klinikum Dortmund, Dept Urol, Dortmund, Germany
[5] Zeisigwaldkliniken Bethanien Chemnitz, Dept Urol, Chemnitz, Germany
[6] Asklepios Klin Weissenfels, Dept Urol, Weissenfels, Germany
来源：
SUPPORTIVE CARE IN CANCER | 2014年 / 22卷 / 11期
关键词：
Prostatectomy; Fatigue; Psychological distress; QUALITY-OF-LIFE; HOSPITAL ANXIETY; DEPRESSION SCALE; PREVALENCE; INSTRUMENT; VALIDITY;
D O I：
10.1007/s00520-014-2265-5
中图分类号：
R73 [肿瘤学];
学科分类号：
100214 ;
摘要：
A multi-centre, longitudinal study was conducted to assess the prevalence of fatigue amongst men with localized prostate cancer, to describe several dimensions of fatigue and to explore the predictability of fatigue by psychological distress and physical function. The prevalence of fatigue was evaluated using the Multidimensional Fatigue Inventory in 329 prostate cancer patients before, 3, 6 and 12 months after surgery. Psychological distress was assessed using the Hospital Anxiety and Depression Scale. Physical function was measured using the EORTC QLQ-C30. After surgery, about 14 % of the patients were screened with chronic fatigue. For all dimensions of fatigue, only small longitudinal changes could be observed. Psychological distress could be identified as a good predictor of fatigue after but not before surgery. Radical prostatectomy has no or little impact on the prevalence of fatigue. However, about 14 % of patients with chronic fatigue could possibly benefit from psychosomatic interventions. Interventions should consider the simultaneous appearance of fatigue and psychological distress and a reduced physical function.
引用
收藏
页码：2883 / 2889
页数：7
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