성빈센트병원에 입원한 암 환자에서 피로 유병율
The prevalence of fatigue in cancer patients at St. Vincent’s hospital
송도선, 여창동, 박진민, 손덕승, 황현석, 박신애, 임윤선, 심병용, 김훈교,
소속 상세정보
송도선 ( Song Do-Seon )
가톨릭대학교 성빈센트병원 내과학교실
여창동 ( Yeo Chang-Dong )
가톨릭대학교 성빈센트병원 내과학교실
박진민 ( Park Jin-Min )
가톨릭대학교 의과대학 내과학교실
손덕승 ( Sun Der-Sheng )
가톨릭대학교 의과대학 성빈센트병원 내과학교실
황현석 ( Hwang Hyeon-Seok )
가톨릭대학교 의과대학 내과학교실
박신애 ( Park Shin-Ae )
가톨릭대학교 의과대학 내과학교실
임윤선 ( Im Yun-Sun )
가톨릭대학교 성빈센트병원 내과학교실
심병용 ( Shim Byoung-Yong )
가톨릭대학교 의과대학 성빈센트병원 내과학교실
김훈교 ( Kim Hoon-Kyo )
가톨릭대학교 의과대학 성빈센트병원 내과학교실
KMID : 0882420070730050512
Abstract
Background : Fatigue is one of the most common problems in terminally ill cancer patients in North America and Europe. However, fatigue has been almost neglected by health care professionals and even by patients and their families in Korea. We studied the prevalence and characteristics of fatigue in cancer patients who were admitted to St. Vincent’s Hospital.
Methods : Ninety-three competent patients who were admitted to the cancer or hospice ward were asked to answer whether they had fatigue or other cancer related problems on three occasions on April 4, 11 and 18, 2006. Additional demographic data were also analyzed.
Results : Thirty (32.3%) of the 93 patients responded that they had fatigue. The response was from 20/71 male and 10/22 female patients. The median age was 66 years (range 35-84 years). The ECOG performance status was 1, 2 and 3 in 10, 12 and 8 patients respectively. Lung cancer (21 patients) was the most common malignancy followed by gastric cancer, colon cancer and other cancers. Fourteen patients received chemotherapy, 13 patients received supportive care and 3 patients received chemoradiotherapy. Other cancer related symptoms were pain (17 patients), anorexia (16 patients), sleep disturbance (14 patients), and anxiety and depression. The severity of fatigue was grade 1, 2, 3 in 17, 6 and 7 patients respectively. Twenty-eight patients had anemia based on the WHO scale, and there was no relationship between the grade of fatigue and hemoglobin level.
Conclusion : Fatigue was a frequent symptom in cancer patients (32%) and more frequent in female patients (45%). More attention needs to be paid to the significance of fatigue in cancer patients.
키워드
Fatigue; Cancer
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