中国全科医学2026，Vol.29Issue(13)：1784-1792,9.DOI:10.12114/j.issn.1007-9572.2024.0080
慢性肾脏病相关疲乏的评估:患者报告结局量表的选择
Assessment of Fatigue in Patients with Chronic Kidney Disease:the Choice of Patient-reported Outcome Measures Scales
摘要
Abstract
Background Fatigue is prevalent in patients with chronic kidney disease(CKD)and closely associated with reduced quality of life and increased mortality.Currently,Patient-reported Outcome Measures(PROMs)are commonly employed to assess fatigue.However,these measures exhibit variations in format.There is no consensus about how to choose an appropriate one to use in clinical practice.Objective Systematically assess the advantages,disadvantages,and target populations of various scales to provide clinical practitioners with a reference for choosing appropriate assessment tools.Methods A systematic search of database like PubMed,Web of Science,CNKI,VIP,and Wanfang Data was conducted for literatures about fatigue assessment in patients with CKD,from January 2018 to April 2024.The data were independently screened and extracted by two researchers,and by comparing the assessment methods,advantages and disadvantages of each scale to inform the choice of fatigue assessment scales in different CKD populations.Results The study reveals that CKD-related fatigue scales can be categorized into general fatigue scales and specific population fatigue scale.All these scales employ Likert scale for fatigue assessment.We found that health status survey instruments and the Dialysis Symptom Index Scale(DSI)were suitable for screening fatigue symptoms in CKD;the Piper Fatigue Scale-Revised(PFS-R)with multidimensional scale was the most commonly used in clinical practice and a promising scale for the assessment of fatigue in CKD because it could clearly differentiate between the degree and dimensions of fatigue.Conclusion There are many fatigue scales to assess fatigue for patients with CKD.Clinical practitioners should consider the characteristics of the CKD study population comprehensively and choose the appropriate scale for fatigue assessment.关键词
肾脏病学/慢性肾脏病/疲乏/患者报告结局评估量表/普适性疲乏量表/特殊人群疲乏量表Key words
Nephrology/Chronic kidney disease/Fatigue/Patient-reported outcome measures/General fatigue scale/Specific population fatigue scale分类
医药卫生引用本文复制引用
段若兰,刘旭生,卢富华,侯海晶,苏国彬,丘伽美,杨长沅,李琴,莫浩钰,皮敏晖,杨振华,夏蔼,张腊..慢性肾脏病相关疲乏的评估:患者报告结局量表的选择[J].中国全科医学,2026,29(13):1784-1792,9.基金项目
国家自然科学基金资助项目(82004205) （82004205）
教育部"春晖计划"合作科研项目(HZKY20220109) （HZKY20220109）
广东省中医院拔尖人才科研专项资助(BJ2022KY11) （BJ2022KY11）
广东省中医院科学技术研究基金(YN2018QL08) （YN2018QL08）
国家中医药管理局中医药防治新型冠状病毒感染应急研究专项课题(2023ZYLCYJ02-18),深圳市"医疗卫生三名工程"项目资助(SZZYSM202206014),广东省中医院中医药科学技术研究专项资助(YN2020QN18) （2023ZYLCYJ02-18）
广东省中医院中医药科学技术研究专项资助(YN2020QN24) （YN2020QN24）
