接受切除性肺部手術後肺癌病人疲憊之影響及其臨床處置

The Influential Factors and Clinical Management of Fatigue in Lung-Cancer Patients Receiving Resectional Pulmonary Surgery

疲憊是常見且複雜的症狀，對肺癌術後病人身心造成嚴重影響。我國自1982 年起，癌症一直位於國人十大死因之首，且肺癌佔癌症死亡原因之首位，手術切除腫瘤方式不但是肺癌早期病人之根治性治療，也是首要的治療方式，但手術後約74%~92% 的病人出現疲憊症狀，甚至可能持續至手術後數年，嚴重影響日常生活功能。疲憊因易與其他症狀混淆，且並非立即危害病人性命，故常被忽略，甚至有高達五成以上有疲憊症狀的病人從未對醫師陳述他們有疲憊的問題。疲憊易造成術後病人肺塌陷、心肺功能降低、肌肉無力、憂鬱，增加術後合併症發生機率，造成術後復原緩慢，故本文將介紹肺癌手術後疲憊相關概念、身心影響及臨床評估與處置，期能提供臨床醫護人員作為照護參考，以提昇病人之生活品質。

Fatigue is a high prevalent and complicated symptom which impacts on patients’ physical and mental function. Malignant tumors have been the leading cause of death in Taiwan since 1982, with lung cancer accounting for 20.1% of all cancer-related deaths. Lung resection is not only the radical treatment for early stage of lung cancer patients, but also is the primary treatment. Fatigue is a chronic symptom, which is often ignored by health care providers. More than half of patients never reported to their physicians about their fatigue symptom. Fatigue will cause collapsed lung, decreased heart function, lung function, and muscle strength, depression, increase surgical complication rate, and impair resiliency. The influential factors and clinical management of fatigue in lung-cancer patients receiving resectional pulmonary surgery were discussed in the article.