Review article: description and management of fatigue in inflammatory bowel disease

摘要: Summary Background Fatigue is a common and leading concern for patients with inflammatory bowel disease (IBD). It managed inadequately in IBD, there little evidence to support interventions. Aim To examine patients’ experience of factors contributing IBD-fatigue, appraise its management by healthcare professionals. Methods Seven electronic databases were searched. Subject headings free-text searching used, no time limit set. Reference lists retrieved papers searched manually. Results Twenty-eight reviewed. Researchers used terms including ‘fatigue’, ‘low energy’, ‘tiredness’, ‘decline vitality vigour’ ‘reduced energy vitality’. Different definitions conceptualise fatigue. None the reviewed studies asked describe fatigue their own words. Numerous physical, psychological situational associated identified. Three small randomised control trials reported favourable effect infliximab adalimumab on One intervention study benefit from stress programme one solution-focused therapy. Conclusions Inconsistent use terminology, lack data perspective disease-fatigue contribute being largely ignored or overlooked professionals. Future research should explore IBD-fatigue individual patient perspective. Further are required fully develop patient-centred interventions reduce