Fatigue and health-related quality of life in elderly patients with and without heart failure in primary healthcare

Hägglund, Lena; Boman, Kurt; Olofsson, Mona; Brulin, Christine

doi:10.1016/j.ejcnurse.2006.09.004

Cited by 36 publications

(27 citation statements)

References 47 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…This fi nding contrasts to a recent study in which women reported higher degrees of general fatigue and reduced activity (Hägglund et al, 2006). Women were slightly older than men and older age was associated with reduced motivation.…”

Section: Discussioncontrasting

confidence: 99%

“…This observation means that physical fatigue has an independently strong impact on the perception of health and that both physical and mental aspects of fatigue infl uenced the QOL. The fi nding is consistent with a study showing that the general sensation of fatigue (measured with MFI-20) was signifi cantly related to lower HRQOL (Hägglund et al, 2006).…”

Section: Discussionsupporting

confidence: 90%

See 1 more Smart Citation

Fatigue is a Prevalent and Severe Symptom Associated with Uncertainty and Sense of Coherence in Patients with Chronic Heart Failure

Falk

Swedberg

Gaston‐Johansson

et al. 2007

European Journal of Cardiovascular Nursing

100

View full text Add to dashboard Cite

Although fatigue is a prevalent and distressing symptom in patients with chronic heart failure (CHF), it is an underestimated problem in the care of patients, and consequently, insuffi ciently investigated. The primary aim of this thesis was, therefore, to advance the knowledge from the patients' perspective by describing characteristics of the fatigue experience and its consequences in daily life in patients with CHF. A secondary aim was to investigate the relationships between fatigue and selected physiological and psychological factors associated with fatigue. Both quantitative and qualitative methods have been used and three samples of patients have been interviewed on different occasions. In two of the quantitative studies 93 patients, and in another study 112 patients, consecutively included, were interviewed at the hospital. Fifteen patients were included in the qualitative study. These 15 participants were enrolled when they visited an outpatient clinic and most of them were interviewed in their homes. These interviews were supplemented with the content of an Internet discussion with persons living with CHF.The results of the studies indicated that fatigue embraces the individual's body, emotions and cognitive abilities, forcing the person to physical restrictions that, in turn, perpetuate emotional discomfort. However, the physical sensation of fatigue followed by functional limitations seemed to be the most prevalent and distressing experience in patients with CHF. The patients described fatigue as lacking strength, which was associated in connection with physical efforts and lacking energy, viewed as an annoying sensation after both mental and physical strain. Another dimension of fatigue was described as being sleepy, often with a rapid and unforeseen onset. Consequences of fatigue, such as refraining from daily chores, denying oneself opportunities for rejoice and social isolation, further exaggerated the experience of fatigue. Restorative activities that engaged, absorbed or distracted the patients counteracted these negative consequences. Depressed mood was related to those fatigue dimensions that compromised functional ability and motivation to start any activities, whereas anxiety was associated with cognitive impairment. Feelings of uncertainty were related to physical tiredness, possibly infl icted by limitations in performing activities. Symptom distress that was caused by a number of reported symptoms other than fatigue had a diminutive infl uence on fatigue and separate symptoms that were associated with fatigue were, with the exception of breathlessness, not the fi rst and most pressing symptom reported by the patients. Anemic patients reported more fatigue compared with non-anemic patients and functional status, according to the New York Heart Association (NYHA) functional classifi cation criteria, was associated with those fatigue dimensions that encompassed physical tiredness and reduced functioning.The fi ndings provide new insights on the characteristics of fatigue and its con...

show abstract

Section: Discussioncontrasting

confidence: 99%

Section: Discussionsupporting

confidence: 90%

Fatigue is a Prevalent and Severe Symptom Associated with Uncertainty and Sense of Coherence in Patients with Chronic Heart Failure

Falk

Swedberg

Gaston‐Johansson

et al. 2007

European Journal of Cardiovascular Nursing

100

View full text Add to dashboard Cite

show abstract

“…Physical exercises as a part of treatment of patients with heart failure promote patients' physical function and patients' promoted quality of life can be expected by decreasing fatigue level (49). Functional status should also be considered when taking care of the patients; it may be that the patient or their family needs to be trained for promoting activities.…”

Section: Discussionmentioning

confidence: 99%

Study of Fatigue and Associated Factors in Patients with Chronic Heart Failure

Nasiri¹,

Rahimian²,

Jahanshahi³

et al. 2016

Crit Care Nurs J

View full text Add to dashboard Cite

Background: Many factors may be involved in fatigue of patients with chronic heart failure (CHF). Objectives: The present study was conducted to determine fatigue and associated factors in patients with heart failure. Methods:The present descriptive-analytical study was conducted on patients with CHF admitted to Imam Sajjad hospital of Ramsar in 2014. Data collection tools included: 1) multidimensional assessment of fatigue (MAF) scale, 2) the Pittsburgh sleep quality index (PSQI), 3) the hospital anxiety and depression scale (HADS), and 4) demographic characteristics form and the hemoglobin and ejection fraction (EF) records. Data collection was done through interviews and observations.

show abstract

“…Another frequent and distressing symptom experienced by these patient groups is fatigue,14–16 which is estimated to occur in 43%–58% among patients with COPD, and in 50% among patients with CHF 16. Fatigue limits physical and psychosocial functioning in patients with COPD,17 while global and physical functioning are most affected in patients with CHF 18. Anxiety and depressive symptoms are prevalent in both patient groups.…”

Section: Introductionmentioning

confidence: 99%

Symptoms and impact of symptoms on function and health in patients with chronic obstructive pulmonary disease and chronic heart failure in primary health care

Theander¹,

Hasselgren²,

Luhr³

et al. 2014

COPD

View full text Add to dashboard Cite

BackgroundPatients with chronic obstructive pulmonary disease (COPD) and chronic heart failure (CHF) seem to have several symptoms in common that impact health. However, methodological differences make this difficult to compare.AimComparisons of symptoms, impact of symptoms on function and health between patients with COPD and CHF in primary health care (PHC).MethodThe study is cross sectional, including patients with COPD (n=437) and CHF (n=388), registered in the patient administrative systems of PHC. The patients received specific questionnaires – the Memorial Symptom Assessment Scale, the Medical Research Council dyspnea scale, and the Fatigue Impact Scale – by mail and additional questions about psychological and physical health.ResultsThe mean age was 70±10 years and 78±10 years for patients with COPD and CHF respectively (P=0.001). Patients with COPD (n=273) experienced more symptoms (11±7.5) than the CHF patients (n=211) (10±7.6). The most prevalent symptoms for patients with COPD were dyspnea, cough, and lack of energy. For patients with CHF, the most prevalent symptoms were dyspnea, lack of energy, and difficulty sleeping. Experience of dyspnea, cough, dry mouth, feeling irritable, worrying, and problems with sexual interest or activity were more common in patients with COPD while the experience of swelling of arms or legs was more common among patients with CHF. When controlling for background characteristics, there were no differences regarding feeling irritable, worrying, and sexual problems. There were no differences in impact of symptoms or health.ConclusionPatients with COPD and CHF seem to experience similar symptoms. There were no differences in how the patients perceived their functioning according to their cardinal symptoms; dyspnea and fatigue, and health. An intervention for both groups of patients to optimize the management of symptoms and improve function is probably more relevant in PHC than focusing on separate diagnosis groups.

show abstract

Fatigue and health-related quality of life in elderly patients with and without heart failure in primary healthcare

Cited by 36 publications

References 47 publications

Fatigue is a Prevalent and Severe Symptom Associated with Uncertainty and Sense of Coherence in Patients with Chronic Heart Failure

Fatigue is a Prevalent and Severe Symptom Associated with Uncertainty and Sense of Coherence in Patients with Chronic Heart Failure

Study of Fatigue and Associated Factors in Patients with Chronic Heart Failure

Symptoms and impact of symptoms on function and health in patients with chronic obstructive pulmonary disease and chronic heart failure in primary health care

Contact Info

Product

Resources

About