Fatigue representations in women with heart failure

Plach, Sandra K.; Heidrich, Susan M.; Jeske, Lee

doi:10.1002/nur.20156

Cited by 19 publications

(22 citation statements)

References 41 publications

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“…10,14,22,31,69-72 The underlying mechanism involves the alleviation of symptoms that are barriers or constraints to physical activity and function, resulting in higher levels of physical activity and function among postoperative CABS patients. Although several studies examined gender differences in CABS outcomes, 4,30,63 little evidence is available regarding gender differences in response to post-CABS interventions and the potential explanatory factors.…”

Section: Discussionmentioning

confidence: 99%

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Gender differences in recovery outcomes after an early recovery symptom management intervention

et al. 2011

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Background Despite known gender differences in recovery, few studies have examined symptom management (SM) interventions or responses by gender after coronary artery bypass surgery (CABS). Objective The purpose of this subanalysis was to describe and evaluate differences in response by gender to an SM intervention on the presence and burden of symptoms, physical activity, and physical functioning in elderly CABS patients during the early discharge period (3 and 6 weeks after CABS, and 3 and 6 months after CABS). Methods The parent study whose data were analyzed to examine gender differences involved a two-group, randomized clinical trial design. The 6-week early recovery SM telehealth intervention was delivered by the Health Buddy. Measures included the Cardiac Symptom Survey, a Modified 7-Day Activity Interview, an RT3 accelerometer, an Activity Diary, and the Medical Outcomes Study Short Form 36. This study was not powered for a gender × group analysis, and we used descriptive statistics, χ2 tests, t tests, and analysis of variance for statistical analyses. Results Subjects (n = 232) included 192 men and 40 women, with a mean age of 71.2 SD, 7 years. The intervention group consisted of 86 men and 23 women, and the usual care (UC) group consisted of 106 men and 17 women. Data trends suggest that the SM intervention exerted greater impact on women than on men for symptoms such as fatigue, depression, sleep problems, and pain. Again, men exhibited higher levels of physical activity than did women. However, women in the SM group generally had higher scores than did women in the UC group. Conclusion Although the parent study found no effect of an early recovery SM intervention, this exploratory secondary analysis indicated that women in the intervention group demonstrated more improvement in measures of physical activity than did those in the UC group. Further study, using a larger sample, is necessary to test these preliminary results.

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Section: Discussionmentioning

confidence: 99%

“…26,30 Furthermore, females with depression demonstrated significantly poorer physical functioning. 31,32 …”

Section: Related Literaturementioning

confidence: 99%

Gender differences in recovery outcomes after an early recovery symptom management intervention

et al. 2011

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“…The role of age in this matter should not be disregarded. Plach et al [8] found that middle-aged women with HF reported more emotional distress and more severe consequences from fatigue than older women.…”

Section: Discussionmentioning

confidence: 99%

The Experience of Fatigue among Elderly Women with Chronic Heart Failure

Hägglund

Boman

Lundman

2008

European Journal of Cardiovascular Nursing

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Background: Fatigue is a common and distressing symptom in chronic heart failure (CHF). Most of the current methods for evaluating patients' symptoms fail to consider the meaning or importance that these symptoms have for the patient. Aim: To illuminate the lived experience of fatigue among elderly women with CHF. Method: Narrative interviews were conducted with 10 women with CHF, aged 73-89 years. Interviews were analysed with qualitative content analysis. Results: The findings are presented in two themes and five subthemes. The first theme, 'living with the loss of physical energy', was based on three subthemes describing the experience of fatigue: 'experiencing a substantial presence of feebleness and unfamiliar bodily sensations', 'experiencing unpredictable variations in physical ability', and 'needing help from others in daily life'. The second theme, 'striving for independence while being aware of deteriorating health', describes how the women managed their life situation; it was based on two subthemes: 'acknowledging one's remaining abilities', and 'being forced to adjust and struggle for independence'. Conclusions: Fatigue was experienced as loss of physical energy, leading to discrepancies between intention and capacity. The will to reduce dependency on others involved a daily struggle against fatigue.

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“…Many patients do no recognize exaggerating symptoms to worsening of CHF . However, higher levels of distress because of fatigue were associated with higher levels of health care utilization (Plach et al, 2006).…”

Section: Fatigue In Patients With Chronic Heart Failurementioning

confidence: 93%

“…Younger women seemed to be more distressed from fatigue and reported more intrusive consequences in their daily life than older women. (Plach et al, 2006). Older persons seem to accept fatigue and perceive it as less bothersome because they accept it as an inevitable effect of the aging process (Schaefer, 1990;Friedman, 1997).…”

Section: Fatigue In Patients With Chronic Heart Failurementioning

confidence: 99%

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

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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...

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Fatigue representations in women with heart failure

Cited by 19 publications

References 41 publications

Gender differences in recovery outcomes after an early recovery symptom management intervention

Gender differences in recovery outcomes after an early recovery symptom management intervention

The Experience of Fatigue among Elderly Women with Chronic Heart Failure

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

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