Kelelahan pada Pasien Congestive Heart Failure

Abstract

Introduction: Fatigue is a characteristic symptom and is often found in CHF patients and has a negative effect on daily activities, disease prognosis, and patient's quality of life. However, fatigue is a common symptom that is often overlooked and ignored. Limited study explored fatigue in CHF patients. The aim of this study was to explore fatigue in CHF patients. Methods: The research design is a descriptive survey. The total research sample is 85 respondents. Data were taken using a Multidimensional Assessment Fatigue (MAF) questionnaire with univariate data analysis in the form of a frequency distribution. Respondents involved in the study were patients aged >18 years who suffered from CHF based on a doctor's diagnosis and confirmed by medical records. Results: The majority of respondents are elderly with female gender, work as household workers, and heve income less than Rp1,500,000/month. Examination of vital signs performed on the majority of CHF patients showed normal temperature (36.5℃ - 37.5℃), pre-hypertensive blood pressure (120/80 - 139/89 mmHg), normal pulse (60-100x/min), and normal respiratory rate (12-20x/minute). Most patients have a CHF duration of 1–3 years, and are in grades 2 and 3 based on the New York Association (NYHA) classification. The results of this study were 65.9% of CHF patients experienced moderate fatigue, 17.6% severe fatigue, and 16.5% mild fatigue. Conclusion: Health services can consider efforts to improve the quality of nursing services in overcoming or minimizing fatigue experienced by CHF patients. These efforts can be a therapy, evidence-based health education, or fatigue monitoring for preventing a worsening of disease prognosis and improving the patient's quality of life. Keywords: CHF, Fatigue, Multidimensional Assesment Fatigue.

Back Massage Relaxation Therapy Intervention and Measurement of Client Fatigue Score in Congested Heart Failure Clients with Activity Intolerance Disorder

“…Activity intolerance is a condition in which a person does not have enough physiological and psychological energy to endure or complete the desired daily activities . Activity intolerance is one of the main problems in patients with Congestive Heart Failure , for that severe activity restrictions are very helpful to reduce the burden on the heart and reduce fatigue (Princess, 2019) Fatigue is the most common symptom in patients with Congestive Heart Failure and is a symptom that often appears, but often times less attention and neglect resulted in a decrease in the patient's ability to perform daily activities and improve quality of life (Setianingsih & Hastuti, 2021) . To find out the fatigue score can be measured using a questionnaire, one of which is the FACIT Functional Assessment Of Chronic Illness Therapy questionnaire (Rachmawati et al, 2021) Consists of 13 statements .…”