Open AccessCorrelates of Fatigue in Patients With Heart Failure
Author(s) -
Evangelista Lorraine S.,
Moser Debra K.,
Westlake Cheryl,
Pike Nancy,
TerGalstanyan Alvina,
Dracup Kathleen
Publication year - 2008
Publication title -
progress in cardiovascular nursing
Language(s) - English
Resource type - Journals
eISSN - 1751-7117
pISSN - 0889-7204
DOI - 10.1111/j.1751-7117.2008.07275.x
Subject(s) - medicine , depression (economics) , psychosocial , heart failure , mood , workload , physical therapy , ejection fraction , psychiatry , computer science , economics , macroeconomics , operating system
This study was conducted to determine the prevalence of fatigue and identify its demographic, clinical, and psychological correlates in 150 heart failure (HF) patients (73% men, 66% Caucasian, mean age 55.0 years, mean ejection fraction 26.7%±11%), from a single HF center, using the Profile of Mood States‐Fatigue Subscale, the Minnesota Living With Heart Failure Questionnaire, and the Beck Depression Inventory. Sociodemographic and clinical data were obtained through self‐report and chart abstraction. High levels of fatigue were reported in 50.4% of men and 51.2% of women. In a multivariate model, maximal workload, physical health, emotional health, and depression explained 51% of the variance in fatigue ( P <.001). Fatigue in patients with HF is associated with both clinical and psychosocial variables, offering a number of targets for intervention. These findings suggest the need for multiple risk factor intervention strategies that improve physical and emotional health to decrease fatigue. Patients with depression warrant particular scrutiny .