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Fatigue associated with congestive heart failure: use of Levine's Conservation Model
Author(s) -
Schaefer Karen Moore,
Potylycki Mary Jean Shober
Publication year - 1993
Publication title -
journal of advanced nursing
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.948
H-Index - 155
eISSN - 1365-2648
pISSN - 0309-2402
DOI - 10.1046/j.1365-2648.1993.18020260.x
Subject(s) - heart failure , psychological intervention , nursing interventions classification , qualitative research , heart disease , distraction , medicine , physical activity , psychology , nursing , physical therapy , cognitive psychology , cardiology , social science , sociology
This study aimed to refine and extend the findings of an original study which focused on the description of fatigue associated with congestive heart failure. A descriptive approach based on Levine's Conservation Model provided both quantitative and qualitative data. Qualitative data addressed personal integrity and quantitative data measured energy conservation, structural and social integrity. Patients described fatigue as being tired and exhausted and containing both physical and emotional components. Fatigue occurred as a result of stress, physical activity and disease. Patient‐identified interventions included rest, distraction, medicine, and physical and spiritual activities. Age, pH and oxygen saturation were significantly related to fatigue. The findings are examined using the concept of adaptation as defined by Levine. Implications for nursing are discussed within the framework of the Conservation Model with emphasis on a holistic approach to patient care.

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