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Nonpharmacological nursing interventions for the management of patient fatigue: a literature review
Author(s) -
Patterson Erin,
Wan Yi Wai Teresa,
Sidani Souraya
Publication year - 2013
Publication title -
journal of clinical nursing
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.94
H-Index - 102
eISSN - 1365-2702
pISSN - 0962-1067
DOI - 10.1111/jocn.12211
Subject(s) - psychological intervention , medicine , nursing , intervention (counseling) , medline , nursing interventions classification , acupressure , physical therapy , stress management , alternative medicine , clinical psychology , pathology , political science , law
Aims and objectives To identify and describe nonpharmacological interventions for the management of fatigue that are within the scope of nursing practice. Background Fatigue is a complex multidimensional symptom experienced by patients with varying diagnoses. Limited details are available on the nature of nursing interventions to manage fatigue, which preclude fidelity of implementation in day‐to‐day practice. Design Literature review. Methods Multiple databases were searched for publications reporting on the evaluation of nurse‐delivered interventions for the management of fatigue. Data were extracted on study and intervention characteristics and results pertaining to the effects of the intervention on fatigue. Results The studies ( n = 16) evaluated eight interventions: psycho‐education, cognitive behavioural therapy, exercise, acupressure, relaxation, distraction, energy conservation and activity management, and a combination of exercise, education and support. Conclusion Psycho‐education was evaluated in several studies and demonstrated effectiveness when delivered in both acute and community settings. Relevance to clinical practice This review focused on interventions that are within the scope of nursing practice for the management of fatigue. The findings provide nurses with an overview of the effectiveness of interventions they may use in their day‐to‐day practice to help patients manage fatigue. A detailed description of interventions found effective is provided to assist nurses in translating evidence into practice.