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Fatigue in chronic heart failure--does gender make a difference?

Inger Ekman1, Anna Ehrenberg

  • 1The Sahlgrenska Academy at Göteborg University, Faculty of Health and Caring Sciences, Institute of Nursing, Box 457, S-405 30, Göteborg, Sweden. inger.ekman@fhs.gu.se

European Journal of Cardiovascular Nursing
|November 19, 2003
PubMed
Summary

This study compared fatigue experiences in elderly men and women with chronic heart failure. While generally similar, women

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Area of Science:

  • Gerontology
  • Cardiology
  • Psychology

Background:

  • Chronic heart failure (CHF) significantly impacts quality of life, with fatigue being a primary symptom.
  • Understanding gender-specific experiences of fatigue in elderly CHF patients is crucial for effective care.
  • Limited research exists on how gender influences fatigue perception and coping in aging populations with severe CHF.

Purpose of the Study:

  • To describe and compare the lived experience of fatigue in elderly women and men diagnosed with severe chronic heart failure.
  • To identify potential gender-related differences in fatigue experiences among older adults with CHF.

Main Methods:

  • A sample of 158 elderly patients (66 women, 92 men) with severe CHF were interviewed.
  • Interviews were conducted by a registered nurse using a modified Fatigue Interview Schedule (FIS).

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  • Data focused on descriptions of fatigue experiences and associated factors.

    • Main Results:

    • Overall, descriptions of fatigue experiences showed considerable agreement between men and women.
    • Notable gender differences emerged, particularly concerning women's fatigue linked to household maintenance roles.
    • Women reported a clear sense of duty related to domestic responsibilities contributing to their fatigue.

    Conclusions:

    • Gender appears to play a role in the nuanced experience of fatigue among elderly individuals with severe chronic heart failure.
    • Care providers should acknowledge and address gender differences in fatigue experiences when developing patient care interventions.
    • Further research is needed to fully elucidate the impact of gender on disease, aging, and coping strategies.