Fatigue in the presence of coronary heart disease

Ann L Eckhardt1, Holli A Devon, Mariann R Piano

  • 1Ann L. Eckhardt, PhD, RN, is Assistant Professor, School of Nursing, Illinois Wesleyan University, Bloomington. Holli A. DeVon, PhD, RN, is Associate Professor; Mariann R. Piano, PhD, RN, is Professor and Department Head; Catherine J. Ryan, PhD, RN, is Clinical Assistant Professor; and Julie J. Zerwic, PhD, RN, is Professor and Executive Associate Dean, Department of Biobehavioral Health Science, College of Nursing, University of Illinois at Chicago.

Nursing Research
|March 5, 2014
PubMed

Insights

Stable coronary heart disease patients experience significant fatigue, with women reporting higher intensity and interference. Depressive symptoms uniquely predict fatigue levels in this population.

Area of Science:

  • Cardiology
  • Psychology
  • Health Services Research

Background:

  • Fatigue is a common, disabling symptom in various cardiovascular conditions.
  • Fatigue has not been previously studied in patients with stable coronary heart disease (CHD).

Purpose of the Study:

  • To describe fatigue levels in stable CHD patients.
  • To identify demographic, physiological, and psychological correlates of fatigue.
  • To examine the association between fatigue and health-related quality of life.

Main Methods:

  • 102 patients with stable CHD completed validated questionnaires for fatigue, depressive symptoms, and quality of life.
  • Qualitative interviews were conducted with a subset of patients to explore fatigue experiences.
  • The study employed a partially mixed sequential dominant status design.

Main Results:

  • 40% of patients reported significant fatigue.
  • Women reported higher fatigue intensity and interference than men.
  • Depressive symptoms were the only significant predictor of both fatigue intensity and interference.

Conclusions:

  • Clinically relevant fatigue is present in patients with stable CHD.
  • Standardized measures may underestimate the fatigue burden, as patients may adapt and discount their symptoms.
  • Depressive symptoms are a key target for managing fatigue in this population.
Abstract

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