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COPD-Related Fatigue: A Scoping Review.
Lindsey A Clark1, Robert Reed2, Kirsten N Corazzini1
1University of Maryland School of Nursing, Baltimore, Maryland, USA.
Clinical Nursing Research
|December 21, 2022
Summary
Chronic obstructive pulmonary disease (COPD) fatigue is common. Key factors include dyspnea, pain, anxiety, depression, and sleep, indicating a need for personalized interventions.
Area of Science:
- Pulmonary Medicine
- Clinical Psychology
Background:
- Chronic obstructive pulmonary disease (COPD) affects millions globally, with fatigue being a primary, burdensome symptom.
- Current interventions for COPD-related fatigue offer limited benefit to many patients.
Purpose of the Study:
- To identify physiologic, psychologic, and situational factors associated with fatigue in COPD patients.
- To inform the development of novel, targeted interventions for COPD-related fatigue.
Main Methods:
- A comprehensive scoping review of four major databases (PubMed, CINAHL, Scopus, Google Scholar).
- Inclusion criteria: peer-reviewed articles, English language, published between 2000 and 2021.
- Analysis of 25 selected articles to identify factors linked to COPD fatigue.
Main Results:
- Dyspnea (shortness of breath) was significantly associated with fatigue in COPD.
- Psychological factors including anxiety and depression were linked to increased fatigue.
- Pain and disturbed sleep patterns emerged as critical contributors to COPD-related fatigue.
Conclusions:
- Fatigue in COPD is a complex, multifactorial symptom influenced by physiological, psychological, and situational elements.
- Targeted, personalized interventions addressing dyspnea, pain, anxiety, depression, and sleep are crucial for managing COPD fatigue.
- Further research is warranted to optimize management strategies and improve patient outcomes.
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