Subjective Fatigue, Influencing Variables, and Consequences in Chronic Obstructive Pulmonary Disease

Kapella, Mary C.; Larson, Janet L.; Patel, Minu; Covey, Margaret K.; Berry, Jessica

doi:10.1097/00006199-200601000-00002

Cited by 123 publications

(164 citation statements)

References 27 publications

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“…If dyspnea increases the work of breathing and requires greater energy, it presumably will lead to greater fatigue and therefore, influence the person's perception of their health. Although the correlation coefficient between dyspnea and fatigue was only .41 in this study, other studies have reported a strong relationship between the two sensations, with some patients not being able to distinguish between the two symptoms (Janson-Bjerkelie, KohlmanCarrieri, & Hudes, 1986;Kapella, Larson, Patel, Covey, & Berry, 2006). Interestingly, a recent study of symptom clusters in patients with advanced chronic diseases showed that worse dyspnea was associated with poor health ratings even after adjusting for the effects of six other symptoms including fatigue (Walke, Byers, Gallo, Endrass, & Fried, 2007).…”

Section: Discussioncontrasting

confidence: 73%

Associations between symptoms, functioning, and perceptions of mastery with global self-rated health in patients with COPD: A cross-sectional study

Nguyen

Donesky

Carrieri‐Kohlman

2008

International Journal of Nursing Studies

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Section: Discussioncontrasting

confidence: 73%

Associations between symptoms, functioning, and perceptions of mastery with global self-rated health in patients with COPD: A cross-sectional study

Nguyen

Donesky

Carrieri‐Kohlman

2008

International Journal of Nursing Studies

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“…This result is consistent with previous studies that have noted significant relationships between dyspnea and fatigue [55][56][57][58]. Also Kapella et al, (2006) [59] reported that there was significant correlation between dyspnea and fatigue scores among the COPD patients.…”

Section: Discussionsupporting

confidence: 92%

Effect of Implementation of Teaching Modules about Physiological and Psychological Parameters on Expected Clinical Outcomes of Patients with Chronic Obstructive Pulmonary Disease

Wehieda¹

2017

AJNS

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Dyspnea and fatigue, the two most common symptoms experienced by patients with chronic obstructive pulmonary disease, are believed to result in decreased activity levels and poor quality of life. This study was carried out to determine effect of implementation of teaching modules about physiological and psychological parameters on expected clinical outcomes of patients with chronic obstructive pulmonary disease. A quasi experimental research design was utilized to achieve the aim of this study. This study was conducted at chest department of Menofia University Hospital. A purposive sample of 140 adult patients, three tools was used for data collection. Bio socio demographic assessment questionnaire, physiological measurement tool and anxiety scale. There were highly statistical significant differences between study and control groups post one and two months of teaching regarding dyspnea, fatigue, cough vital signs and anxiety. Also it was found that there was a positive correlation between dyspnea, fatigue and anxiety. A teaching carried out for the patients of the study group had positive effect on dyspnea, fatigue, cough, vital signs and anxiety and there was a positive correlation between dyspnea, fatigue and anxiety. Initiate outpatient hospital based pulmonary rehabilitation program. A booklet should be available and distributed for all patients with choronic obstructive pulmonary disease.

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“…This is important to recognize as there exists a strong relationship between respiratory symptoms and fatigue [29]. Fatigue has been reported to have a strong, direct and negative effect on functional performance [30] and per se will affect physiologic tests such as a six-minute walk testing. To the best of our knowledge this is the first study to utilize the Fatigue Severity Scale to study fatigue across a multifaceted advanced lung disease population.…”

Section: Discussionmentioning

confidence: 99%

Effects of Pulmonary Rehabilitation on Fatigue Severity Scale In Patients with Lung Disease

Talwar

Sahni

John

et al. 2014

Advances in Respiratory Medicine

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Introduction: Fatigue is a known symptom of advanced lung disease and impacts quality of life and psychological health. Many of these patients undergo pulmonary rehabilitation as part of their therapy. Understanding the effect of pulmonary rehabilitation on fatigue in these patients is important, as one may be able to design more focused rehabilitation programs. The aim of this study is to evaluate the effect of pulmonary rehabilitation on fatigue as measured by the Fatigue Severity Scale (FSS) in patients with advanced lung disease. Material and Methods: Patients were enrolled in a standardized 6 week pulmonary rehabilitation program. They were asked to complete questionnaires to evaluate their self-reported fatigue (FSS), and depression as measured by Geriatric Depression Scale (GDS). The GDS is a self-reported assessment tool used to identify depression in patients. The FSS is a validated instrument that indicates a perception of fatigue that might require medical intervention. Participants completed questionnaires both at baseline and after completing the standardized pulmonary rehabilitation program. Data was analyzed in Statistical Analysis System (SAS). The change in FSS was evaluated using the Wilcoxon signed-rank test. p-values < 0.05 were considered statistically significant. Results: 21 patients (12 females; 9 males; mean age 64.3 ± 11.2 yrs) were considered for the study. Pre-pulmonary rehabilitation FSS scores ranged from 1.6 to 6.7 (mean score of 4.6 ± 1.7). Post pulmonary rehabilitation FSS scores ranged 1.0 to 6.2 (mean score of 3.9 ± 1.6). The median pre-rehabilitation FSS was 5.3 (inter quartile range; Q1–Q3: 3.0–6.1), and median post rehabilitation FSS was 3.9 (inter quartile range; Q1–Q3: 2.6–5.1). There was a significant decrease in FSS scores after completing pulmonary rehabilitation program (p < 0.0208). There was a decrease in GDS (pre-rehabilitation, mean: 5.5 ± 3.6; post-rehabilitation, mean: 4.2 ± 2.9), but this decrease was not statistically significant. The change in GDS correlated with the change in FSS (Spearman Correlation Coefficient 0.525, p < 0.0146). Conclusions: Patients with advanced lung disease reported a measurable component of fatigue. Participating in pulmonary rehabilitation resulted in significant improvement in patient’s self-reported fatigue severity. Further studies are necessary to evaluate and design interventions to improve fatigue in in the setting of advanced lung disease.

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Subjective Fatigue, Influencing Variables, and Consequences in Chronic Obstructive Pulmonary Disease

Abstract: Fatigue is an important problem that affects performance of daily activities in people with COPD. The relationships or interactions that exist among fatigue and other symptoms are complex.

Cited by 123 publications

References 27 publications

Associations between symptoms, functioning, and perceptions of mastery with global self-rated health in patients with COPD: A cross-sectional study

Associations between symptoms, functioning, and perceptions of mastery with global self-rated health in patients with COPD: A cross-sectional study

Effect of Implementation of Teaching Modules about Physiological and Psychological Parameters on Expected Clinical Outcomes of Patients with Chronic Obstructive Pulmonary Disease

Effects of Pulmonary Rehabilitation on Fatigue Severity Scale In Patients with Lung Disease

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