The fatigue experience of haemodialysis patients in Taiwan

Lee, Bih‐O; Lin, Chiu‐Chu; Chaboyer, Wendy; Chiang, Chiu-Ling; Hung, Chuan-Chuan

doi:10.1111/j.1365-2702.2005.01409.x

Cited by 87 publications

(112 citation statements)

References 18 publications

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“…Although biomedical explanations of fatigue prevailed, age, sleep quality, and nutrition were factors frequently mentioned by participants. There is extensive qualitative and quantitative evidence in support of the relationship between sleep quality and fatigue across chronic conditions (Kaminska et al ., 2012; Lee et al ., 2007; Menting et al ., 2016; Rongen‐van Dartel et al ., 2016; Scott, Lasch, Barsevick, & Piault‐Louis, 2011; Stuifbergen & Rogers, 1997; Wolfe, Hawley, & Wilson, 1996). In a recent study, poor sleep quality was directly associated with higher fatigue severity, and also mediated the association between lower mood and fatigue severity in RA (Rongen‐van Dartel et al ., 2016).…”

Section: Discussionmentioning

confidence: 99%

“…Clear overlaps in findings were also evident with regard to the description of fatigue through its impact on functioning (Magnusson et al ., 1999; Scott et al ., 2011), the distinction between tiredness caused by activity versus tiredness disproportionate to or unrelated to activity or exertion (Adamsen et al ., 2004; Glaus, Crow, & Hammond, 1996), the role of motivation in the experience of fatigue (Bennett, Goldstein, Friedlander, Hickie, & Lloyd, 2007; Hewlett et al ., 2005; Lee et al ., 2007; Mills & Young, 2008; Yngman‐Uhlin et al ., 2010), and the contribution of social comparisons to fatigue (Repping‐Wuts, Uitterhoeve, van Riel, & van Achterberg, 2008; Tack, 1990). …”

Section: Discussionmentioning

confidence: 99%

“…These studies offer valuable insights into the dominance of biomedical causal attributions for fatigue, the role of sleep quality in further exacerbating fatigue, and pervasiveness of passive fatigue management strategies (Horigan et al ., 2013; Lee et al ., 2007; Yngman‐Uhlin et al ., 2010). Horigan and Barroso (2016) explored in more depth temporal patterns of fatigue in HD patients, some patients reported continuous severe fatigue, whilst others only suffered from post‐dialysis‐specific fatigue.…”

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

‘It's when you're not doing too much you feel tired’: A qualitative exploration of fatigue in end‐stage kidney disease

Picariello

Moss‐Morris

Macdougall

et al. 2017

British J Health Psychol

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BackgroundFatigue is commonly experienced in end‐stage kidney disease (ESKD) patients. In order to develop patient‐centred psychosocial interventions to help patients manage fatigue symptoms, a more in‐depth understanding regarding the experience of fatigue is needed.ObjectiveThe objective of this study was to explore renal patients’ experiences of fatigue, across renal replacement therapy (RRT) modalities.MethodsTwenty‐five in‐depth semi‐structured interviews were conducted. Interviews were audio‐taped, transcribed, and analysed using inductive thematic analysis.ResultsMain themes included the strong role of the illness and treatment in the aetiology of fatigue. Two contrasting streams of illness–fatigue interpretations emerged: catastrophizing versus normalizing. Participants emphasized the importance of having a sense of purpose in facilitating active management of fatigue. Many participants described the consequences of fatigue on their functioning. Low mood, frustration, and anger were common emotional consequences of fatigue. Three dominant fatigue management strategies emerged: one related to accommodation of activities around fatigue, another on increasing activities to counteract fatigue, and the third one revolved around self‐compassion. Social support emerged as an important aspect of the fatigue experience, serving as a source of motivation, yet participants were wary of becoming a burden to others.ConclusionFindings identify casual attributions, behavioural and emotional reactions, management strategies, and facilitators of active management of fatigue in ESKD. Untying fatigue from the illness and treatment may help patients to develop alternative less catastrophic perceptions of fatigue, increase their perception of control over fatigue, and facilitate active fatigue management. Statement of contribution What is already known on this subject? Fatigue is persistent and debilitating in end‐stage kidney disease (ESKD), with no consistent treatment model.Promising evidence is available for psychological fatigue interventions in other chronic conditions.There is a gap in studies looking at the fatigue experiences of patients with ESKD across renal replacement therapies. What does this study add? Fatigue is not inherently negative, but shaped by patients’ beliefs and behaviours.Findings provide novel insights, for example, on the important role social support seems to play in fatigue.An in‐depth understanding of fatigue may help to inform a future patient‐centred intervention in ESKD.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

‘It's when you're not doing too much you feel tired’: A qualitative exploration of fatigue in end‐stage kidney disease

Picariello

Moss‐Morris

Macdougall

et al. 2017

British J Health Psychol

View full text Add to dashboard Cite

show abstract

“…Theoretically, these interventions can improve physical symptoms and maintain the patients' blood levels at normal degrees to relieve fatigue. 14 Univariate analysis showed that levels of fatigue differed by gender, age, marital status, employment, and the physical variables (Kt/V, URR, Hgb). However, the multivariate analysis showed that only age and duration of dialysis could predict levels of fatigue reported by HD participants.…”

Section: Discussionmentioning

confidence: 99%

Fatigue in People Undergoing Hemodialysis

Mollaoğlu

2009

Dialysis & Transplantation

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AIM: Levels of fatigue as experienced by people undergoing hemodialysis (HD) were assessed using the Visual Analog Scale for Fatigue (VAS-F).METHOD: The VAS-F was completed by 138 people with ESRD who were patients of HD units in Sivas, Turkey. Demographic and renal health history data were also collected with a structured questionnaire. The statistical analyses used in order to evaluate the data include: student's t-test, Kruskal-Wallis test, Pearson correlation test, and logistic regression analysis.RESULTS: The level of fatigue experienced by people with HD in our study was high, and their energy level was low. Univariate analysis showed that levels of fatigue differed by gender, age, education, employment, and presence of anemia. However, logistic regression analysis, age, and duration of dialysis were found to be the independent predictors of fatigue. CONCLUSIONS:The results of the study indicated that high levels of fatigue are experienced. In order to improve patient care and promote patient's quality of life, nephrology professionals should understand the comprehensive assessment of fatigue and work with patients to initiate a range of strategies and interventions to address it.

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“…[2][3] Lee and colleagues have hypothesized that fatigue, considered as a combination of energy exhaustion and decreased mental activity and motivation, is associated with physiological (dialysis duration, hemoglobin, albumin, urea reduction rate, Kt/V), psychological (depression), and situational (gender, age, education, religion, employment) variables. 4 Similarly, Jhamb et al have suggested that in the dialysis population, physiological, behavioral, treatment-related, and individual characteristics may correlate with fatigue. 1 In the clinical practice, it is a common observation that anorexia is often associated with fatigue.…”

Section: Introductionmentioning

confidence: 99%

Anorexia, fatigue, and plasma interleukin-6 levels in chronic hemodialysis patients

et al. 2010

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This study aimed at evaluating the possible relationship between anorexia and fatigue in hemodialysis (HD) patients and at measuring the plasma levels of interleukin-6 (IL-6) and C-reactive protein (CRP) in HD patients with or without anorexia and/or fatigue. The first question of the Hemodialysis Study Appetite questionnaire was used to assess the appetite of the HD patients and the vitality scale of the SF-36 to assess fatigue. The Charlson Comorbidity Index was assessed in each patient. Seventy-six HD patients were studied. Forty-four were males and 32 females. Thirty-two were classified as not-anorexic and not-fatigued, 12 as not-anorexic but fatigued, 6 as anorexic and not-fatigued, and 26 as anorexic and fatigued. Plasma IL-6 levels (pg/mL) were significantly higher in anorexic and fatigued patients (10.9 ± 11.9) than in not-anorexic and not-fatigued (1.6 ± 0.6) ( p < 0.001) and in anorexic but not-fatigued patients (1.8 ± 1.7) (p < 0.01). With respect to not-anorexic but fatigued patients (3.1 ± 1.5), the difference was not statistically significant (p = 0.058). The plasma CRP levels (mg/dL) also were significantly higher in anorexic and fatigued patients (9.2 ± 6.3) than in not-anorexic and not-fatigued patients (4.1 ± 4.5), in anorexic but not-fatigued patients (2.5 ± 1.6), and in not-anorexic but fatigued patients (4.1 ± 4.4) ( p = 0.001). The presence of both anorexia and fatigue in chronic HD patients is associated with significantly higher levels of plasma IL-6 and CRP and a higher frequency of comorbidities.

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The fatigue experience of haemodialysis patients in Taiwan

Abstract: The results can provide a direction for interventional studies designed to reduce the patients' fatigue.

Cited by 87 publications

References 18 publications

‘It's when you're not doing too much you feel tired’: A qualitative exploration of fatigue in end‐stage kidney disease

‘It's when you're not doing too much you feel tired’: A qualitative exploration of fatigue in end‐stage kidney disease

Fatigue in People Undergoing Hemodialysis

Anorexia, fatigue, and plasma interleukin-6 levels in chronic hemodialysis patients

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