Validation of the revised piper fatigue scale in Koreans with chronic hepatitis B

Jang, Yeonsoo; Kim, Jeong Hyun; Lee, Kyunghwa

doi:10.1371/journal.pone.0177690

Cited by 13 publications

(14 citation statements)

References 29 publications

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“…Fatigue is a common symptom in patients with CHB 18,19,24. Some CHB patients may regard fatigue as a symptom that they experienced in the course of CHB.…”

Section: Discussionmentioning

confidence: 99%

“…Evon18 surveyed 948 CHB patients and found that fatigue level was associated with demographics and clinical characteristics such as gender, income, advanced fibrosis, and poor mental health. Jang19 conducted a fatigue survey of CHB patients and showed that fatigue had a significant positive correlation with symptoms of anxiety. However, there are no studies evaluating the risk factors of fatigue in CHB patients or the relationship between fatigue and health related quality of life (HRQoL).…”

Section: Introductionmentioning

confidence: 99%

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<p>Risk factors associated with fatigue in chronic hepatitis B patients</p>

Zhong¹,

Yin²,

Zheng³

et al. 2019

PPA

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Aim To evaluate fatigue in chronic hepatitis B patients and its related independent factors, as well as the relationship between fatigue and health-related quality of life (HRQoL). Materials and methods The study enrolled 400 patients who met the selection criteria, and their sociodemographic information was collected. The 36-item Short-Form Health Survey (SF-36) and Multidimensional fatigue inventory 20 (MFI-20) were adopted to evaluate HRQoL and fatigue level. Results Significant differences between the fatigue group and non-fatigue group were observed for the female proportion ( p =0.021), height ( p =0.003), and weight ( p =0.010), with or without regular exercise ( p =0.001). We further determined the dimensions of fatigue that were affected by these factors and found that male patients showed significantly lower results than female patients in terms of physical fatigue ( p =0.048), mental fatigue ( p =0.017), and reduced motivation ( p =0.025). In patients who exercised regularly, the fatigue scores for the three dimensions of general fatigue ( p <0.001), physical fatigue ( p =0.046), and reduced activity ( p =0.008) were significantly better than in those without exercise habits. Multivariate analysis was conducted, which suggested that only height and regular exercise habits were the independent factors affecting the patients’ fatigue levels. We further analyzed the relationship between quality of life and fatigue. With respect to physiological HRQoL, the average fatigue score of patients with high HRQoL was 41.91, which was significantly lower than that of patients with low physiological HRQoL (56.18, p <0.001). Moreover, the average fatigue score in patients with low psychological HRQoL was 55.25, which was significantly higher than that of patients with high psychological HRQoL (41.23, p <0.001). Correlation analysis showed that the physiological HRQoL and psychological HRQoL scores were negatively correlated with fatigue score (r = −0.639, p <0.001 and r = −0.655, p <0.001, respectively). Conclusions In this study, we found that the fatigue dimensions of chronic hepatitis B patients differed between various subpopulations. Height and regular exercise habits were the independent factors that affected the patients’ fatigue levels. Moreover, HRQoL was correlated with fatigue level. For patients with risk factors of fatigue, target intervention is advised in order to decrease fatigue and increase HRQoL.

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“…Fatigue is a common symptom in patients with CHB 18,19,24. Some CHB patients may regard fatigue as a symptom that they experienced in the course of CHB.…”

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

<p>Risk factors associated with fatigue in chronic hepatitis B patients</p>

Zhong¹,

Yin²,

Zheng³

et al. 2019

PPA

View full text Add to dashboard Cite

show abstract

“…Severity of fatigue was scored as: none (0), mild (1–3), moderate (4–6), and severe (7–10) levels of fatigue. In this study, the investigators translated the questionnaire from English to Korean 28 . The reliability coefficient of the original scale was 0.97.…”

Section: Methodsmentioning

confidence: 99%

A quantile regression approach to explain the relationship of Fatigue and Cortisol, Cytokine among Koreans with Hepatitis B

Jang

Kim

Lee

et al. 2018

Sci Rep

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Fatigue is a major symptom among patients with Hepatitis B virus (HBV). However, the physiological mechanisms regarding mediate fatigue and the relationships between fatigue, cortisol and cytokines are unclear in patients with HBV. The purpose of this study was to examine the relationships between perceived fatigue, cortisol, and cytokines in Korean patients with HBV. The mean score for overall fatigue was moderate. In linear regression analyses, TNF-α was only significant as a predictor of fatigue. In quantile regression analyses, the cortisol level was significant in the 70th, 80th, 90th quantiles in the cognitive/mood fatigue subdimension, which correspond to severe levels of fatigue. IL-6 levels were significant in 90th quantile in overall fatigue and in the cognitive/mood fatigue subdimension. Cortisol, IL-6, and TNF- α were related to perceived fatigue in patients with HBV, particularly in the cognitive/mood dimension. This suggests that the fatigue patterns of patients with HBV are related to their mental and mood states and physical responses, such as cortisol and cytokine levels, are correlated with the nature of the fatigue. In the clinic, interventions to manage fatigue in patients with HBV should be developed based on the characteristics of the fatigue.

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“…The Korean version of the revised Piper Fatigue Scale was used to measure levels of fatigue [ 21 ]. The Piper Fatigue Scale was originally developed in English [ 22 ].…”

Section: Methodsmentioning

confidence: 99%

“…The total score range is from 0 to 10; a high score represents a high fatigue level. The reliability of the Korean version was α = 0.96 [ 21 ]. In this study, the reliability was α = 0.96.…”

Section: Methodsmentioning

confidence: 99%

Development and Pilot Testing of a Smartphone-Based Self-Care Program for Patients with Chronic Hepatitis B

Jang

Ahn

Lee

et al. 2021

IJERPH

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The purpose of this study is to develop a smartphone-based self-care program (Hep B Care®) for patients with the chronic hepatitis B virus (HBV). To pilot test the feasibility of Hep B Care®, 63 participants with chronic HBV were recruited from an outpatient clinic at S hospital, Seoul, South Korea (experimental group [EG]: n = 30, control group [CG]: n = 33) between February and July 2016. Hep B Care® was developed based on the theory of self-care whilst having a chronic illness. During the 12-week intervention period, the application: (1) provided information about the disease, medication, nutrition, and exercise; (2) encouraged taking medication and exercise using alarms; and (3) enabled the exchange of messages between healthcare providers and patients. Salivary cortisol, fatigue, depression, anxiety, knowledge of the HBV, quality of life, and medication adherence were all measured as outcomes. Cortisol levels were significantly increased, knowledge of the HBV was improved, and the mean anxiety score was significantly decreased in the EG. Thus, Hep B Care ® partially improved health outcomes in the EG. We recommend that large trials be conducted among patients with the HBV. The smartphone-based self-care program for providing education and coaching is effective for improving knowledge and reducing anxiety among patients with the HBV.

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Validation of the revised piper fatigue scale in Koreans with chronic hepatitis B

Cited by 13 publications

References 29 publications

<p>Risk factors associated with fatigue in chronic hepatitis B patients</p>

<p>Risk factors associated with fatigue in chronic hepatitis B patients</p>

A quantile regression approach to explain the relationship of Fatigue and Cortisol, Cytokine among Koreans with Hepatitis B

Development and Pilot Testing of a Smartphone-Based Self-Care Program for Patients with Chronic Hepatitis B

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