Stephen Sharon A
Oregon Health and Science University School of Nursing, Portland, Oregon 97210, USA.
Heart Lung. 2008 Mar-Apr;37(2):122-31. doi: 10.1016/j.hrtlng.2007.03.006.
The purpose of this study was to describe fatigue and the relationships among fatigue intensity, self-reported functional status, and quality of life in older adults with stable heart failure.
A descriptive, correlational design was used to collect quantitative data with reliable and valid instruments. Fifty-three eligible volunteers completed a questionnaire during an interview. Those with recent changes in their medical regimen, other fatigue-inducing illnesses, and isolated diastolic dysfunction were excluded.
Fatigue intensity (Profile of Mood States fatigue subscale) was associated with lower quality of life, perceived health, and satisfaction with life. Fatigue was common, and no relationship was found between fatigue intensity and self-reported functional status. Marital status was the only independent predictor of fatigue.
In stable heart failure, fatigue is a persistent symptom. Clinicians need to ask patients about fatigue and assess the impact on quality of life. Self-reported functional status cannot serve as a proxy measure for fatigue.
本研究旨在描述稳定型心力衰竭老年患者的疲劳状况以及疲劳强度、自我报告的功能状态和生活质量之间的关系。
采用描述性、相关性设计，使用可靠且有效的工具收集定量数据。53名符合条件的志愿者在访谈期间完成了一份问卷。排除近期医疗方案有变化、患有其他导致疲劳的疾病以及单纯舒张功能障碍的患者。
疲劳强度（情绪状态量表疲劳分量表）与较低的生活质量、感知健康状况和生活满意度相关。疲劳很常见，且未发现疲劳强度与自我报告的功能状态之间存在关联。婚姻状况是疲劳的唯一独立预测因素。
在稳定型心力衰竭中，疲劳是一种持续存在的症状。临床医生需要询问患者是否有疲劳症状，并评估其对生活质量的影响。自我报告的功能状态不能作为疲劳的替代指标。
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