Department of Nursing, Health and Culture, University West, Trollhättan, Sweden.
J Clin Nurs. 2013 Jun;22(11-12):1647-52. doi: 10.1111/jocn.12114. Epub 2013 Feb 28.
To investigate changes in self-reported fatigue and depression from four months to two years following a myocardial infarction, as well as to explore gender differences, identify the incidence of fatigue without coexisting depression and finally predict health-related quality of life at a two-year follow-up.
Depression and fatigue are associated with decreased health-related quality of life after myocardial infarction. Although there is a close relationship between fatigue and depression, it has been shown that symptoms of fatigue can occur without coexisting depression.
Quantitative and longitudinal design.
Participants (n = 155) were asked to complete the following questionnaires: the Hospital Anxiety and Depression Scale, the Multidimensional Fatigue Inventory-20 (MFI-20) and the Short Form Survey (SF-36) following myocardial infarction (after four months and two years). Descriptive statistics, paired t-tests and multiple regressions were carried out.
In the entire group, self-reported fatigue had decreased from four months to two years after myocardial infarction. After two years, 18% of respondents reported depression together with fatigue and 30% reported fatigued without depression. Women scored higher than men on the fatigue dimensions reduced activity, reduced motivation and mental fatigue. Moreover, the physical dimension of health-related quality of life two years after myocardial infarction was predicted by experienced general fatigue at four months.
Fatigue with or without coexisting possible/probable depression remains as a significant symptom two years after myocardial infarction in nearly half of the entire group.
Fatigue is a problem following myocardial infarction. Therefore, systematic screening and early identification of patients experiencing symptoms of depression and fatigue after myocardial infarction are important for suitable care planning. In contemporary coronary care, strategies aimed at relieving fatigue should be developed.
调查心肌梗死后四个月至两年间自我报告的疲劳和抑郁的变化，探讨性别差异，确定无共存抑郁的疲劳发生率，并最终预测两年随访时的健康相关生活质量。
抑郁和疲劳与心肌梗死后健康相关生活质量下降有关。尽管疲劳和抑郁之间存在密切关系，但已表明疲劳症状可能在没有共存抑郁的情况下出现。
定量和纵向设计。
参与者（n=155）在心肌梗死后（四个月和两年后）被要求完成以下问卷：医院焦虑和抑郁量表、多维疲劳量表-20（MFI-20）和简明健康调查问卷（SF-36）。进行描述性统计、配对 t 检验和多元回归分析。
在整个组中，自我报告的疲劳从心肌梗死后四个月到两年后有所下降。两年后，18%的受访者报告同时出现疲劳和抑郁，30%的受访者报告出现无抑郁的疲劳。女性在活动减少、动机减少和精神疲劳等疲劳维度上的得分高于男性。此外，四个月时经历的一般疲劳可预测心肌梗死后两年时的健康相关生活质量的生理维度。
在整个组的近一半患者中，心肌梗死后两年仍存在伴有或不伴有可能/可能诊断的抑郁的疲劳。
疲劳是心肌梗死后的一个问题。因此，对心肌梗死后出现抑郁和疲劳症状的患者进行系统筛查和早期识别，对适当的护理计划非常重要。在当代冠心病护理中，应制定旨在缓解疲劳的策略。
