School of Nursing, Millikin University, Decatur, IL, USA.
Mennonite College of Nursing, Illinois State University, Normal, IL, USA.
J Clin Nurs. 2018 Mar;27(5-6):906-916. doi: 10.1111/jocn.14122. Epub 2018 Jan 30.
To explore the extant literature for key features of prodromal and acute myocardial infarction fatigue experienced by women, including estimates of severity, narrative descriptors, impacts on activities of daily living and frequency, and to describe what is known from the current evidence base.
Several studies, conducted across the globe, have investigated prodromal and acute myocardial infarction symptoms experienced by women and suggested that fatigue is prevalent, and they have also sporadically described specific characteristics of fatigue, such as narrative descriptors and severity. However, no review specific to this acute and prodromal fatigue could be located in the literature.
Integrative review, guided by Whittemore and Knafl's approach and the Theory of Unpleasant Symptoms.
We used a comprehensive, systematic approach to searching, screening, selecting, evaluating and analysing the records. Data were collected in February 2017.
Twenty-one articles were included in the review, including nine quantitative, six qualitative and six mixed-methods studies, with the majority (14) published in the USA. The average age of participants across the studies was the early 60s. Distress, quality, intensity and timing of prodromal myocardial infarction fatigue were more completely described in the literature than acute myocardial infarction fatigue.
Fatigue is the most common prodromal myocardial infarction symptom experienced by women and is also a common acute symptom. Additional research exploring prodromal and acute myocardial infarction fatigue is necessary.
As healthcare professionals work with women across the healthcare spectrum, recognising fatigue as an important potential myocardial infarction symptom is essential. Not only can women be educated about this symptom and other possible myocardial infarction symptoms, but clinicians can consider fatigue as an important symptom in a constellation of factors when evaluating women's health and the potential for coronary disease and myocardial infarction.
探索女性前驱性和急性心肌梗死疲劳的现有文献，包括疲劳严重程度、描述性叙述、对日常生活活动和频率的影响，并描述当前证据基础中已知的内容。
全球范围内的几项研究调查了女性前驱性和急性心肌梗死症状，表明疲劳很常见，并且他们还零星地描述了疲劳的具体特征，如描述性叙述和严重程度。然而，在文献中找不到专门针对这种急性和前驱性疲劳的综述。
根据 Whittemore 和 Knafl 的方法和不愉快症状理论进行综合综述。
我们使用全面、系统的方法进行搜索、筛选、选择、评估和分析记录。数据于 2017 年 2 月收集。
综述纳入了 21 篇文章，包括 9 篇定量研究、6 篇定性研究和 6 篇混合方法研究，其中大多数（14 篇）发表在美国。研究参与者的平均年龄在 60 岁出头。前驱性心肌梗死疲劳的痛苦、质量、强度和时间比急性心肌梗死疲劳更全面地描述在文献中。
疲劳是女性最常见的前驱性心肌梗死症状，也是常见的急性症状。需要进一步研究前驱性和急性心肌梗死疲劳。
由于医疗保健专业人员在整个医疗保健范围内与女性合作，认识到疲劳是一个重要的潜在心肌梗死症状至关重要。女性不仅可以接受关于这种症状和其他可能的心肌梗死症状的教育，而且临床医生在评估女性健康和潜在冠心病和心肌梗死时，可以将疲劳视为一系列因素中的一个重要症状。
