Schaefer K M, Shober Potylycki M J
Allentown College of Saint Francis de Sales, Center Valley, Pennsylvania.
J Adv Nurs. 1993 Feb;18(2):260-8. doi: 10.1046/j.1365-2648.1993.18020260.x.
This study aimed to refine and extend the findings of an original study which focused on the description of fatigue associated with congestive heart failure. A descriptive approach based on Levine's Conservation Model provided both quantitative and qualitative data. Qualitative data addressed personal integrity and quantitative data measured energy conservation, structural and social integrity. Patients described fatigue as being tired and exhausted and containing both physical and emotional components. Fatigue occurred as a result of stress, physical activity and disease. Patient-identified interventions included rest, distraction, medicine, and physical and spiritual activities. Age, pH and oxygen saturation were significantly related to fatigue. The findings are examined using the concept of adaptation as defined by Levine. Implications for nursing are discussed within the framework of the Conservation Model with emphasis on a holistic approach to patient care.
本研究旨在完善和扩展一项原研究的结果，该原研究聚焦于对与充血性心力衰竭相关的疲劳的描述。基于莱文守恒模型的描述性方法提供了定量和定性数据。定性数据涉及个人完整性，定量数据测量了能量守恒、结构和社会完整性。患者将疲劳描述为疲惫和精疲力竭，包含身体和情感成分。疲劳是由压力、体力活动和疾病导致的。患者确定的干预措施包括休息、分散注意力、药物以及身体和精神活动。年龄、pH值和血氧饱和度与疲劳显著相关。使用莱文定义的适应概念对研究结果进行了检验。在守恒模型的框架内讨论了对护理的启示，重点是对患者护理采取整体方法。
