PMID- 36509707
OWN - NLM
STAT- MEDLINE
DCOM- 20230906
LR  - 20230918
IS  - 1873-1953 (Electronic)
IS  - 1474-5151 (Linking)
VI  - 22
IP  - 6
DP  - 2023 Sep 5
TI  - Associations of multidimensional fatigue with the physical, psychological, and 
      situational factors in outpatients with heart failure: a cross-sectional study.
PG  - 647-654
LID - 10.1093/eurjcn/zvac117 [doi]
AB  - AIMS: Fatigue, a distressing symptom in patients with heart failure (HF), is 
      associated with progress and health outcomes. Fatigue has been identified as 
      having multidimensions, but a few studies have used a multidimensional fatigue 
      scale. Many factors related to HF, including physical, psychological, and 
      situational factors, may impact fatigue. However, there is limited knowledge 
      about how these HF-related factors are associated with multidimensional fatigue 
      in outpatients with HF in Japan. The aim of this study was to identify HF-related 
      factors [physical; clinical characteristics, New York Heart Association (NYHA) 
      functional class and physical function, psychological; depressive symptoms and 
      anxiety, situational; health literacy and perceived control] associated with the 
      five dimensions of fatigue in outpatients with HF. METHODS AND RESULTS: 
      Outpatients with HF (N = 165, mean age = 69.5 years, 78.8% male) completed the 
      survey and physical assessment of gait speed. Fatigue was assessed using five 
      dimensions of the Multidimensional Fatigue Inventory-20. Multiple linear 
      regression analysis was conducted for each dimension of fatigue. General fatigue 
      was predicted by age, NYHA, and perceived control. Physical fatigue was predicted 
      by NYHA, depressive symptoms, and perceived control. Reduced activity was 
      predicted by NYHA, gait speed, depressive symptoms, communicative health 
      literacy, and critical health literacy. The reduced motivation was predicted by 
      depressive symptoms and perceived control. Mental fatigue was predicted by 
      depressive symptoms. CONCLUSION: Different factors were significantly associated 
      with each fatigue dimension. Further research is needed to alleviate fatigue in 
      patients with HF.
CI  - (c) The Author(s) 2022. Published by Oxford University Press on behalf of the 
      European Society of Cardiology. All rights reserved. For permissions, please 
      email: journals.permissions@oup.com.
FAU - Higa, Hiroko
AU  - Higa H
AUID- ORCID: 0000-0001-8319-5541
AD  - School of Nursing, Kitasato University, 2-1-1, Kitasato, Minami-ku, Sagamihara, 
      Kanagawa 252-0329, Japan.
FAU - Lennie, Terry A
AU  - Lennie TA
AUID- ORCID: 0000-0002-6770-6804
AD  - College of Nursing, University of Kentucky, 751 Rose Street, Lexington, KY 
      40536-0232, USA.
FAU - Chung, Misook L
AU  - Chung ML
AUID- ORCID: 0000-0001-7561-1330
AD  - College of Nursing, University of Kentucky, 751 Rose Street, Lexington, KY 
      40536-0232, USA.
FAU - Tsuchihashi-Makaya, Miyuki
AU  - Tsuchihashi-Makaya M
AUID- ORCID: 0000-0003-2576-7016
AD  - School of Nursing, Kitasato University, 2-1-1, Kitasato, Minami-ku, Sagamihara, 
      Kanagawa 252-0329, Japan.
LA  - eng
PT  - Journal Article
PT  - Research Support, Non-U.S. Gov't
PL  - England
TA  - Eur J Cardiovasc Nurs
JT  - European journal of cardiovascular nursing
JID - 101128793
SB  - IM
MH  - Humans
MH  - Male
MH  - Aged
MH  - Female
MH  - Cross-Sectional Studies
MH  - *Outpatients
MH  - *Heart Failure/psychology
MH  - Anxiety/psychology
MH  - Regression Analysis
MH  - Depression/psychology
OTO - NOTNLM
OT  - Fatigue
OT  - Health literacy
OT  - Heart failure
OT  - Perceived control
OT  - Symptom management
COIS- Conflict of interest: The authors declare that there are no conflicts of 
      interest.
EDAT- 2022/12/13 06:00
MHDA- 2023/09/06 06:42
CRDT- 2022/12/12 22:33
PHST- 2022/07/18 00:00 [received]
PHST- 2022/12/07 00:00 [revised]
PHST- 2022/12/08 00:00 [accepted]
PHST- 2023/09/06 06:42 [medline]
PHST- 2022/12/13 06:00 [pubmed]
PHST- 2022/12/12 22:33 [entrez]
AID - 6889556 [pii]
AID - 10.1093/eurjcn/zvac117 [doi]
PST - ppublish
SO  - Eur J Cardiovasc Nurs. 2023 Sep 5;22(6):647-654. doi: 10.1093/eurjcn/zvac117.