2.50
Hdl Handle:
http://hdl.handle.net/10755/243243
Category:
Full-text
Type:
Presentation
Title:
Predictors of Fatigue in Patients with Stable Coronary Disease
Author(s):
Fennessy, Michelle M.; DeVon, Holli A.; Ryan, Catherine; Zerwic, Julie Johnson
Lead Author STTI Affiliation:
033 Alpha Lambda Chapter
Author Details:
Fennessy, Michelle M., PhD, APRN, BC, michelle.fennessy@ucdmc.ucdavis.edu; DeVon, Holli A., PhD, RN; Ryan, Catherine, PhD, RN; Zerwic, Julie Johnson, PhD, RN;
Abstract:
Purpose: Fatigue is a pervasive problem in cardiovascular populations; however, there is limited research examining symptom patterns and predictors of fatigue in patients with stable coronary disease (CAD).  The purpose of this study was to evaluate whether fatigue was predicted by gender, depressive symptoms, age, and prior history of heart failure.  Leventhal’s self-regulation model was used as the conceptual basis for this study.

Methods: In this prospective design, a convenience sample of patients (n=180) with stable CAD were recruited after treatment.  Data collection occurred during hospitalization at baseline (post procedure) and 30-days after discharge using mailed surveys.  At 30-days, 52.8% of surveys were returned (men n=74, women n=21).  Measurements included the Profile of Mood States (POMS) for fatigue (POMS-F) and depressed mood (POMS-D).  Patient mood responses reflected the 7-day period prior to each of the measured time points. 

Results: Regression models were constructed to evaluate predictors of fatigue for patients at baseline (n=180, f=12.65, df=4; r2=.224, p<.01) and 30-days (n=95, f=10.02, df=4, r2=.308, p<.01).  At baseline, gender (beta=.257, p<.01) and depressed mood (beta=.425, p<.01) were predictors of fatigue, with higher fatigue scores in women (M=14.8, SD=6.3) compared to men (M=12.1, SD=6.4).  By 30-days, gender was no longer significant (beta=.055, p=.547; POMS-F scores women: M=5.8, SD=5.7; men: M=5.1, SD=3.8); however, depressed mood remained a predictor of fatigue (beta=.286, p=.005). Age and prior history of heart failure were not significant predictors at either time point. POMS-F normative scores are M=8.7, SD=6.1 for women and M=7.3, SD=5.7 for men.

Conclusion: Women demonstrated higher fatigue scores within the week prior to treatment. Men and women differ in their levels of fatigue prior to treatment for stable CAD.  Our results complement research from patients with acute myocardial infarction, which demonstrated gender differences in the presence of fatigue prior to acute events.  Future research should focus on the severity and etiology of fatigue in this population.

Keywords:
fatigue; symptoms; coronary artery disease
Repository Posting Date:
12-Sep-2012
Date of Publication:
12-Sep-2012 ; 12-Sep-2012
Conference Date:
2012
Conference Name:
23rd International Nursing Research Congress
Conference Host:
Sigma Theta Tau International, the Honor Society of Nursing
Conference Location:
Brisbane, Australia

Full metadata record

DC FieldValue Language
dc.language.isoenen
dc.type.categoryFull-texten
dc.typePresentationen
dc.titlePredictors of Fatigue in Patients with Stable Coronary Diseaseen
dc.contributor.authorFennessy, Michelle M.en
dc.contributor.authorDeVon, Holli A.en
dc.contributor.authorRyan, Catherineen
dc.contributor.authorZerwic, Julie Johnsonen
dc.contributor.department033 Alpha Lambda Chapteren
dc.author.detailsFennessy, Michelle M., PhD, APRN, BC, michelle.fennessy@ucdmc.ucdavis.edu; DeVon, Holli A., PhD, RN; Ryan, Catherine, PhD, RN; Zerwic, Julie Johnson, PhD, RN;en
dc.identifier.urihttp://hdl.handle.net/10755/243243-
dc.description.abstract<b>Purpose: </b>Fatigue is a pervasive problem in cardiovascular populations; however, there is limited research examining symptom patterns and predictors of fatigue in patients with stable coronary disease (CAD).&nbsp; The purpose of this study was to evaluate whether fatigue was predicted by gender, depressive symptoms, age, and prior history of heart failure.&nbsp; Leventhal&rsquo;s self-regulation model was used as the conceptual&nbsp;basis for this study. <div></div> <div></div><p><b>Methods: </b>In this prospective design, a convenience sample of patients (n=180) with stable CAD&nbsp;were recruited after treatment.&nbsp; Data collection occurred during hospitalization at baseline (post procedure)&nbsp;and 30-days after discharge using mailed surveys.&nbsp; At 30-days, 52.8% of surveys were returned (men n=74, women n=21).&nbsp; Measurements included the Profile of Mood States (POMS) for fatigue (POMS-F)&nbsp;and depressed mood (POMS-D).&nbsp; Patient mood responses reflected the 7-day period prior to each of the measured time points.&nbsp; <p><b>Results: </b>Regression models were&nbsp;constructed to evaluate predictors of fatigue for patients at baseline (n=180, f=12.65, df=4; r<sup>2</sup>=.224, <i>p</i>&lt;.01) and 30-days (n=95, f=10.02, df=4, r<sup>2</sup>=.308, p&lt;.01).&nbsp; At baseline, gender (beta=.257, p&lt;.01) and depressed mood (beta=.425, p&lt;.01) were&nbsp;predictors of fatigue, with higher fatigue scores in women (M=14.8, SD=6.3) compared to men (M=12.1, SD=6.4).&nbsp; By 30-days, gender was no longer significant (beta=.055, p=.547; POMS-F scores women: M=5.8, SD=5.7; men: M=5.1, SD=3.8); however, depressed mood remained a predictor of fatigue (beta=.286, p=.005). Age and prior history of heart failure were not significant predictors at either time point. POMS-F normative scores&nbsp;are M=8.7, SD=6.1 for women and M=7.3, SD=5.7 for men. <p><b>Conclusion: </b> Women demonstrated higher fatigue scores within the week prior to treatment. Men and women differ in their&nbsp;levels of fatigue&nbsp;prior to treatment for stable CAD.&nbsp; Our results complement research from patients with acute myocardial infarction, which demonstrated gender differences in the presence of fatigue prior to acute events.&nbsp; Future research should focus on the severity and etiology of fatigue in this population.en
dc.subjectfatigueen
dc.subjectsymptomsen
dc.subjectcoronary artery diseaseen
dc.date.available2012-09-12T09:19:31Z-
dc.date.issued2012-09-12-
dc.date.issued2012-09-12en
dc.date.accessioned2012-09-12T09:19:31Z-
dc.conference.date2012en
dc.conference.name23rd International Nursing Research Congressen
dc.conference.hostSigma Theta Tau International, the Honor Society of Nursingen
dc.conference.locationBrisbane, Australiaen
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