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Fatigue in patients with chronic obstructive pulmonary disease

Background.  Fatigue is a frequently occurring symptom in patients with chronic obstructive pulmonary disease (COPD). Despite this, relatively few studies have objectively assessed patients’ perceptions of fatigue and the impact of perceived fatigue on their everyday lives. Objective.  The purpose o...

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Published in:Journal of advanced nursing 2004-01, Vol.45 (2), p.172-177
Main Authors: Theander, Kersti, Unosson, Mitra
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Language:English
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description Background.  Fatigue is a frequently occurring symptom in patients with chronic obstructive pulmonary disease (COPD). Despite this, relatively few studies have objectively assessed patients’ perceptions of fatigue and the impact of perceived fatigue on their everyday lives. Objective.  The purpose of this study was to describe the prevalence, duration and severity of fatigue among patients with COPD and the impact of perceived fatigue on cognitive, physical and psychosocial functioning in comparison with controls. Method.  The Fatigue Impact Scale, including physical, psychosocial and cognitive dimension and structured questions about the frequency, duration, and severity of fatigue was mailed to 44 outpatients with COPD and 88 randomly selected age‐ and sex‐matched controls. In total 36 patients and 37 controls completed the questionnaire. Results.  Almost half of the patients (47·2%), reported fatigue every day during the preceding month compared with 13·5% of the control group (P 
doi_str_mv 10.1046/j.1365-2648.2003.02878.x
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Despite this, relatively few studies have objectively assessed patients’ perceptions of fatigue and the impact of perceived fatigue on their everyday lives. Objective.  The purpose of this study was to describe the prevalence, duration and severity of fatigue among patients with COPD and the impact of perceived fatigue on cognitive, physical and psychosocial functioning in comparison with controls. Method.  The Fatigue Impact Scale, including physical, psychosocial and cognitive dimension and structured questions about the frequency, duration, and severity of fatigue was mailed to 44 outpatients with COPD and 88 randomly selected age‐ and sex‐matched controls. In total 36 patients and 37 controls completed the questionnaire. Results.  Almost half of the patients (47·2%), reported fatigue every day during the preceding month compared with 13·5% of the control group (P &lt; 0·001). The duration of fatigue was more than 6 hours in 52·7% of the patients and 44·4% reported that fatigue was either the worst or one of the worst symptoms they had, compared with 18·9% (P &lt; 0·001) and 10·8% (P &lt; 0·01) in the control group. The patients reported a significantly greater impact of fatigue on cognitive, physical and psychosocial functioning compared with the control group (P &lt; 0·001). Conclusion.  These findings indicate that fatigue is a highly prevalent symptom, which impacts on patients’ functional condition and needs to be professionally assessed and managed.</description><identifier>ISSN: 0309-2402</identifier><identifier>ISSN: 1365-2648</identifier><identifier>EISSN: 1365-2648</identifier><identifier>DOI: 10.1046/j.1365-2648.2003.02878.x</identifier><identifier>PMID: 14706002</identifier><language>eng</language><publisher>Oxford, UK: Blackwell Science Ltd</publisher><subject>Aged ; Assessment ; Attitude to Health ; Chronic obstructive pulmonary disease ; Disability Evaluation ; Fatigue ; Fatigue - etiology ; Fatigue - psychology ; Fatigue Impact Scale ; Female ; Humans ; MEDICIN ; MEDICINE ; Middle Aged ; Nursing ; Patient Compliance ; Pulmonary Disease, Chronic Obstructive - complications ; Severity of Illness Index ; Surveys and Questionnaires ; Sweden</subject><ispartof>Journal of advanced nursing, 2004-01, Vol.45 (2), p.172-177</ispartof><rights>Copyright Blackwell Science Ltd. 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Despite this, relatively few studies have objectively assessed patients’ perceptions of fatigue and the impact of perceived fatigue on their everyday lives. Objective.  The purpose of this study was to describe the prevalence, duration and severity of fatigue among patients with COPD and the impact of perceived fatigue on cognitive, physical and psychosocial functioning in comparison with controls. Method.  The Fatigue Impact Scale, including physical, psychosocial and cognitive dimension and structured questions about the frequency, duration, and severity of fatigue was mailed to 44 outpatients with COPD and 88 randomly selected age‐ and sex‐matched controls. In total 36 patients and 37 controls completed the questionnaire. Results.  Almost half of the patients (47·2%), reported fatigue every day during the preceding month compared with 13·5% of the control group (P &lt; 0·001). The duration of fatigue was more than 6 hours in 52·7% of the patients and 44·4% reported that fatigue was either the worst or one of the worst symptoms they had, compared with 18·9% (P &lt; 0·001) and 10·8% (P &lt; 0·01) in the control group. The patients reported a significantly greater impact of fatigue on cognitive, physical and psychosocial functioning compared with the control group (P &lt; 0·001). Conclusion.  These findings indicate that fatigue is a highly prevalent symptom, which impacts on patients’ functional condition and needs to be professionally assessed and managed.</description><subject>Aged</subject><subject>Assessment</subject><subject>Attitude to Health</subject><subject>Chronic obstructive pulmonary disease</subject><subject>Disability Evaluation</subject><subject>Fatigue</subject><subject>Fatigue - etiology</subject><subject>Fatigue - psychology</subject><subject>Fatigue Impact Scale</subject><subject>Female</subject><subject>Humans</subject><subject>MEDICIN</subject><subject>MEDICINE</subject><subject>Middle Aged</subject><subject>Nursing</subject><subject>Patient Compliance</subject><subject>Pulmonary Disease, Chronic Obstructive - complications</subject><subject>Severity of Illness Index</subject><subject>Surveys and Questionnaires</subject><subject>Sweden</subject><issn>0309-2402</issn><issn>1365-2648</issn><issn>1365-2648</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2004</creationdate><recordtype>article</recordtype><sourceid>7QJ</sourceid><recordid>eNqNkc2O0zAURi0EYsrAK6CIBWxIuL6242TBSNVAh59REWgE7K5S15lxSZMQJ7Tz9jikKhILwBtb8vmO7PsxFnFIOMj0xSbhIlUxpjJLEEAkgJnOkv0dNjte3GUzEJDHKAFP2APvNwBcIOJ9dsKlhhQAZ-xsUfTuerCRq6M2HG3d-2jn-pvI3HRN7UzUrHzfDaZ3P2zUDtW2qYvuNlo7bwtvH7J7ZVF5--iwn7Krxeur8zfx5YeLt-fzy9goAVkslTZiJcLiXGhhc9ClNutSobBCqEwiFrmUihtYp4i5kiZVHNFkWmEpxSl7Pmn9zrbDitrObcMrqCkcvXKf59R011S5gbjEnAf86YS3XfN9sL6nrfPGVlVR22bwlAFkSnMI4LO_gjqVCDpX_1YGXRitGJVP_gA3zdDVYTiEAmUOky2bINM13ne2PP6IA40N04bGImksksaG6VfDtA_Rxwf_sNra9e_godIAvJyAnavs7X-L6d18OZ5CPp7yzvd2f8wX3TdKtdCKviwvKP24_PQeFwv6Kn4C3bXAbg</recordid><startdate>200401</startdate><enddate>200401</enddate><creator>Theander, Kersti</creator><creator>Unosson, Mitra</creator><general>Blackwell Science Ltd</general><general>Wiley Subscription Services, Inc</general><scope>BSCLL</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7QJ</scope><scope>ASE</scope><scope>FPQ</scope><scope>K6X</scope><scope>NAPCQ</scope><scope>7X8</scope><scope>ADTPV</scope><scope>AOWAS</scope><scope>DG8</scope></search><sort><creationdate>200401</creationdate><title>Fatigue in patients with chronic obstructive pulmonary disease</title><author>Theander, Kersti ; Unosson, Mitra</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c5308-457c3b333311373e907f7cdf523e3358422a94451c0d622954c65122c8752f43</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2004</creationdate><topic>Aged</topic><topic>Assessment</topic><topic>Attitude to Health</topic><topic>Chronic obstructive pulmonary disease</topic><topic>Disability Evaluation</topic><topic>Fatigue</topic><topic>Fatigue - etiology</topic><topic>Fatigue - psychology</topic><topic>Fatigue Impact Scale</topic><topic>Female</topic><topic>Humans</topic><topic>MEDICIN</topic><topic>MEDICINE</topic><topic>Middle Aged</topic><topic>Nursing</topic><topic>Patient Compliance</topic><topic>Pulmonary Disease, Chronic Obstructive - complications</topic><topic>Severity of Illness Index</topic><topic>Surveys and Questionnaires</topic><topic>Sweden</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Theander, Kersti</creatorcontrib><creatorcontrib>Unosson, Mitra</creatorcontrib><collection>Istex</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Applied Social Sciences Index &amp; Abstracts (ASSIA)</collection><collection>British Nursing Index</collection><collection>British Nursing Index (BNI) (1985 to Present)</collection><collection>British Nursing Index</collection><collection>Nursing &amp; Allied Health Premium</collection><collection>MEDLINE - Academic</collection><collection>SwePub</collection><collection>SwePub Articles</collection><collection>SWEPUB Linköpings universitet</collection><jtitle>Journal of advanced nursing</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Theander, Kersti</au><au>Unosson, Mitra</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Fatigue in patients with chronic obstructive pulmonary disease</atitle><jtitle>Journal of advanced nursing</jtitle><addtitle>J Adv Nurs</addtitle><date>2004-01</date><risdate>2004</risdate><volume>45</volume><issue>2</issue><spage>172</spage><epage>177</epage><pages>172-177</pages><issn>0309-2402</issn><issn>1365-2648</issn><eissn>1365-2648</eissn><abstract>Background.  Fatigue is a frequently occurring symptom in patients with chronic obstructive pulmonary disease (COPD). Despite this, relatively few studies have objectively assessed patients’ perceptions of fatigue and the impact of perceived fatigue on their everyday lives. Objective.  The purpose of this study was to describe the prevalence, duration and severity of fatigue among patients with COPD and the impact of perceived fatigue on cognitive, physical and psychosocial functioning in comparison with controls. Method.  The Fatigue Impact Scale, including physical, psychosocial and cognitive dimension and structured questions about the frequency, duration, and severity of fatigue was mailed to 44 outpatients with COPD and 88 randomly selected age‐ and sex‐matched controls. In total 36 patients and 37 controls completed the questionnaire. Results.  Almost half of the patients (47·2%), reported fatigue every day during the preceding month compared with 13·5% of the control group (P &lt; 0·001). The duration of fatigue was more than 6 hours in 52·7% of the patients and 44·4% reported that fatigue was either the worst or one of the worst symptoms they had, compared with 18·9% (P &lt; 0·001) and 10·8% (P &lt; 0·01) in the control group. The patients reported a significantly greater impact of fatigue on cognitive, physical and psychosocial functioning compared with the control group (P &lt; 0·001). Conclusion.  These findings indicate that fatigue is a highly prevalent symptom, which impacts on patients’ functional condition and needs to be professionally assessed and managed.</abstract><cop>Oxford, UK</cop><pub>Blackwell Science Ltd</pub><pmid>14706002</pmid><doi>10.1046/j.1365-2648.2003.02878.x</doi><tpages>6</tpages></addata></record>
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source Applied Social Sciences Index & Abstracts (ASSIA); Wiley-Blackwell Read & Publish Collection
subjects Aged
Assessment
Attitude to Health
Chronic obstructive pulmonary disease
Disability Evaluation
Fatigue
Fatigue - etiology
Fatigue - psychology
Fatigue Impact Scale
Female
Humans
MEDICIN
MEDICINE
Middle Aged
Nursing
Patient Compliance
Pulmonary Disease, Chronic Obstructive - complications
Severity of Illness Index
Surveys and Questionnaires
Sweden
title Fatigue in patients with chronic obstructive pulmonary disease
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