Fatigue after heart transplantation – a possible barrier to self-efficacy
(2021) In Scandinavian Journal of Caring Sciences 35(4). p.1301-1308- Abstract
Rationale: Recovery after heart transplantation is challenging and many heart recipients struggle with various transplant-related symptoms, side-effects of immunosuppressive medications and mental challenges. Fatigue has been reported to be one of the most common and distressing symptoms after heart transplantation and might therefore constitute a barrier to self-efficacy, which acts as a moderator of self-management. Aim: To explore the prevalence of fatigue and its relationship to self-efficacy among heart recipients 1–5 years after transplantation. Research method: An explorative cross-sectional design, including 79 heart recipients due for follow-up 1–5 years after transplantation. Three different self-assessment instruments were... (More)
Rationale: Recovery after heart transplantation is challenging and many heart recipients struggle with various transplant-related symptoms, side-effects of immunosuppressive medications and mental challenges. Fatigue has been reported to be one of the most common and distressing symptoms after heart transplantation and might therefore constitute a barrier to self-efficacy, which acts as a moderator of self-management. Aim: To explore the prevalence of fatigue and its relationship to self-efficacy among heart recipients 1–5 years after transplantation. Research method: An explorative cross-sectional design, including 79 heart recipients due for follow-up 1–5 years after transplantation. Three different self-assessment instruments were employed; The Multidimensional Fatigue Inventory-19, Self-efficacy for managing chronic disease 6-Item Scale and The Postoperative Recovery Profile. Ethical approval: The study was approved by the Regional Ethics Board of Lund (Dnr. 2014/670-14/10) with supplementary approval from the Swedish Ethical Review Authority (Dnr. 2019-02769). Results: The reported levels of fatigue for the whole group were moderate in all dimensions of the Multidimensional Fatigue Inventory-19, with highest ratings in the General Fatigue sub-scale. Those most fatigued were the groups younger than 50 years; pretransplant treatment with Mechanical Circulatory Support; not recovered or had not returned to work. Self-efficacy was associated with the sub-dimensions Mental Fatigue (ρ = −0·.649) and Reduced Motivation (ρ = −0·617), which explained 40·1% of the variance when controlled for age and gender. Study limitations: The small sample size constitutes a limitation. Conclusions: The moderate levels of fatigue reported indicate that it is not a widespread problem. However, for those suffering from severe fatigue it is a troublesome symptom that affects the recovery process and their ability to return to work. Efforts should be made to identify those troubled by fatigue to enable sufficient self-management support.
(Less)
- author
- Almgren, Matilda LU ; Lundqvist, Pia LU ; Lennerling, Annette and Forsberg, Anna LU
- organization
- publishing date
- 2021
- type
- Contribution to journal
- publication status
- published
- subject
- keywords
- fatigue, heart transplantation, self-efficacy, self-management, symptom
- in
- Scandinavian Journal of Caring Sciences
- volume
- 35
- issue
- 4
- pages
- 1301 - 1308
- publisher
- Wiley-Blackwell
- external identifiers
-
- scopus:85098122456
- pmid:33369757
- ISSN
- 0283-9318
- DOI
- 10.1111/scs.12951
- language
- English
- LU publication?
- yes
- id
- 52064e5c-e4e6-4f39-b131-b5e18799bdab
- date added to LUP
- 2021-01-11 11:16:11
- date last changed
- 2024-04-17 23:32:59
@article{52064e5c-e4e6-4f39-b131-b5e18799bdab,
abstract = {{<p>Rationale: Recovery after heart transplantation is challenging and many heart recipients struggle with various transplant-related symptoms, side-effects of immunosuppressive medications and mental challenges. Fatigue has been reported to be one of the most common and distressing symptoms after heart transplantation and might therefore constitute a barrier to self-efficacy, which acts as a moderator of self-management. Aim: To explore the prevalence of fatigue and its relationship to self-efficacy among heart recipients 1–5 years after transplantation. Research method: An explorative cross-sectional design, including 79 heart recipients due for follow-up 1–5 years after transplantation. Three different self-assessment instruments were employed; The Multidimensional Fatigue Inventory-19, Self-efficacy for managing chronic disease 6-Item Scale and The Postoperative Recovery Profile. Ethical approval: The study was approved by the Regional Ethics Board of Lund (Dnr. 2014/670-14/10) with supplementary approval from the Swedish Ethical Review Authority (Dnr. 2019-02769). Results: The reported levels of fatigue for the whole group were moderate in all dimensions of the Multidimensional Fatigue Inventory-19, with highest ratings in the General Fatigue sub-scale. Those most fatigued were the groups younger than 50 years; pretransplant treatment with Mechanical Circulatory Support; not recovered or had not returned to work. Self-efficacy was associated with the sub-dimensions Mental Fatigue (ρ = −0·.649) and Reduced Motivation (ρ = −0·617), which explained 40·1% of the variance when controlled for age and gender. Study limitations: The small sample size constitutes a limitation. Conclusions: The moderate levels of fatigue reported indicate that it is not a widespread problem. However, for those suffering from severe fatigue it is a troublesome symptom that affects the recovery process and their ability to return to work. Efforts should be made to identify those troubled by fatigue to enable sufficient self-management support.</p>}},
author = {{Almgren, Matilda and Lundqvist, Pia and Lennerling, Annette and Forsberg, Anna}},
issn = {{0283-9318}},
keywords = {{fatigue; heart transplantation; self-efficacy; self-management; symptom}},
language = {{eng}},
number = {{4}},
pages = {{1301--1308}},
publisher = {{Wiley-Blackwell}},
series = {{Scandinavian Journal of Caring Sciences}},
title = {{Fatigue after heart transplantation – a possible barrier to self-efficacy}},
url = {{http://dx.doi.org/10.1111/scs.12951}},
doi = {{10.1111/scs.12951}},
volume = {{35}},
year = {{2021}},
}