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An exploration of the relationship between fatigue and physical functioning in patients with end stage renal disease receiving haemodialysis.

Aim. To measure fatigue and physical functioning in patients with end stage renal disease (ESRD) receiving haemodialysis and to investigate the relationships between fatigue and physical functioning. Background. Fatigue and reduced physical functioning are among the most bothersome symptoms experien...

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Published in:Journal of Nursing & Healthcare of Chronic Illness Vol. 16; no. 3; pp. 276 - 285
Main Authors: O'Sullivan D, McCarthy G
Format: research tables/charts Journal Article
Published: Wiley-Blackwell Nov2007 11c
Online Access:View this record in EBSCOhost
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      dt: Nov2007 11c
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      pub: Wiley-Blackwell
      place: Malden, Massachusetts
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        atl: An exploration of the relationship between fatigue and physical functioning in patients with end stage renal disease receiving haemodialysis.
      aug:
        au:
          O'Sullivan D
          McCarthy G
        affil: Catherine McAuley School of Nursing and Midwifery, Brookfield Health Science Complex, Cork, Ireland
      sug:
        subj:
          Fatigue
          Health Status Evaluation
          Hemodialysis
          Kidney Failure, Chronic Therapy
          Academic Medical Centers Ireland
          Adult
          Age Factors
          Aged
          Aged, 80 and Over
          Analysis of Variance
          Clinical Assessment Tools
          Correlational Studies
          Employment Status
          Exploratory Research
          Ireland
          Middle Age
          Nonprobability Sample
          One-Way Analysis of Variance
          Pearson's Correlation Coefficient
          Power Analysis
          Purposive Sample
          Quantitative Studies
          Questionnaires
          Self Report
          Severity of Illness Indices
          Sex Factors
          Short Form-36 Health Survey (SF-36)
          Human
          Adult: 19-44 years
          Aged: 65+ years
          Aged, 80 & over
          Middle Aged: 45-64 years
      ab: Aim. To measure fatigue and physical functioning in patients with end stage renal disease (ESRD) receiving haemodialysis and to investigate the relationships between fatigue and physical functioning. Background. Fatigue and reduced physical functioning are among the most bothersome symptoms experienced by individuals receiving haemodialysis for ESRD. Research has shown that increasing activity levels has resulted in decreased fatigue levels and improved physical functioning in individuals with cancer. Establishing whether or not a relationship exists between both concepts in haemodialysis patients is a preliminary step in identifying potential fatigue reducing strategies necessary for improved wellbeing. Method. A quantitative exploratory correlational design was used with 46 individuals completing the Multi-dimensional Fatigue Inventory, the Medical Outcomes Study Short-Form 36-item questionnaire and a Demographic Questionnaire. Results. Results indicated fatigue was prevalent with highest scores achieved for physical fatigue; reduced activity and general fatigue. Substantial limitations in physical functioning were found. A significant moderate negative relationship between general fatigue and physical functioning indicated that, as physical functioning levels increased, fatigue levels decreased. A significant difference was also found between general fatigue scores for males and females. Significant relationships were found between overall physical functioning, older age and employment status. Conclusion. The research indicates the prevalence of fatigue and limitations in physical functioning in individuals with ESRD. However, as physical functioning increased fatigue decreased; a finding relevant to clinical nursing. Relevance to clinical practice. Understanding the levels of fatigue and the value of exercise is of relevance to clinical practice thus assessment of fatigue and physical functioning ability in the clinical setting is necessary.
      pubtype: Academic Journal
      doctype:
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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