Volume 15, Issue 11 (February 2022)                   Qom Univ Med Sci J 2022, 15(11): 756-765 | Back to browse issues page


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Esnaasharieh F, Dehghan M, Abtahian J, Mangolian Shahrbabaki P. Evaluation of Physical Activity in Patients With Heart Failure and Its Relationship With Fatigue: A Cross-sectional Study. Qom Univ Med Sci J 2022; 15 (11) :756-765
URL: http://journal.muq.ac.ir/article-1-3219-en.html
1- Nursing Research Center, Kerman University of Medical Sciences, Kerman, Iran.
2- Department of Anesthesiology, Faculty of Paramedical Sciences, Jahrom University of Medical Sciences, Jahrom, Iran.
3- Nursing Research Center, Kerman University of Medical Sciences, Kerman, Iran. , mangolian167@yahoo.com
Abstract:   (1343 Views)
Background and Objectives: Disability and intolerance to exercise are common in heart failure and can lead to feelings of fatigue in patients and can change patients’ lifestyles; therefore, this study was performed to Evaluation of physical activity in patients with heart failure and its relationship with fatigue.
Methods: In this descriptive cross-sectional study, 100 patients with heart failure referred to rehabilitation centers in southeastern Iran were selected by convenience sampling. Data collection tools were RAPA physical activity questionnaire and FACIT fatigue questionnaire. Data were analyzed using Spearman correlation coefficient and regression. Significance was considered 0.05.
Results: The results showed that the mean±sd of physical activity was 2.59‌±1.33 and the mean±sd of fatigue in the samples was 20.27±6.11 and the majority of patients had below normal physical activity and fatigue was unfavorable in the majority of them. The total score of physical activity was inversely and significantly correlated with the total score of fatigue. The results showed that 30.6% of the changes in patients ‘fatigue were influenced by variables of drug use, history of heart surgery and the degree of disease and they were predictors of patients’ fatigue.
Conclusion: The results of the present study showed that patients who were more physically active had less fatigue. Due to the fact that fatigue is very common in patients with heart failure, it is recommended to take the necessary interventions to increase patients’ knowledge and skills about physical activity, to reduce the fatigue of patients
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Type of Study: Original Article | Subject: پرستاری-جراحی-ویژه-کودکان
Received: 2021/08/23 | Accepted: 2021/10/30 | Published: 2021/11/1

References
1. Tamargo J, Caballero R, Delpón E. New drugs in preclinical and early stage clinical development in the treatment of heart failure. Expert Opin Investig Drugs. 2019; 28(1):51-71. [DOI:10.1080/13543784.2019.1551357] [PMID] [DOI:10.1080/13543784.2019.1551357]
2. Baldwin SA. Coronary heart disease knowledge, health promoting behaviors and perceived benefits and barriers to exercise and healthy eating in Montana females [PhD dissertation]. Bozeman: Montana State University-Bozeman, College of Nursing; 2014. [Link]
3. Hajj J, Mathelier H, Drachman B, Laudanski K. Sleep quality, fatigue, and quality of life in individuals with heart failure. J Nurse Pract. 2020; 16(6):461-5. [DOI:10.1016/j.nurpra.2020.03.002] [DOI:10.1016/j.nurpra.2020.03.002]
4. Nijrolder I, van der Windt D, de Vries H, van der Horst H. Diagnoses during follow-up of patients presenting with fatigue in primary care. CMAJ. 2009; 181(10):683-7. [DOI:10.1503/cmaj.090647] [PMID] [PMCID] [DOI:10.1503/cmaj.090647]
5. Williams BA. The clinical epidemiology of fatigue in newly diagnosed heart failure. BMC Cardiovasc Disord. 2017; 17(1):122. [DOI:10.1186/s12872-017-0555-9] [PMID] [PMCID] [DOI:10.1186/s12872-017-0555-9]
6. Mohammadi S HZ, Azarabadi S, Nikbakht Nasr Abadi A. Check electrolyte abnormalities and renal dysfunction in elderly patients with systolic heart failure. J Nurs Care. 2011; 3(4):19-30. https://www.sid.ir/en/journal/ViewPaper.aspx?id=213345
7. Morosin M, Farina S, Vignati C, Spadafora E, Sciomer S, Salvioni E, et al. Exercise performance, haemodynamics, and respiratory pattern do not identify heart failure patients who end exercise with dyspnoea from those with fatigue. ESC Heart Fail. 2018; 5(1):115-9.[DOI:10.1002/ehf2.12207] [PMID] [PMCID] [DOI:10.1002/ehf2.12207]
8. Harrington D, Anker SD, Coats AJ. Preservation of exercise capacity and lack of peripheral changes in asymptomatic patients with severely impaired left ventricular function. Eur Heart J. 2001; 22(5):392-9.[DOI:10.1053/euhj.2000.2367] [PMID] [DOI:10.1053/euhj.2000.2367]
9. Perez-Moreno AC, Jhund PS, Cleland JG, Veldhuisen DJv, Gullestad L, Wikstrand J, et al. Predictors of fatigue in heart failure. Circulation. 2012; 126(suppl_21):A18355-A. [Link]
10. Falk K, Patel H, Swedberg K, Ekman I. Fatigue in patients with chronic heart failure-a burden associated with emotional and symptom distress. Eur J Cardiovasc Nurs. 2009; 8(2):91-6.[DOI:10.1016/j.ejcnurse.2008.07.002] [PMID] [DOI:10.1016/j.ejcnurse.2008.07.002]
11. McGowan CL, Levy AS, McCartney N, MacDonald MJ. Isometric handgrip training does not improve flow-mediated dilation in subjects with normal blood pressure. Clin Sci. 2007; 112(7):403-9.[DOI:10.1042/CS20060195] [PMID] [DOI:10.1042/CS20060195]
12. World Heaith Organazation. Guidelines on physical activity and sedentary behaviour. Geneva: World Heaith Organazation; 2020. [Link]
13. Arija V, Villalobos F, Pedret R, Vinuesa A, Timón M, Basora T, et al. Effectiveness of a physical activity program on cardiovascular disease risk in adult primary health-care users: The "Pas-a-Pas" community intervention trial. BMC Public Health. 2017; 17(1):576. [PMID] [PMCID] [DOI:10.1186/s12889-017-4485-3]
14. Zores F, Iliou MC, Gellen B, Kubas S, Berthelot E, Guillo P, et al. Physical activity for patients with heart failure: Position paper from the heart failure (GICC) and cardiac rehabilitation (GERS-P) Working Groups of the French Society of Cardiology. Arch Cardiovasc Dis. 2019; 112(11):723-31. [PMID] [DOI:10.1016/j.acvd.2019.07.003]
15. O'Donnell J, Smith-Byrne K, Velardo C, Conrad N, Salimi-Khorshidi G, Doherty A, et al. Self-reported and objectively measured physical activity in people with and without chronic heart failure: UK Biobank analysis. Open Heart. 2020; 7(1):e001099. [DOI:10.1136/openhrt-2019-001099] [PMID] [PMCID] [DOI:10.1136/openhrt-2019-001099]
16. Rahmani F, Asgari S, Khalili D, Habibi Moeini AS, Tohidi M, Azizi F, et al. National trends in cardiovascular health metrics among Iranian adults using results of three cross-sectional STEPwise approaches to surveillance surveys. Sci Rep. 2021; 11(1):58. [PMID] [PMCID] [DOI:10.1038/s41598-020-79322-x]
17. Heidari M, Sarvandian S, Moradbeigi K, Akbari Nassaji N, Vafaizadeh M. [Comparing the effect of telenursing and education without follow-up in the caregivers of heart failure patients on the self-care behavior and clinical status of heart failure patients (Persian)]. Hayat. 2017; 23(1):44-58. [Link]
18. Sarrafzadegan N, Mohammmadifard N. Cardiovascular disease in Iran in the last 40 years: Prevalence, mortality, morbidity, challenges and strategies for cardiovascular prevention. Arch Iran Med. 2019; 22(4):204-10. [PMID]
19. Sheshadri A, Kittiskulnam P, Johansen KL. Higher physical activity is associated with less fatigue and insomnia among patients on hemodialysis. Kidney Int Rep. 2018; 4(2):285-92. [PMID] [PMCID] [DOI:10.1016/j.ekir.2018.10.014]
20. Crane PB. Fatigue and physical activity in older women after myocardial infarction. Heart Lung. 2005; 34(1):30-8.[DOI:10.1016/j.hrtlng.2004.08.007] [PMID] [DOI:10.1016/j.hrtlng.2004.08.007]
21. Topolski TD, LoGerfo J, Patrick DL, Williams B, Walwick J, Patrick MB. The Rapid Assessment of Physical Activity (RAPA) among older adults. Prev Chronic Dis. 2006; 3(4):A118. [PMID]
22. Yellen SB, Cella DF, Webster K, Blendowski C, Kaplan E. Measuring fatigue and other anemia-related symptoms with the Functional Assessment of Cancer Therapy (FACT) measurement system. J Pain Symptom Manag. 1997; 13(2):63-74.[DOI:10.1016/S0885-3924(96)00274-6] [DOI:10.1016/S0885-3924(96)00274-6]
23. Ghaneh Ezzabadi S, Maghsoudi Z, Beigomi A. Validity and reliability of the functional assessment of chronic illness treatment fatigue scale in a Persian-speaking aging population. Elderly Health J. 2015; 1(1):32-5. [Link]
24. Fletcher, B., Magyari, P., Prussak, K. and Churilla, J., 2012. Physical training in patients with heart failure. Revista Médica Clínica Las Condes, 23(6):748-755. [Link] [DOI:10.1016/S0716-8640(12)70377-2]
25. Polikandrioti M, Kalafatakis F, Koutelekos I, Kokoularis D. Fatigue in heart failure outpatients: Levels, associated factors, and the impact on quality of life. Arch Med Sci Atheroscler Dis. 2019; 4:e103-12. [PMID] [DOI:10.5114/amsad.2019.85406]
26. Hossein Pour AH, Gholami M, Saki M, Birjandi M. The effect of inspiratory muscle training on fatigue and dyspnea in patients with heart failure: A randomized, controlled trial. Jpn J Nurs Sci. 2020; 17(2):e12290. [PMID] [DOI:10.1111/jjns.12290]
27. Chan JS, Ho RT, Chung KF, Wang CW, Yao TJ, Ng SM, et al. Qigong exercise alleviates fatigue, anxiety, and depressive symptoms, improves sleep quality, and shortens sleep latency in persons with chronic fatigue syndrome-like illness. Evid Based Complement Alternat Med. 2014; 2014:106048.[DOI:10.1155/2014/106048] [PMID] [PMCID] [DOI:10.1155/2014/106048]
28. Newland PK, Lunsford V, Flach A. The interaction of fatigue, physical activity, and health-related quality of life in adults with multiple sclerosis (MS) and cardiovascular disease (CVD). Appl Nurs Res. 2017; 33:49-53.[DOI:10.1016/j.apnr.2016.09.001] [PMID] [DOI:10.1016/j.apnr.2016.09.001]
29. Razazian N, Kazeminia M, Moayedi H, Daneshkhah A, Shohaimi S, Mohammadi M, et al. The impact of physical exercise on the fatigue symptoms in patients with multiple sclerosis: A systematic review and meta-analysis. BMC Neurol. 2020; 20(1):93.[DOI:10.1186/s12883-020-01654-y] [PMID] [PMCID] [DOI:10.1186/s12883-020-01654-y]
30. Najafi-Ghezeljeh T, Seifi L. [Fatigue in patients with heart failure: Literature review (Persian)]. Iran J Cardiovasc Nurs. 2016; 5(1):58-62. [Link]
31. Chen LH, Li CY, Shieh SM, Yin WH, Chiou AF. Predictors of fatigue in patients with heart failure. J Clin Nurs. 2010; 19(11‐12):1588-96. [PMID] [DOI:10.1111/j.1365-2702.2010.03218.x]
32. Ziaeirad M, Ziaei G, Mohammady M. [Correlation of fatigue intensity with demographic and clinical characteristics of patients with congestive heart failure (Persian)]. J Clin Nurs Midwifery. 2017; 6(3):72-81. [Link]

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