Analysis of fatigue status and influencing factors of adult patients at home after cardiac surgery
10.3969/j.issn.1006-5725.2024.24.018
- VernacularTitle:成人心脏外科术后居家患者疲劳现状及影响因素分析
- Author:
Yuan LIU
1
;
Jing LAI
;
Danying MA
;
Lingzi WU
;
Wei WANG
Author Information
1. 南方医科大学附属广东省人民医院心脏移植与辅助外科,广东省心血管病研究所(广东 广州 510010)
- Publication Type:Journal Article
- Keywords:
heart surgery;
fatigue;
pain;
self-efficacy;
influencing factor
- From:
The Journal of Practical Medicine
2024;40(24):3547-3553
- CountryChina
- Language:Chinese
-
Abstract:
Objective This study aimed to explore the current status of home-based fatigue among patients after cardiac surgery and analyze its influencing factors.Methods From January 2023 to December 2023,we retrospectively collected data from 200 patients who underwent cardiac surgery and were discharged for more than 3 months from Guangdong Provincial People's Hospital.The Multidimensional Fatigue Inventory-20,Overall Pain Assessment Scale,Cardiac Rehabilitation Inventory and Self-efficacy for Managing Chronic Disease 6-Item Scale were used to assess the patients.Results Overall fatigue of patients at home after cardiac surgery was at a moderate level.A stepwise multiple linear regression analysis revealed that anxiety during cardiac rehabilitation(β=7.476,P=0.001),severe pain(β=11.939,P=0.001),and frequency of discomfort symptoms(P＜0.001)significantly positively predicted post-cardiac surgery fatigue,whereas self-efficacy in chronic disease management(β=-6.974,P＜0.001)significantly negatively predicted it.Conclusions Fatigue among home-based patients after cardiac surgery requires further improvement and is associated with cardiac rehabilitation anxiety,pain severity,self-efficacy,and frequency of discomfort symptoms.Healthcare providers could develop targeted continuity interven-tions based on these influencing factors to reduce fatigue levels and promote recovery among home-based patients after cardiac surgery.
