skip to main content

Kelelahan pada Pasien Congestive Heart Failure

*Mauludina Putri Setianingsih  -  Departemen Ilmu Keperawatan, Fakultas Kedokteran, Universitas Diponegoro, Indonesia
Yuni Dwi Hastuti  -  Departemen Ilmu Keperawatan, Fakultas Kedokteran, Universitas Diponegoro, Indonesia
Received: 12 Jul 2022; Accepted: 15 Oct 2022; Published: 29 Nov 2022.
Open Access Copyright 2022 Holistic Nursing and Health Science

Creative Commons License
This work is licensed under a Creative Commons Attribution-ShareAlike 4.0 International License.

Citation Format:
Abstract

Introduction: Fatigue is a characteristic symptom and is often found in CHF patients and has a negative effect on daily activities, disease prognosis, and patient's quality of life. However, fatigue is a common symptom that is often overlooked and ignored. Limited study explored fatigue in CHF patients. The aim of this study was to explore fatigue in CHF patients.

Methods: The research design is a descriptive survey. The total research sample is 85 respondents. Data were taken using a Multidimensional Assessment Fatigue (MAF) questionnaire with univariate data analysis in the form of a frequency distribution. Respondents involved in the study were patients aged >18 years who suffered from CHF based on a doctor's diagnosis and confirmed by medical records.

Results: The majority of respondents are elderly with female gender, work as household workers, and heve income less than Rp1,500,000/month. Examination of vital signs performed on the majority of CHF patients showed normal temperature (36.5℃ - 37.5℃), pre-hypertensive blood pressure (120/80 - 139/89 mmHg), normal pulse (60-100x/min), and normal respiratory rate (12-20x/minute). Most patients have a CHF duration of 1–3 years, and are in grades 2 and 3 based on the New York Association (NYHA) classification. The results of this study were 65.9% of CHF patients experienced moderate fatigue, 17.6% severe fatigue, and 16.5% mild fatigue.

Conclusion: Health services can consider efforts to improve the quality of nursing services in overcoming or minimizing fatigue experienced by CHF patients. These efforts can be a therapy, evidence-based health education, or fatigue monitoring for preventing a worsening of disease prognosis and improving the patient's quality of life.

 

Keywords: CHF, Fatigue, Multidimensional Assesment Fatigue.

Fulltext View|Download

Article Metrics:

  1. Böhm, M., Komajda, M., Borer, J. S., Ford, I., Maack, C., Tavazzi, L., Moyne, A., & Swedberg, K. (2018). Duration of chronic heart failure affects outcomes with preserved effects of heart rate reduction with ivabradine: Findings from SHIFT. European Journal of Heart Failure, 20(2), 373–381. https://doi.org/10.1002/ejhf.1021
  2. Borges JA, Quintão MMP, Chermont SSMC, Mendonça Filho HTF de, Mesquita ET. Fatigue: A complex symptom and its impact on cancer and heart failure. Int J Cardiovasc Sci. 2018;31(4):433–42
  3. Bredy, C., Ministeri, M., Kempny, A., Alonso-Gonzalez, R., Swan, L., Uebing, A., Diller, G. P., Gatzoulis, M. A., & Dimopoulos, K. (2018). New York Heart Association (NYHA) classification in adults with congenital heart disease: Relation to objective measures of exercise and outcome. European Heart Journal - Quality of Care and Clinical Outcomes, 4(1), 51–58. https://doi.org/10.1093/ehjqcco/qcx031
  4. Cajanding, R. J. M. (2017). Causes, assessment and management of fatigue in critically ill patients. British Journal of Nursing, 26(21), 1176–1181. https://doi.org/10.12968/bjon.2017.26.21.1176
  5. Cattadori, G., Segurini, C., Picozzi, A., Padeletti, L., & Anzà, C. (2017). Exercise and heart failure: An update. ESC Health Failure, 5(2), 222–232. https://doi.org/10.1002/ehf2.12225
  6. Chen, D., Yu, W., Hung, H., Tsai, J., Wu, H., & Chiou, A. (2017). The effects of baduanjin exercise on fatigue and quality of life in patients with heart failure: A randomized controlled trial. Europian Journal of Cardiovascular Nursing, 155, 1–9. https://doi.org/10.1177/1474515117744770
  7. Conley, S., Feder, S., & Redeker, N. S. (2015). The relationship between pain, fatigue, depression and functional performance in stable heart failure. Heart and Lung: Journal of Acute and Critical Care, 44(2), 107–112. https://doi.org/10.1016/j.hrtlng.2014.07.008
  8. Ismahmudi, R., & Fakhrurizal, A. A. (2020). Relationship between active physical exercise and sleep quality with physical fatigue in elderly. South East Asia Nursing Research, 2(1), 11–15. https://doi.org/https://doi.org/10.26714/seanr.2.1.2020.11-15
  9. Lainsamputty, Ferdy & Mei-Chen Hsing. 2018. Correlates between fatigue and sleep quality among patients with heart failure. NurseLine Journal.Vol 3 No. 2: 1-15
  10. Lindenfeld, J. A., & O’Connor, C. M. (2019). Heart failure in women. JACC: Heart Failure, 7(3), 274–275. https://doi.org/10.1016/j.jchf.2019.01.012
  11. Matura, L. A., Malone, S., Jaime-Lara, R., & Riegel, B. (2018). A systematic review of biological mechanisms of fatigue in chronic illness. Biological Research for Nursing, 20(4), 410–421. https://doi.org/10.1177/1099800418764326
  12. Nugraha, B. A., Pebrianti, S., & Platini, H. (2018). Gambaran kelelahan pada pasien gagal jantung. Jurnal Medika Cendekia, 5(1), 16–21. http://www.jurnalskhg.ac.id/index.php/medika/article/view/75
  13. Nugraha, B. A., & Ramdhanie, G. G. (2018). Kelelahan pada pasien dengan penyakit kronis. Prosiding Seminar Nasional dan Diseminasi Penelitian Kesehatan STIKes Bakti Tunas Husada Tasikmalaya, April, 7–13
  14. Nugraha, B. A., & Ramdhanie, G. G. (2018). Gambaran tingkat kecemasan pada pasien gagal jantung kongestif kelas fungsional I dan II di ruang rawat inap RSU dr. Slamet Garut. J Fak Keperawatan Univ Padjadjaran. 10(01), 8–11
  15. Polikandrioti, M., Kalafatakis, F., Koutelekos, I., & Kokoularis, D. (2019). Fatigue in heart failure outpatients: Levels, associated factors, and the impact on quality of life. Archives of Medical Science - Atherosclerotic Diseases, 4(1), 103–112. https://doi.org/10.5114/amsad.2019.85406
  16. Putra, K. P., Dyah, M. D., Purnamasiwi, A. (2018). Analisa hubungan aktivitas fisik terhadap kondisi fisik lansia di desa dan kota. Proceeding Seminar Nasional Pendidikan Jasmani UMMI ke-1. ISBN: 978-602-52968-0-2
  17. Schjoedt, I., Sommer, I., & Bjerrum, M. B. (2016). Experiences and management of fatigue in everyday life among adult patients living with heart failure: A systematic review of qualitative evidence. JBI Database of Systematic Reviews and Implementation Reports, 14(3), 68–115. https://doi.org/10.11124/JBISRIR-2016-2441
  18. Slivnick, J., & Lampert, B. C. (2019). Hypertension and heart failure. Heart Failure Clinics, 15(4), 531–541. https://doi.org/10.1016/j.hfc.2019.06.007
  19. Smith-love, J. (2019). Heart failure-related fatigue. TJNP: The Journal for Nurse Practitioners, 15, e181–e184. https://doi.org/10.1016/j.nurpra.2019.05.002
  20. Sugiura, A., Kitahara, H., Iwahana, T., Suzuki, N., Okada, S., Miyauchi, H., Kobayashi, Y., & Werner, N. (2020). Association of heart failure duration with clinical prognosis in advanced heart failure. Clinical Research in Cardiology, 109(3), 350–357. https://doi.org/10.1007/s00392-019-01515-w
  21. Teixeira, A., Arrigo, M., Tolppanen, H., Gayat, E., Laribi, S., Metra, M., Seronde, M. F., Cohen-Solal, A., & Mebazaa, A. (2016). Management of acute heart failure in elderly patients. Archives of Cardiovascular Diseases, 109(6–7), 422–430. https://doi.org/10.1016/j.acvd.2016.02.002
  22. Utami N, Haryanto E, Fitri A. (2019). Fatigue pada pasien gagal jantung di ruang rawat inap RSAU dr. M. Salamun. J Kesehat Aeromedika, V(2), 63–71
  23. Xu R, Zhang C, He F, Zhao X, Qi H, Zhou P. (2018). How physical activities affect mental fatigue based on eeg energy, connectivity, and complexity. Neurol, 9(October), 1–13. Available from: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6220083/
  24. Zulaiha. (2019). Gambaran fatigue pada pasien gagal jantung di poli jantung RS tipe C Jember. Universitas Jember

Last update:

No citation recorded.

Last update:

No citation recorded.

slot gacor slot