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Fatigue One to Five...
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Forsberg, A.Lund University,Lunds universitet,Vård i högteknologisk miljö,Forskargrupper vid Lunds universitet,Care in high technological environments,Lund University Research Groups
(author)
Fatigue One to Five Years after Lung Transplantation
- Article/chapterEnglish2020
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LIBRIS-ID:oai:lup.lub.lu.se:44e49d38-e822-4bbb-888d-ba5732ec99c6
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https://lup.lub.lu.se/record/44e49d38-e822-4bbb-888d-ba5732ec99c6URI
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https://doi.org/10.1016/j.healun.2020.01.831DOI
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Language:English
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Summary in:English
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Subject category:kon swepub-publicationtype
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Subject category:ref swepub-contenttype
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PURPOSE: The knowledge is scarce regarding how recovery and well-being after lung transplantation is affected by various symptoms. Thus, little is known about self-management support for these recipients. Since fatigue is a symptom that severely impair well-being, the aim of this study was to explore associations between fatigue and influencing factors as perceived self-efficacy, social and psychological well-being, and recovery. METHODS: Cross-sectional, multi-center cohort study. Lung recipients (n=117) due for an annual follow-up one to five years after transplantation were screened with The Multidimensional Fatigue Inventory-20, Self-Efficacy for Managing Chronic Disease scale, Postoperative Recovery Profile questionnaire and the Organ Transplant Symptom and Well-being Instrument. RESULTS: Totally, 56% reported high general fatigue regardless of follow-up time. Regardless of time after transplantation patients reported high levels of fatigue. Lung recipients at the four-year follow-up reported most severe fatigue in all dimensions except for mental fatigue. There was no relationship between lung function (FEV1) and any of the five dimensions of fatigue. There was a weak relationship between mental fatigue and the grade of Bronchiolitis obliterans syndrome (rs-.202*). A strong negative correlation (range -.66- -.73; p<0.001) was found between four out of five dimensions of fatigue (general, physical fatigue, reduced activity and reduced motivation) and self-efficacy. A high level of fatigue was related to impaired self-efficacy. There was a strong relationship between all dimensions of fatigue and both mental and social well-being. Regardless of follow-up time, those reporting being fully or almost fully recovered were significantly less fatigued. CONCLUSION: A high level of fatigue is related to impaired self-efficacy causing a risk of impaired self-management ability and an increased demand for self-management support. Self-perceived recovery might be a matter of the lung recipient's experienced fatigue. Fatigue should be a preferred target of interventions in clinical practice due to its association to self-efficacy and recovery.
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Lennerling, A.Sahlgrenska University Hospital
(author)
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Kisch, A.Lund University,Lunds universitet,Vård i högteknologisk miljö,Forskargrupper vid Lunds universitet,Care in high technological environments,Lund University Research Groups(Swepub:lu)an8873ma
(author)
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Jakobsson, S.Sahlgrenska Academy
(author)
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Vård i högteknologisk miljöForskargrupper vid Lunds universitet
(creator_code:org_t)
Related titles
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In:The Journal of heart and lung transplantation : the official publication of the International Society for Heart Transplantation: Elsevier BV39:4, s. 209-2101557-3117
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In:The Journal of Heart and Lung Transplantation: Elsevier BV39:4, s. 209-2101053-2498
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