Literature DB >> 25576085

The relationship between pain, fatigue, depression and functional performance in stable heart failure.

Samantha Conley1, Shelli Feder2, Nancy S Redeker2.   

Abstract

OBJECTIVE: Evaluate the relationship between pain, fatigue, depression, demographic, clinical, and functional variables in stable heart failure (HF).
BACKGROUND: Pain, fatigue and depression are common in HF. Little is known about the relationship between pain, fatigue and depression and functional measures in this population.
METHODS: Secondary data analysis of a cross sectional study of 173 stable HF patients. Associations between clinical and demographic factors, pain (SF-36), depression (CES-D), and fatigue (MAF) to functional performance and capacity (SF-36 role limitations due to physical functioning and 6-Minute Walk Test) were evaluated using hierarchical multiple regressions.
RESULTS: The sample was 65% male with a mean age of 60. Fifty-seven percent (n = 100) had pain, 54% (n = 94) had fatigue, and 46% (n = 79) had depression. Pain, depression and fatigue were negatively associated with functional performance but not functional capacity when controlling for demographic and clinical covariates.
CONCLUSIONS: Pain, fatigue and depression were associated with decreased functional performance in stable HF. Symptom management interventions are needed in HF.
Copyright © 2015 Elsevier Inc. All rights reserved.

Entities:  

Keywords:  Depression; Fatigue; Functional status; Heart failure; Pain

Mesh:

Year:  2015        PMID: 25576085      PMCID: PMC4352387          DOI: 10.1016/j.hrtlng.2014.07.008

Source DB:  PubMed          Journal:  Heart Lung        ISSN: 0147-9563            Impact factor:   2.210


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