TY - JOUR
T1 - Contributors to fatigue in patients receiving mechanical ventilatory support
T2 - A descriptive correlational study
AU - Chlan, Linda L.
AU - Savik, Kay
N1 - Funding Information:
The parent study was supported by a grant from the National Institute of Nursing Research, National Institutes of Health 1R01 NR009295 . The findings reported here are the authors’ own and the funder had no part in the analysis or the interpretation of the results. The funder had no direct role or input in the writing of this manuscript.
Publisher Copyright:
© 2015 Elsevier Ltd.
PY - 2015/10/1
Y1 - 2015/10/1
N2 - Objectives: To describe levels of fatigue and explore clinical factors that might contribute to fatigue in critically ill patients receiving mechanical ventilation. Research methodology/design: Descriptive, correlational design. Sample was a sub-set of patients enrolled in a randomised clinical trial testing patient-directed music for anxiety self-management. Clinical factors included age, gender, length of ICU stay, length of ventilatory support, illness severity (APACHE III), and sedative exposure (sedation intensity and frequency). Descriptive statistics and mixed models were used to address the study objectives. Setting: Medical and surgical intensive care units in the Midwestern United States. Main outcome measures: Fatigue was measured daily via a 100-mm Visual Analogue Scale, up to 25 days. Results: A sample of 80 patients (50% female) receiving ventilatory support for a median 7.9 days (range 1-46) with a mean age of 61.2 years (SD 14.8) provided daily fatigue ratings. ICU admission APACHE III was 61.5 (SD 19.8). Baseline mean fatigue ratings were 60.7 ( SD 27.9), with fluctuations over time indicating a general trend upward. Mixed models analysis implicated illness severity (β(se( β)) = 27(.12)) and sedation frequency (β(se(β)) = 1.2(.52)) as significant contributors to fatigue ratings. Conclusion: Illness severity and more frequent sedative administration were related to higher fatigue ratings in these mechanically ventilated patients.
AB - Objectives: To describe levels of fatigue and explore clinical factors that might contribute to fatigue in critically ill patients receiving mechanical ventilation. Research methodology/design: Descriptive, correlational design. Sample was a sub-set of patients enrolled in a randomised clinical trial testing patient-directed music for anxiety self-management. Clinical factors included age, gender, length of ICU stay, length of ventilatory support, illness severity (APACHE III), and sedative exposure (sedation intensity and frequency). Descriptive statistics and mixed models were used to address the study objectives. Setting: Medical and surgical intensive care units in the Midwestern United States. Main outcome measures: Fatigue was measured daily via a 100-mm Visual Analogue Scale, up to 25 days. Results: A sample of 80 patients (50% female) receiving ventilatory support for a median 7.9 days (range 1-46) with a mean age of 61.2 years (SD 14.8) provided daily fatigue ratings. ICU admission APACHE III was 61.5 (SD 19.8). Baseline mean fatigue ratings were 60.7 ( SD 27.9), with fluctuations over time indicating a general trend upward. Mixed models analysis implicated illness severity (β(se( β)) = 27(.12)) and sedation frequency (β(se(β)) = 1.2(.52)) as significant contributors to fatigue ratings. Conclusion: Illness severity and more frequent sedative administration were related to higher fatigue ratings in these mechanically ventilated patients.
KW - Fatigue
KW - Intensive care unit
KW - Mechanical ventilation
KW - Symptoms
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U2 - 10.1016/j.iccn.2015.04.002
DO - 10.1016/j.iccn.2015.04.002
M3 - Article
C2 - 26005034
AN - SCOPUS:84941739761
SN - 0964-3397
VL - 31
SP - 303
EP - 308
JO - Intensive and Critical Care Nursing
JF - Intensive and Critical Care Nursing
IS - 5
ER -