Analysis of fatigue status and influencing factors of adult patients at home after cardiac surgery
LIU Yuan
LAI Jing
MA Danying
WU Lingzi
WANG Wei
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.
Keywords：heart surgeryfatiguepainself-efficacyinfluencing factor
Publication Date：2024-12-25
Online Publishing Date：2025-08-15(First online date of this platform, not the publication date of the document)
Pages：7( 3547-3553 )