Back to Journals » International Journal of Chronic Obstructive Pulmonary Disease » Volume 5

Fatigue in patients with COPD participating in a pulmonary rehabilitation program

Authors Cindy J Wong, Donna Goodridge, Darcy D Marciniuk, et al

Published 13 September 2010 Volume 2010:5 Pages 319—326

DOI https://doi.org/10.2147/COPD.S12321

Review by Single-blind

Peer reviewer comments 3

Cindy J Wong1, Donna Goodridge1, Darcy D Marciniuk2, Donna Rennie1,3
1College of Nursing, 2College of Medicine, 3Canadian Centre for Health and Safety in Agriculture, University of Saskatchewan, Saskatoon, Canada

Background: Fatigue is a distressing, complex, multidimensional sensation common in individuals with chronic obstructive pulmonary disease (COPD). While fatigue negatively impacts functional performance and quality of life, there has been little study of the fatigue that affects participants in pulmonary rehabilitation programs. The purpose of this study was to examine the emotional, behavioral, cognitive, and physical dimensions of fatigue and their relationships to dyspnea, mental health, sleep, and physiologic factors.
Patients and methods: A convenience sample of 42 pulmonary rehabilitation participants with COPD completed self-report questionnaires which measured dimensions of fatigue using the Multidimensional Fatigue Inventory, anxiety and depression using the Hospital Anxiety and Depression Scale, and sleep quality using the Pittsburgh Sleep Quality Index. Data on other clinical variables were abstracted from pulmonary rehabilitation program health records.
Results: Almost all (95.3%) participants experienced high levels of physical fatigue. High levels of fatigue were also reported for the dimensions of reduced activity (88.1%), reduced motivation (83.3%), mental fatigue (69.9%), and general fatigue (54.5%). Close to half (42.9%) of participants reported symptoms of anxiety, while almost one quarter (21.4%) reported depressive symptoms. Age was related to the fatigue dimensions of reduced activity (ρ = 0.43, P < 0.01) and reduced motivation (ρ = 0.31, P < 0.05). Anxiety was related to reduced motivation (ρ = -0.47, P < 0.01). Fatigue was not associated with symptoms of depression, sleep quality, gender, supplemental oxygen use, smoking status, or Medical Research Council dyspnea scores.
Conclusions: Fatigue (particularly the physical and reduced motivation dimensions of fatigue) was experienced by almost all participants with COPD attending this pulmonary rehabilitation program. Fatigue affected greater proportions of participants than either anxiety or depression. The high prevalence of fatigue may impact on enrolment, participation, and attrition in pulmonary rehabilitation programs. Further investigation of the nature, correlates, and impact of fatigue in this population is required.

Keywords: COPD, fatigue, pulmonary rehabilitation, anxiety, depression, sleep quality

Creative Commons License This work is published and licensed by Dove Medical Press Limited. The full terms of this license are available at https://www.dovepress.com/terms.php and incorporate the Creative Commons Attribution - Non Commercial (unported, v3.0) License. By accessing the work you hereby accept the Terms. Non-commercial uses of the work are permitted without any further permission from Dove Medical Press Limited, provided the work is properly attributed. For permission for commercial use of this work, please see paragraphs 4.2 and 5 of our Terms.

Download Article [PDF]  View Full Text [HTML][Machine readable]

 

Readers of this article also read:

Structural changes in the lacrimal sac epithelium and associated lymphoid tissue during experimental dacryocystitis

Ishikawa M, Kubo M, Maeda S, Sawada Y, Uchio E, Yoshitomi T

Clinical Ophthalmology 2011, 5:1567-1574

Published Date: 31 October 2011

Sleep quality predicts quality of life in chronic obstructive pulmonary disease

Steven M Scharf, Nimrod Maimon, Tzahit Simon-Tuval, et al

International Journal of Chronic Obstructive Pulmonary Disease 2011, 6:1-12

Published Date: 22 December 2010

Changes in six-minute walking distance during pulmonary rehabilitation in patients with COPD and in healthy subjects

Imen Ben Cheikh Rejbi, Yassine Trabelsi, Afef Chouchene, et al

International Journal of Chronic Obstructive Pulmonary Disease 2010, 5:209-215

Published Date: 7 July 2010