Showing 5 results for Fatigue
Dr Mahnaz Khatiban, Dr Ali Beykmoradi, Fatemeh Najafi, Dr Ghodratollah Roshanaie, Zahra Pouresmaeil, Dr Alireza Ahmadi,
Volume 10, Issue 0 (9-2013)
Abstract
Background and Objective: The Fatigue related to cancer is one of the common problems of both patients and care-givers. Nowadays, acupressure as a complementary medicine has become more common in patients with cancer for balancing and improving body energy. This study aimed to assess the effect of acupressure on the fatigue of patients with cancer.
Material and Methods: This blinded- randomized clinical trial was conducted on 85 patients with cancer in hematology ward of Beheshti hospital of Hamadan. The subjects were located in three groups of intervention, sham and control. First, the fatigue level was measured by Brief Fatigue Inventory (BFI) as a baseline. Then, real acupressure in intervention group and unreal acupressure in sham group was performed for 10 days and only routine cares were given in control group. The fatigue amount was measured on the fifth and tenth days. The Data was analyzed by SPSS software version 16, using paired T- test and repeated measurements.
Results: Acupressure was effective on the fatigue of patients with cancer (p<0.001). However, conducting unreal acupressure in sham group was effective as well (p<0.01), but the routine cares in control group was not effective and even in some cases led to increased fatigue.
Conclusion: Acupressure can be used as a complementary therapy to decrease the fatigue in the patients with cancer considering its low cost, safety and simplicity.
Einollah Molaie, Zahra Royani, Dr Mohammad Moujerloo, Dr Naser Behnampour, Javad Golage, Maryam Khari,
Volume 11, Issue 1 (5-2014)
Abstract
Background and Objective: Fatigue is one of the most common side effect in hemodialysis patients. This study aimed to assess the factors associated with fatigue in hemodialysis patients, such as demographic variables, anxiety, depression and quality of sleep.
Material and Methods: This descriptive-analytic study was conducted on 58 eligible, randomly selected patients of 165 hemodialysis patients referred to Panje Azar Hospital in Gorgan. The instruments were a demographic checklist, Fatigue Severity Scale, Beck Anxiety Inventory, and the Beck Depression Inventory. The data was analyzed by SPSS 17 software using Mann-Whitney, Kruskal-Wallis, Spearman's correlation coefficient and linear regression.
Results: The mean average of fatigue in all patients was 1.66±4.76. Twenty-six of the participants (44.8%) expressed that they suffer from moderate anxiety, 17 (29.3%) from severe depression and 43 (74.1%) from poor quality of sleep. The relationship between fatigue and anxiety (P = 0.006, r = 0.353) and depression (P≤.001, r=0.525) was directly significant whereas the relationship is not significant for sleep quality.
Conclusion: Given the high prevalence of fatigue in hemodialysis patients and the impact of multiple factors, we strongly recommend that care providers should consider these factors to improve patients’ quality of life.
Zahra Royani , Ghanbar Roohi , Zahra Sabzi , Hamideh Mancheri , Einollah Mollaei,
Volume 14, Issue 2 (9-2017)
Abstract
Background: Fatigue is among the most common complications for hemodialysis patients. The theory of unpleasant symptoms is associated with fatigue in hemodialysis patients. According to this theory, fatigue has three physical, mental and situational factors. Considering this theory, we aimed to determine some factors related to fatigue in hemodialysis patients.
Methods: In this descriptive-analytical study, of 165 hemodialysis patients admitted to Panje Azar Medical and Educational Center in Gorgan, Iran, 58 eligible ones were randomly selected. Data was collected using demographic information questionnaire, Fatigue Severity Scale, Beck Anxiety Inventory and Beck Depression Inventory. Data analysis was conducted in SPSS 17, using Mann-Whitney, Kruskal-Wallis and Spearman's rank correlation coefficient tests.
Results: The mean fatigue in all patients was 4.76 ± 1.66 out of 7. Fifty-two patients (89.7%) suffered from some degree (mild to severe) of anxiety and 43 patients (74.1%) suffered from some degrees (mild to severe) of depression. Fatigue only had a direct relationship with psychological factor [anxiety (P = 0.006, r = 0.353, and depression (P <0.001, r = 0.525)].
Conclusion: Considering the high prevalence of fatigue among hemodialysis patients and associated factors, care providers are advised to identify high-risk individuals through conducting periodic psychiatric examinations and to promote their knowledge on available strategies to reduce adverse effects in these patients.
Sepideh Yahyaei, Dr Homeira Khoddam, Dr Seyedmahrokh Alinaghimaddah, Dr Mahnaz Modanloo,
Volume 20, Issue 1 (4-2023)
Abstract
Background: Fatigue and indifference among critical care nurses due to intermittent and sometimes false alarms are common problems associated with working with alarming equipment. This study aimed to determine the prevalence of alarm fatigue and its relevant factors among critical care nurses in Golestan province, Iran.
Methods: This descriptive-analytical study examined critical care nurses in Golestan province in 2019. A total of 308 critical care nurses (working in ICUs and CCUs) from 11 hospitals were included in the study using the census method based on the inclusion criteria. Data were collected through a 13-item questionnaire assessing nurses’ alarm fatigue. The researcher randomly recorded the number and type of alarms per hour during morning, afternoon, and evening shifts. Simple and multiple linear regression tests analyzed the association between alarm fatigue and nurses’ demographic and professional characteristics as underlying factors. Data analysis was conducted at a significance level of 0.05 and a confidence interval of 95% using SPSS16.
Results: Most nurses, who were predominantly female (79.2%) and had a clinical work experience of 5 years or less in critical care units (69.5%), reported a mean alarm fatigue score of 24.1±6.52. Additionally, 63.3% of the nurses experienced moderate alarm fatigue. It was found that female nurses (87.5%), those working as compulsory medical service workers (35.9%), those assigned to variable shifts (87.2%), and those required to work mandatory overtime (81.5%) reported higher levels of moderate alarm fatigue compared to others. When multiple linear regression analysis was conducted, controlling for the effects of confounding variables, it was observed that among all independent demographic and occupational variables, only gender (b=-0.18, p=0.01), education level (b =0.14, p=0.02), and type of overtime (b=0.15, p=0.01) had statistically significant effects on the response variable, namely the alarm fatigue score (b=-0.18, p=0.01)
Conclusion: Given that most nurses experience moderate alarm fatigue, it is recommended to implement strategies to enhance the quality of care and patient safety, such as providing critical care nurses with appropriate training on the practical and safe management of alarm systems.
Mahdieh Motie , Masoud Fallahi-Khoshknab, Farahnaz Mohammadi Shahbolaghi , Mohammad Saeed Khanjani , Marcus Stueck , Hamidreza Khankeh ,
Volume 22, Issue 2 (6-2025)
Abstract
Background: Secondary traumatic stress (STS) is a psychological phenomenon that refers to the negative and traumatic emotional experiences that individuals endure as a result of exposure to the pain and suffering of others, particularly in caring professions such as emergency nursing. STS not only affects the mental health of nurses but can also have a significant impact on the healthcare system. We will conduct this study to explore the phenomenon of STS in depth and compile a policy brief.
Methods: This study employs a multi-methods approach, integrating a grounded theory study, a systematic scoping review, and the Delphi method, culminating in the development of a policy brief. Grounded theory, recommended by Corbin and Strauss (2014), will be used to explore the process of STS among emergency nurses through individual interviews and observations. Participants will be selected using purposive and theoretical sampling until data saturation is achieved. Data collection will focus on emergency nurses' experiences and emotional responses, with analysis proceeding through five stages: open coding, concept development, contextual analysis, process analysis, and category integration. The second phase is a systematic scoping review exploring challenges in managing STS among emergency nurses. This review will synthesize national and international experiences, based on Arksey and O’Malley’s five-step framework and the PRISMA model to systematically collect and integrate findings. The results from the grounded theory, including identified concepts, facilitators, and barriers, will be integrated with the scoping review findings using the classical Delphi method. A panel of expert nurses and scholars will engage in iterative Delphi sessions to refine perspectives on STS in emergency nursing. Finally, a policy brief will be developed, synthesizing key findings and providing evidence-based recommendations for policymakers.
Conclusion: This study protocol offers a comprehensive guide for conducting a multi-methods study, outlining the research process step-by-step to aid researchers using similar methodologies. It addresses common language-related challenges, suggests solutions, and helps deeply explore the phenomenon of STS and compile a policy brief. The protocol emphasizes maintaining high research integrity through specific criteria and provides a detailed discussion of ethical considerations and research methodology. The authors advocate for publishing multi-methods protocols before implementation to improve research integrity, foster ethical and integrated practices, and support novice researchers.
