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The impact of fatigue on daily activity in people with chronic kidney disease

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  • Ann Bonner
  • Sally Wellard
  • Marie Caltabiano

Abstract

Aims and objectives. To examine the impact of fatigue on the daily activity levels of people with chronic kidney disease, compare whether being predialysis or receiving different renal replacement therapies had any effect on fatigue and activity and identify whether any items in the fatigue severity scale were more predictive of daily activity levels. Background. Chronic kidney disease is a complex and long‐term disease where people commonly experience fatigue and reduced levels of fitness; both of which impact on an individual’s ability to carry out routine activities of daily life. Design. A descriptive cross‐sectional design. Methods. A convenience sample of 112 people completed the fatigue severity scale and Human Activity Profile. Participants differed in their renal history and were either predialysis or receiving renal replacement therapy. Results. Women or older participants were significantly more fatigued and less active than men or younger participants. A significant difference between mean fatigue and activity scores was found for type of renal replacement therapy, with participants receiving peritoneal dialysis being the most fatigued and the least active. Additionally, lower levels of albumin were significantly correlated with greater levels of fatigue and the ability to engage in fewer activities. Conclusion. People with chronic kidney disease regardless of whether they are predialysis or receiving either peritoneal or haemodialysis experience high levels of fatigue and are able to engage in fewer daily activities. The fatigue severity scale and the Human Activity Profile are useful indicators of fatigue and physical activities which can be used in routine assessment practices. Relevance to clinical practice. Renal nurses are ideally positioned to engage in early identification and regular monitoring of both fatigue and activity levels in people with chronic kidney disease. Individual care plans can be developed to incorporate supportive rehabilitative strategies which aim to reduce fatigue and maximise activity levels.

Suggested Citation

  • Ann Bonner & Sally Wellard & Marie Caltabiano, 2010. "The impact of fatigue on daily activity in people with chronic kidney disease," Journal of Clinical Nursing, John Wiley & Sons, vol. 19(21‐22), pages 3006-3015, November.
    • Handle: RePEc:wly:jocnur:v:19:y:2010:i:21-22:p:3006-3015
    DOI: 10.1111/j.1365-2702.2010.03381.x
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    Cited by:

    1. Min Liu & Qian Sun & Lina Cui & Jia Liu & Lifang Liu & Xiaoxia Wu & Zhimin Wang & Xin Zhou & Jianfei Xie & Andy SK. Cheng, 2021. "Fear of Movement and Physical Self-Efficacy Partially Mediate the Association Between Fatigue and Physical Activity Among Kidney Transplant Recipients," Clinical Nursing Research, , vol. 30(7), pages 950-959, September.
    2. Yu‐Ling Bai & Liu‐Yuan Lai & Bih‐O Lee & Yong‐Yuan Chang & Chou‐Ping Chiou, 2015. "The impact of depression on fatigue in patients with haemodialysis: a correlational study," Journal of Clinical Nursing, John Wiley & Sons, vol. 24(13-14), pages 2014-2022, July.
    3. Semiha Akin & Basak Mendi & Bihter Ozturk & Cigdem Cinper & Zehra Durna, 2014. "Assessment of relationship between self‐care and fatigue and loneliness in haemodialysis patients," Journal of Clinical Nursing, John Wiley & Sons, vol. 23(5-6), pages 856-864, March.
    4. Sisook Kim & Hyunsook Zin Lee & Eunhye Hwang & Juhyun Song & Hye‐Jin Kwon & Kwisoon Choe, 2016. "Lived experience of Korean nurses caring for patients on maintenance haemodialysis," Journal of Clinical Nursing, John Wiley & Sons, vol. 25(9-10), pages 1455-1463, May.
    5. Hye Min Jung & Hye Young Kim, 2020. "A health‐related quality of life model for patients undergoing haemodialysis," Journal of Clinical Nursing, John Wiley & Sons, vol. 29(3-4), pages 613-625, February.
    6. Hsiao-Yu Chou & Shu-Ching Chen & Tzung-Hai Yen & Hui-Mei Han, 2020. "Effect of a Virtual Reality-Based Exercise Program on Fatigue in Hospitalized Taiwanese End-Stage Renal Disease Patients Undergoing Hemodialysis," Clinical Nursing Research, , vol. 29(6), pages 368-374, July.
    7. Flora Lamcja, 2015. "The Attachment Relationship with the Mother and the Exploratory Behavior of the Children Aged 5-6," European Journal of Social Sciences Education and Research Articles, Revistia Research and Publishing, vol. 2, September.

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