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Fatigue in relation to perceived health: people with multiple sclerosis compared with people in the general population
Linköpings universitet, Institutionen för medicin och hälsa, Omvårdnad. Linköpings universitet, Hälsouniversitetet.
Linköpings universitet, Institutionen för medicin och hälsa, Omvårdnad. Linköpings universitet, Hälsouniversitetet.
Linköpings universitet, Institutionen för nervsystem och rörelseorgan, Neurologi. Linköpings universitet, Hälsouniversitetet.
Faculty of Health and Sport, University of Agder, Arendal, Norway.
2008 (Engelska)Ingår i: Scandinavian Journal of Caring Sciences, ISSN 0283-9318, E-ISSN 1471-6712, Vol. 22, nr 3, s. 391-400Artikel i tidskrift (Refereegranskat) Published
Abstract [en]

Fatigue is not only a complex phenomenon accompanying different illness conditions but is also a common complaint among individuals in the general population. Among individuals diagnosed with the chronic neurological disease multiple sclerosis (MS), one-third describe fatigue as the very first symptom, however it is invisible to others. When adopting an action-theoretic approach to health, fatigue may be considered to influence the individual’s goals of life and subjectively perceived health. The aim of this study was to describe perceived fatigue in relation to perceived health among working-aged individuals diagnosed with MS (n = 155), and in a comparative group of individuals randomly selected from the general population living in the same geographical area (n = 190). A self-report questionnaire including the Fatigue Impact Scale, a checklist of six symptoms, questions covering perceived health and levels of and perceptions of fatigue was used for the data collection. The responses on perceived health were dichotomized into two categories: ‘good health’ and ‘ill health’. Of the individuals with MS, 50% graded their perceived health as ill compared with 18% in the reference group (p < 0.001), and 68% graded fatigue as one of their worst symptoms compared with 21% in the reference group. In both groups, higher presence of symptoms and impact of fatigue in daily activities correlated negatively to perceived health. Compared with the individuals in the reference group, the individuals with MS reported higher impact of fatigue in physical areas in both the category of ‘good health’ (p < 0.001) and ‘ill health’ (p < 0.01). The perceived impact of fatigue was mirrored in increased problems in social and family activities. In conclusion, individuals with MS perceive fatigue as one of their worst symptoms three times as often as individuals in the general population. However, individuals with MS probably also adapt themselves or shift in their response to fatigue more than individuals in the general population.

Ort, förlag, år, upplaga, sidor
2008. Vol. 22, nr 3, s. 391-400
Nationell ämneskategori
Medicin och hälsovetenskap
Identifikatorer
URN: urn:nbn:se:liu:diva-43147DOI: 10.1111/j.1471-6712.2007.00542.xLokalt ID: 72082OAI: oai:DiVA.org:liu-43147DiVA, id: diva2:264005
Tillgänglig från: 2009-10-10 Skapad: 2009-10-10 Senast uppdaterad: 2017-12-13Bibliografiskt granskad
Ingår i avhandling
1. Fatigue in individuals with multiple sclerosis: lived experiences and perceived impact in daily life
Öppna denna publikation i ny flik eller fönster >>Fatigue in individuals with multiple sclerosis: lived experiences and perceived impact in daily life
2005 (Engelska)Doktorsavhandling, sammanläggning (Övrigt vetenskapligt)
Abstract [en]

The overall aim of this thesis was to gain knowledge about experiences of fatigue among individuals diagnosed with MS and to compare these experiences with those of individuals in the general population. Individuals' experiences of fatigue have been approached both inductively and deductively and qualitative and quantitative research methods have been combined. A total of 372 individuals participated in the studies: 178 individuals diagnosed with MS (I-IV), and 194 individuals randomly selected from the general population. These individuals functioned as reference group and were comparable with the MS sufferers as regards age and sex (III-IV).

Experiences of fatigue were investigated before-and-after an intervention with a cooling suit among eight individuals diagnosed with MS (I). Fatigue as lived through and its perceived meaning were addressed in a phenomenological interview study among nine individuals with MS (II). Reliability and validity of a tool to assess impact of fatigue in daily life, the Swedish version of the Fatigue Impact Scale (FIS), was investigated in a cross-sectional study among 161 individuals with MS in comparison with 194 individuals in the general population (III). Further, experiences of fatigue, in terms of its perceived impact in daily life in relation to perceived health was addressed in a study which comprised 155 individuals diagnosed with MS who were compared with 190 individuals from the general population (IV).

The collection of data included open interviews conducted before-and-after the intervention (I) and in the phenomenological study (II). A self-written semi-structured oneweek diary was completed during the test-period with the cooling suit (I). Perceived impact of fatigue in daily life was assessed in a self-assessment questionnaire, with the FIS (I, III, IV) and a symptom list (IV) included. The individuals' perceived health was addressed by means of a single rating-question (IV).

Living with fatigue means living with a time-consuming and an all-absorbing phenomenon, which is both non-constructively and constructively perceived and involves either the whole body or parts of it (II). Experiences of fatigue were reduced during the intervention period. Overall levels of fatigue, in terms of its duration and perceived severity, and also its perceived impact in daily life, were reported diminished and the participants reported a sense of well-being and contentment during the period (I). Among the individuals with MS, fatigue was regarded as one of, or as their worst symptom. The experience of fatigue was more than three times as frequent as among the individuals in the general population. In MS, the perceived impact of fatigue in daily life was not found to be related either to age or numbers of years of being diagnosed with MS, but it was with the indicated levels of perceived health (IV). Among individuals diagnosed with MS, the FIS was found to be a reliable and valid tool measuring impact of fatigue in daily life. Also in the reference group comprising individuals in the general population, the FIS captured and distinguished between different levels of the impact of fatigue (III).

Ort, förlag, år, upplaga, sidor
Linköping: Linköping Universitet, 2005. s. 63
Serie
Linköping University Medical Dissertations, ISSN 0345-0082 ; 917
Nyckelord
action-theory, cooling, daily life, fatigue, perceived health, phenomenology, scale testing
Nationell ämneskategori
Medicin och hälsovetenskap
Identifikatorer
urn:nbn:se:liu:diva-31911 (URN)17744 (Lokalt ID)91-85299-31-6 (ISBN)17744 (Arkivnummer)17744 (OAI)
Disputation
2005-11-18, Berzeliussalen, Hälsouniversitetet, Linköping, 09:00 (Svenska)
Opponent
Tillgänglig från: 2009-10-09 Skapad: 2009-10-09 Senast uppdaterad: 2012-09-27Bibliografiskt granskad

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Flensner, GullviEk, Anna-ChristinaLandtblom, Anne-Marie

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