ArticleScandinavian journal of caring sciences2021
Fatigue after heart transplantation - a possible barrier to self-efficacy.
Article in Scandinavian journal of caring sciences, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.
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Who cites it
4 citing papers in PubMed.
- Fatigue, Sleep Problems, and Self-Efficacy Before and After Heart Transplantation: A 5 Year Follow-Up.Clinical transplantation · 2025Article
- A Mixed Method Pilot Feasibility Study of a Symptom Management Support Intervention for Heart Transplant Recipients With Chronic Pain and Extensive Symptom Distress.Scandinavian journal of caring sciences · 2025Article
- Self-reported symptom occurrence and distress, and psychological well-being after liver transplantation - a descriptive cross-sectional study of Danish recipients.Frontiers in psychology · 2024Article
- Fatigue after heart transplantation - a possible barrier to self-efficacy.Scandinavian journal of caring sciences · 2021Article
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Authors and funding
4 authors.
Funding
Abstract
rationaleRecovery after heart transplantation is challenging and many heart recipients struggle with various transplant-related symptoms, side-effects of immunosuppressive medications and mental challenges. Fatigue has been reported to be one of the most common and distressing symptoms after heart transplantation and might therefore constitute a barrier to self-efficacy, which acts as a moderator of self-management.
aimTo explore the prevalence of fatigue and its relationship to self-efficacy among heart recipients 1-5 years after transplantation. RESEARCH
methodAn explorative cross-sectional design, including 79 heart recipients due for follow-up 1-5 years after transplantation. Three different self-assessment instruments were employed; The Multidimensional Fatigue Inventory-19, Self-efficacy for managing chronic disease 6-Item Scale and The Postoperative Recovery Profile. ETHICAL APPROVAL: The study was approved by the Regional Ethics Board of Lund (Dnr. 2014/670-14/10) with supplementary approval from the Swedish Ethical Review Authority (Dnr. 2019-02769).
resultsThe reported levels of fatigue for the whole group were moderate in all dimensions of the Multidimensional Fatigue Inventory-19, with highest ratings in the General Fatigue sub-scale. Those most fatigued were the groups younger than 50 years; pretransplant treatment with Mechanical Circulatory Support; not recovered or had not returned to work. Self-efficacy was associated with the sub-dimensions Mental Fatigue (ρ = -0·.649) and Reduced Motivation (ρ = -0·617), which explained 40·1% of the variance when controlled for age and gender. STUDY LIMITATIONS: The small sample size constitutes a limitation.
conclusionsThe moderate levels of fatigue reported indicate that it is not a widespread problem. However, for those suffering from severe fatigue it is a troublesome symptom that affects the recovery process and their ability to return to work. Efforts should be made to identify those troubled by fatigue to enable sufficient self-management support.
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