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Fatigue and physical activity levels in patients with liver cirrhosis

Authors

  • Li-Jan Wu,

    1. Authors:Li-Jan Wu, MS, RN, Head Nurse, Department of Nursing, Wan Fang Hospital, Taipei Medical University; Ming-Shun Wu, MD, Medical Doctor, Division of Gastroenterology, Department of Internal Medicine, Wan Fang Hospital, Taipei Medical University; GI-Shih Lien, MD, PhD, Associate Professor, Division of Gastroenterology, Department of Internal Medicine, Wan Fang Hospital, Taipei Medical University; Feng-Chia Chen, BS, MT, Chief Technologist, Department of Laboratory Medicine, Wan Fang Hospital, Taipei Medical University; Jen-Chen Tsai, DNSc, RN, Professor, School of Nursing, College of Nursing, Taipei Medical University, Taipei, Taiwan
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  • Ming-Shun Wu,

    1. Authors:Li-Jan Wu, MS, RN, Head Nurse, Department of Nursing, Wan Fang Hospital, Taipei Medical University; Ming-Shun Wu, MD, Medical Doctor, Division of Gastroenterology, Department of Internal Medicine, Wan Fang Hospital, Taipei Medical University; GI-Shih Lien, MD, PhD, Associate Professor, Division of Gastroenterology, Department of Internal Medicine, Wan Fang Hospital, Taipei Medical University; Feng-Chia Chen, BS, MT, Chief Technologist, Department of Laboratory Medicine, Wan Fang Hospital, Taipei Medical University; Jen-Chen Tsai, DNSc, RN, Professor, School of Nursing, College of Nursing, Taipei Medical University, Taipei, Taiwan
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  • GI-Shih Lien,

    1. Authors:Li-Jan Wu, MS, RN, Head Nurse, Department of Nursing, Wan Fang Hospital, Taipei Medical University; Ming-Shun Wu, MD, Medical Doctor, Division of Gastroenterology, Department of Internal Medicine, Wan Fang Hospital, Taipei Medical University; GI-Shih Lien, MD, PhD, Associate Professor, Division of Gastroenterology, Department of Internal Medicine, Wan Fang Hospital, Taipei Medical University; Feng-Chia Chen, BS, MT, Chief Technologist, Department of Laboratory Medicine, Wan Fang Hospital, Taipei Medical University; Jen-Chen Tsai, DNSc, RN, Professor, School of Nursing, College of Nursing, Taipei Medical University, Taipei, Taiwan
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  • Feng-Chia Chen,

    1. Authors:Li-Jan Wu, MS, RN, Head Nurse, Department of Nursing, Wan Fang Hospital, Taipei Medical University; Ming-Shun Wu, MD, Medical Doctor, Division of Gastroenterology, Department of Internal Medicine, Wan Fang Hospital, Taipei Medical University; GI-Shih Lien, MD, PhD, Associate Professor, Division of Gastroenterology, Department of Internal Medicine, Wan Fang Hospital, Taipei Medical University; Feng-Chia Chen, BS, MT, Chief Technologist, Department of Laboratory Medicine, Wan Fang Hospital, Taipei Medical University; Jen-Chen Tsai, DNSc, RN, Professor, School of Nursing, College of Nursing, Taipei Medical University, Taipei, Taiwan
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  • Jen-Chen Tsai

    1. Authors:Li-Jan Wu, MS, RN, Head Nurse, Department of Nursing, Wan Fang Hospital, Taipei Medical University; Ming-Shun Wu, MD, Medical Doctor, Division of Gastroenterology, Department of Internal Medicine, Wan Fang Hospital, Taipei Medical University; GI-Shih Lien, MD, PhD, Associate Professor, Division of Gastroenterology, Department of Internal Medicine, Wan Fang Hospital, Taipei Medical University; Feng-Chia Chen, BS, MT, Chief Technologist, Department of Laboratory Medicine, Wan Fang Hospital, Taipei Medical University; Jen-Chen Tsai, DNSc, RN, Professor, School of Nursing, College of Nursing, Taipei Medical University, Taipei, Taiwan
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Jen-Chen Tsai, Professor, School of Nursing, College of Nursing, Taipei Medical University, No. 250, Wuxing Street, Taipei 11031, Taiwan. Telephone: +886 2 2736 1661 ext. 6308.
E-mail:jenchent@tmu.edu.tw

Abstract

Aims and objectives.  This study aimed to explore the correlation between fatigue and physical activity in patients with liver cirrhosis.

Background.  Many patients with liver cirrhosis perceive lower physical functioning and more fatigue than non-cirrhotic individuals. To date, however, few studies have examined the relationship between fatigue and physical activity in this patient population.

Design.  This study used a correlation design. Participants were patients with liver cirrhosis recruited from the gastroenterology clinic of a teaching medical centre in Taiwan.

Methods.  Data were collected using a structured questionnaire, consisting of a fatigue scale and a seven-day Physical Activity Recall scale. spss version 13.0 software was used to analyse the data through statistical methods, including one-way analysis of variance, independent t-test and Pearson’s correlations.

Results.  Patients participating in this study suffered from moderate-to-severe fatigue, and their engagement in physical activity of moderate or higher intensity was decreased. On average, fatigue had a moderate level of influence on physical activity. A significant negative correlation was found between the fatigue level and average seven-day physical activity level.

Conclusions.  Patients with liver cirrhosis can experience severe fatigue, which may reduce their level of physical activity.

Relevance to clinical practice.  Early evaluation of the fatigue level and physical activity constraints in patients with liver cirrhosis should be conducted in the clinic or community. Individualised instructions for patient’s physical activity should be provided.

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