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Illness perceptions of fatigue and the association with sense of coherence and stress in patients one year after myocardial infarction.
University West, Department of Nursing, Health and Culture.ORCID iD: 0000-0001-8291-7223
University West, Department of Nursing, Health and Culture, Division of Health and Culture.ORCID iD: 0000-0002-3452-3761
2016 (English)In: Journal of Clinical Nursing, ISSN 0962-1067, E-ISSN 1365-2702, Vol. 25, no 3-4, 525-533 p.Article in journal (Refereed) Published
Abstract [en]

Aims and objectives. To explore the associations between illness perceptions offatigue, sense of coherence and stress in patients one year after myocardial infarc-tion.Background. Post-myocardial infarction fatigue is a stressful symptom that is dif-ficult to cope with. Patients' illness perceptions of fatigue guide professionals inpredicting how individuals will respond emotionally and cognitively to symptoms.Individuals' sense of coherence can be seen as a coping resource in managingstressors.Design. A cross-sectional study design was used.Method. One year post-myocardial infarction, a total of 74 patients still experi-encing fatigue completed four questionnaires: the Multidimensional Fatigue ScaleInventory -20, the Brief Illness Perception Questionnaire, the Sense of Coherencescale (sense of coherence-13) and a single-item measure of stress symptoms.Descriptive statistics, correlations and stepwise regression analysis were carriedout.Results. Strong negative associations were found between illness perceptions offatigue, sense of coherence and stress. Sense of coherence has an impact on illnessperceptions of fatigue. Of the dimensions of sense of coherence, comprehensibilityseemed to play the greatest role in explaining illness perceptions of fatigueone year after myocardial infarction.Conclusion. To strengthen patients' coping resources, health-care professionalsshould create opportunities for patients to gain individual-level knowledge thatallows them to distinguish between common fatigue symptoms and warning signsfor myocardial infarction.Relevance to clinical practice. There is a need to improve strategies for copingwith fatigue. It is also essential to identify patients with fatigue after myocardialinfarction, as they need explanations for their symptoms and extra support

Place, publisher, year, edition, pages
2016. Vol. 25, no 3-4, 525-533 p.
Keyword [en]
Fatigue, illness perception, salutogenesis, sense of coherence, stress
National Category
Other Health Sciences
Research subject
NURSING AND PUBLIC HEALTH SCIENCE, Public health science
Identifiers
URN: urn:nbn:se:hv:diva-8300DOI: 10.1111/jocn.13088ISI: 000370637600025Scopus ID: 2-s2.0-84955563194OAI: oai:DiVA.org:hv-8300DiVA: diva2:857666
Available from: 2015-09-29 Created: 2015-09-29 Last updated: 2016-03-30Bibliographically approved

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Alsén, PiaEriksson, Monica
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