The Associations of Diagnoses of Fatigue and Depression with Use of Medical Services in Patients with Heart Failure

Seongkum Heo, Jean McSweeney, Pao Feng Tsai, Songthip Ounpraseuth, Debra K. Moser, Jin Shil Kim

Research output: Contribution to journalArticlepeer-review

4 Scopus citations

Abstract

Background: Fatigue and depression based on self-report and diagnosis are prevalent in patients with heart failure and adversely affect high rates of hospitalization and emergency department visits, which can impact use of medical services. The relationships of fatigue and depression to use of medical services in patients with preserved and reduced left ventricular ejection fraction (LVEF) may differ. Purpose: We examined the associations of diagnoses of fatigue and depression with use of medical services in patients with preserved and reduced LVEF, controlling for covariates. Methods: Data were collected on fatigue, depression, covariates, and use of medical services. Patients (N = 582) were divided into 2 groups based on LVEF (<40%, reduced LVEF; ≥40%, preserved LVEF). Multiple linear regression analyses were used to analyze the data. Results: A diagnosis of fatigue was a significant factor associated with more use of medical services in the total sample (β =.18, P <.001, R2 = 54%) and patients with reduced LVEF (β =.13, P =.008, R2 = 54%) and also preserved LVEF (β =.21, P <.001, R2 = 54%), controlling for all covariates, but a diagnosis of depression was not. Conclusions: This study demonstrates the important roles of a diagnosis of fatigue in use of medical services. Thus, fatigue needs to be assessed, diagnosed, and managed effectively.

Original languageEnglish
Pages (from-to)289-296
Number of pages8
JournalJournal of Cardiovascular Nursing
Volume34
Issue number4
DOIs
StatePublished - Jul 1 2019

Bibliographical note

Funding Information:
The project described was supported by the Translational Research Institute grant UL1TR000039 through the National Institutes of Health's National Center for Research Resources and National Center for Advancing Translational Sciences. The content is solely the responsibility of the authors and does not necessarily represent the official views of the National Institutes of Health. The authors have no conflicts of interest to disclose. Correspondence Seongkum Heo, PhD, RN, College of Nursing, University of Arkansas for Medical Sciences, 4301 W Markham St, Little Rock, AR 72205 (sheo@uams.edu). DOI: 10.1097/JCN.0000000000000574

Publisher Copyright:
© Wolters Kluwer Health, Inc. All rights reserved.

Keywords

  • Depression
  • Health services
  • Heart failure
  • Symptoms

ASJC Scopus subject areas

  • Cardiology and Cardiovascular Medicine
  • Advanced and Specialized Nursing

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