Fatigue in women with heart failure is associated with significant emotional distress, particularly in midlife women, which correlates with increased healthcare utilization.
May warrant attention to fatigue-related emotional distress in midlife women with HF; hypothesis-generating for whether interventions reduce utilization.
Self-care management of symptoms for persons with heart failure (HF) may only be successful when their representations regarding their symptoms are accurate and linked to appropriate behavioral strategies. The purpose of this secondary data analysis (N = 169 women with HF) was to describe representations of one HF-related symptom, fatigue, and examine whether representations were related to physical health status, health care utilization, and psychological well-being and whether they differed by age. Overall, women agreed that fatigue was chronic, caused by HF, and had serious consequences. Midlife women reported more emotional distress and severe consequences from fatigue than older women. Higher levels of emotional distress due to fatigue from HF were associated with higher levels of health care utilization.
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Plach et al. (2006) studied this question.
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