Research Article
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Evaluation of Kinesiophobia and Fatigue Levels of Patients Who Have Undergone Open Heart Surgery

Year 2023, Volume: 14 Issue: 2, 295 - 303, 17.03.2023

Demet Bal , Dilek Çilingir

https://doi.org/10.31067/acusaglik.1098447

Abstract

Purpose: This study aimed to determine the kinesiophobia and fatigue levels of patients who underwent open heart surgery.
Methods: The study was conducted with 176 patients who underwent traditional open heart surgery in the cardiovascular surgery clinic of a hospital located in Trabzon, Turkey. The data were gathered using a personal information form, the Tampa Kinesiophobia Scale, and the Piper Fatigue Scale.
Result: It was determined that patients had high levels of kinesiophobia and moderate levels of fatigue. A statistically meaningful difference was found between mean total Tampa Kinesiophobia Scale scores and age and employment status and between the mean total Piper Fatigue Scale scores and subscale scores of patients according to gender, body mass index, and employment status. There was a statistically significant positive and moderate correlation between patients’ Tampa Kinesiophobia Scale scores and the behavioral, affectivity, and sensory subscales and total score of the Piper Fatigue Scale while there was significant, positive, and weak correlation with the cognitive subscale of the Piper Fatigue Scale.
Conclusion: Considering the kinesiophobia and fatigue levels of patients undergoing open heart surgery in the nursing care process before and after surgery may be useful for the performance of physical activities that will contribute to recovery.

Keywords

Cardiovascular surgery care fatigue kinesiophobia

Thanks

We would like to thank the nurses of the Health Sciences University Ahi Evren Thoracic and Cardiovascular Surgery Training and Research Hospital Cardiovascular Surgery Clinic who contributed to the conduct of the study.

References

  • World Health Organization. Cardiovascular diseases (CVDs), (2017). Retrieved from https://www.who.int/en/news-room/fact-sheets/detail/cardiovascular-diseases-(cvds) Accessed 3 November 2020
  • Public Health Institution of Turkey, (2015). Turkey heart and vascular diseases prevention and control program 2015-2020. Retrieved from https://www.tkd.org.tr/TKDData/Uploads/files/Turkiye-kalp-ve-damar-hastaliklari-onleme-ve-kontrol-programi.pdf Accessed 1 November 2020.
  • Iribarne A, Easterwood R, Chan EYH, Yang J, Soni L, Russo MJ, Smith CR, Argenziano M. The golden age of minimally invasive cardiothoracic surgery: current and future perspectives. Future Cardiology. 2011;7(3):333-346.
  • Erdil F, Elbas N. Surgical Diseases Nursing. 6th ed. Ankara; Aydogdu Ofset; 2012.
  • Mavili I, Sahutoğlu C, Pestilci Z, Kocabas S, Askar F. Etiological factors concerning the early complications that occur following coronary artery bypass graft surgery. Journal of Society of Throracic Cardiovascular Anaesthesia and Intensive Care. 2016;22:16-23.
  • Cevik K, Zaybak A. The effect of exercises on pain after open heart surgery. Journal of Anatolia Nursing and Health Sciences. 2011;14:54-59.
  • Yumin ET, Ozel A, Saltan A, Sertel M, Ankaralı H, Simsek TT. Effects of pain, dyspnea, and kinesiophobia on quality of life in patients with coronary artery disease. Anatolian Clinic Journal of Medical Sciences. 2017;22:75-84.
  • Yolcu S, Akın, S, Durna Z. The evaluation of mobility levels of postoperative patients and associated factors. Journal of Education and Research in Nursing. 2016;13(2):129-138.
  • Torres-Harding, S, Jason LA. What is fatigue? History and epidemiology. In J. DeLuca (Ed.). Fatigue as a window to the brain. The MIT Press, Cambridge; 2005.
  • 1Sayın A, Candansayar S. Concept of fatigue and clinical approach to patients with fatigue. Gazi Medical Journal. 2007;18:1-8.
  • 11. Kluger BM, Krupp LB, Enoka RM. Fatigue and fatigability in neurologic illnesses: proposal for a unified taxonomy. Neurology. 2013;80(4):409-16. Kaya S, Senturan L. The investigation of fatigue of the patients undergoing coronary artery by-pass graft surgery. Journal of Academic Research in Nursing. 2016;2:59-67.
  • Faul F, Erdfelder E, Buchner A, Lang AG. Statistical power analyses using G*Power 3.1: Tests for correlation and regression analyses. Behavior Research Methods. 2009;41:1149-1160.
  • Kori SH, Miller RP, Todd DD. Kinesiophobia: a new view of chronic pain behavior. Pain Management. 1990;3:35-43.
  • Yılmaz OT, Yakut Y, Uygur F, Ulug N. Turkish version of the Tampa Scale for Kinesiophobia and its test-retest reliability. Turkish Journal of Physiotherapy and Rehabilitation. 2011;22:44-49.
  • Piper BF, Dibble SL, Dodd MJ, Weiss MC, Slaughter RE, Paul SM. The revised Piper Fatigue Scale: psychometric evaluation in women with breast cancer. Oncol Nurs Forum. 1998;25:677-684.
  • Kocjan J, Knapik A. Barriers of physical activity (kinesiophobia) in patients subjected to cardiac rehabilitation. Baltic Journal of Health and Physical Activity. 2014;6:291-297.
  • Ahangari A, Abdolrahmani M. Kinesiophobia dilemma for older adults: a systematic review. Geriatric Care. 2020;6(3):56-59.
  • Lemaire A, Soto C, Salgueiro L, Ikegami H, Russo MJ, Lee LY. The impact of age on outcomes of coronary artery bypass grafting. Journal of Cardiothoracic Surgery. 2020;15(1):158.
  • Koivula M, Paunonen-Ilmonen M, Tarkka MT, Tarkka M, Laippala P. Fear and anxiety in patients awaiting coronary artery bypass grafting. Heart & Lung. 2001;30(4):302-11.
  • Kocjan J. Impact of kinesiophobia (fear before movement) to physical activity level in patients with artery hypertension. Journal of Education, Health and Sport, 2015;5(4):309-318.
  • Ramesh C, Nayak BS, Pai VB, Patil NT, George A, George LS, Sanatombi E. Effect of preoperative education on postoperative outcomes among patients undergoing cardiac surgery: a systematic review and meta-analysis. Journal of PeriAnesthesia Nursing, 2017;32(6):518–529.
  • Barnason S, Zimmerman L, Nieveen J, Schulz P, Miller C, Hertzog M, Rasmussen D. The relationships between fatigue and early postoperative recovery outcomes over time in elderly coronary artery bypass graft (CABG) surgery patients. Heart & Lung. 2008;37(4), 245-256.
  • Cebeci F, Celik SS. Discharge training and counselling increase self-care ability and reduce postdischarge problems in CABG patients. J Clin Nurs. 2008;17:412-420.
  • Ekman I, Ehrenberg A. Fatigue in chronic heart failure-does gender make a difference? European Journal of Cardiovascular Nursing. 2002;1:77–82.
  • Aaronson LS, Pallikkathayil L, Crighton F. A qualitative investigation of fatigue among healthy working adults. West J Nurs Res. 2003;25(4):419-433. Hlatky MA, Horine S, Brooks MM, Pitt B, Smith H, Wiens R. Employment after coronary angioplasty or coronary bypass surgery in patients employed at the time of revascularization. Annals of Internal Medicine. 1998;129:543-547.
  • Kuduvalli M, Grayson AD, Oo AY, Fabri BM, Rashid A. Risk of morbidity and in-hospital mortality in obese patients undergoing coronary artery bypass surgery. European Journal of Cardio-Thoracic Surgery. 2002;22:787-793.
  • Robinson S, Vollmer C, Hermes B. A program to reduce fatigue in convalescing elderly adults. Journal of Gerontological Nursing. 2003;29(5):47-53.
  • Swain MG. Fatigue in chronic disease. Clinical Science. 2000:99:1-8.

Year 2023, Volume: 14 Issue: 2, 295 - 303, 17.03.2023

Demet Bal , Dilek Çilingir

https://doi.org/10.31067/acusaglik.1098447

Abstract

References

  • World Health Organization. Cardiovascular diseases (CVDs), (2017). Retrieved from https://www.who.int/en/news-room/fact-sheets/detail/cardiovascular-diseases-(cvds) Accessed 3 November 2020
  • Public Health Institution of Turkey, (2015). Turkey heart and vascular diseases prevention and control program 2015-2020. Retrieved from https://www.tkd.org.tr/TKDData/Uploads/files/Turkiye-kalp-ve-damar-hastaliklari-onleme-ve-kontrol-programi.pdf Accessed 1 November 2020.
  • Iribarne A, Easterwood R, Chan EYH, Yang J, Soni L, Russo MJ, Smith CR, Argenziano M. The golden age of minimally invasive cardiothoracic surgery: current and future perspectives. Future Cardiology. 2011;7(3):333-346.
  • Erdil F, Elbas N. Surgical Diseases Nursing. 6th ed. Ankara; Aydogdu Ofset; 2012.
  • Mavili I, Sahutoğlu C, Pestilci Z, Kocabas S, Askar F. Etiological factors concerning the early complications that occur following coronary artery bypass graft surgery. Journal of Society of Throracic Cardiovascular Anaesthesia and Intensive Care. 2016;22:16-23.
  • Cevik K, Zaybak A. The effect of exercises on pain after open heart surgery. Journal of Anatolia Nursing and Health Sciences. 2011;14:54-59.
  • Yumin ET, Ozel A, Saltan A, Sertel M, Ankaralı H, Simsek TT. Effects of pain, dyspnea, and kinesiophobia on quality of life in patients with coronary artery disease. Anatolian Clinic Journal of Medical Sciences. 2017;22:75-84.
  • Yolcu S, Akın, S, Durna Z. The evaluation of mobility levels of postoperative patients and associated factors. Journal of Education and Research in Nursing. 2016;13(2):129-138.
  • Torres-Harding, S, Jason LA. What is fatigue? History and epidemiology. In J. DeLuca (Ed.). Fatigue as a window to the brain. The MIT Press, Cambridge; 2005.
  • 1Sayın A, Candansayar S. Concept of fatigue and clinical approach to patients with fatigue. Gazi Medical Journal. 2007;18:1-8.
  • 11. Kluger BM, Krupp LB, Enoka RM. Fatigue and fatigability in neurologic illnesses: proposal for a unified taxonomy. Neurology. 2013;80(4):409-16. Kaya S, Senturan L. The investigation of fatigue of the patients undergoing coronary artery by-pass graft surgery. Journal of Academic Research in Nursing. 2016;2:59-67.
  • Faul F, Erdfelder E, Buchner A, Lang AG. Statistical power analyses using G*Power 3.1: Tests for correlation and regression analyses. Behavior Research Methods. 2009;41:1149-1160.
  • Kori SH, Miller RP, Todd DD. Kinesiophobia: a new view of chronic pain behavior. Pain Management. 1990;3:35-43.
  • Yılmaz OT, Yakut Y, Uygur F, Ulug N. Turkish version of the Tampa Scale for Kinesiophobia and its test-retest reliability. Turkish Journal of Physiotherapy and Rehabilitation. 2011;22:44-49.
  • Piper BF, Dibble SL, Dodd MJ, Weiss MC, Slaughter RE, Paul SM. The revised Piper Fatigue Scale: psychometric evaluation in women with breast cancer. Oncol Nurs Forum. 1998;25:677-684.
  • Kocjan J, Knapik A. Barriers of physical activity (kinesiophobia) in patients subjected to cardiac rehabilitation. Baltic Journal of Health and Physical Activity. 2014;6:291-297.
  • Ahangari A, Abdolrahmani M. Kinesiophobia dilemma for older adults: a systematic review. Geriatric Care. 2020;6(3):56-59.
  • Lemaire A, Soto C, Salgueiro L, Ikegami H, Russo MJ, Lee LY. The impact of age on outcomes of coronary artery bypass grafting. Journal of Cardiothoracic Surgery. 2020;15(1):158.
  • Koivula M, Paunonen-Ilmonen M, Tarkka MT, Tarkka M, Laippala P. Fear and anxiety in patients awaiting coronary artery bypass grafting. Heart & Lung. 2001;30(4):302-11.
  • Kocjan J. Impact of kinesiophobia (fear before movement) to physical activity level in patients with artery hypertension. Journal of Education, Health and Sport, 2015;5(4):309-318.
  • Ramesh C, Nayak BS, Pai VB, Patil NT, George A, George LS, Sanatombi E. Effect of preoperative education on postoperative outcomes among patients undergoing cardiac surgery: a systematic review and meta-analysis. Journal of PeriAnesthesia Nursing, 2017;32(6):518–529.
  • Barnason S, Zimmerman L, Nieveen J, Schulz P, Miller C, Hertzog M, Rasmussen D. The relationships between fatigue and early postoperative recovery outcomes over time in elderly coronary artery bypass graft (CABG) surgery patients. Heart & Lung. 2008;37(4), 245-256.
  • Cebeci F, Celik SS. Discharge training and counselling increase self-care ability and reduce postdischarge problems in CABG patients. J Clin Nurs. 2008;17:412-420.
  • Ekman I, Ehrenberg A. Fatigue in chronic heart failure-does gender make a difference? European Journal of Cardiovascular Nursing. 2002;1:77–82.
  • Aaronson LS, Pallikkathayil L, Crighton F. A qualitative investigation of fatigue among healthy working adults. West J Nurs Res. 2003;25(4):419-433. Hlatky MA, Horine S, Brooks MM, Pitt B, Smith H, Wiens R. Employment after coronary angioplasty or coronary bypass surgery in patients employed at the time of revascularization. Annals of Internal Medicine. 1998;129:543-547.
  • Kuduvalli M, Grayson AD, Oo AY, Fabri BM, Rashid A. Risk of morbidity and in-hospital mortality in obese patients undergoing coronary artery bypass surgery. European Journal of Cardio-Thoracic Surgery. 2002;22:787-793.
  • Robinson S, Vollmer C, Hermes B. A program to reduce fatigue in convalescing elderly adults. Journal of Gerontological Nursing. 2003;29(5):47-53.
  • Swain MG. Fatigue in chronic disease. Clinical Science. 2000:99:1-8.
There are 28 citations in total.

Details

Primary Language English
Subjects Nursing
Journal Section Research Article
Authors

Demet Bal 0000-0002-1617-4078

Dilek Çilingir 0000-0002-0660-8426

Publication Date March 17, 2023
Submission Date April 5, 2022
Published in Issue Year 2023Volume: 14 Issue: 2

Cite

EndNote Bal D, Çilingir D (March 1, 2023) Evaluation of Kinesiophobia and Fatigue Levels of Patients Who Have Undergone Open Heart Surgery. Acıbadem Üniversitesi Sağlık Bilimleri Dergisi 14 2 295–303.
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