Illness-related fatigue and its association with quality of life among people with chronic obstructive pulmonary disease: A cross-sectional survey from Jordan
-
Angham Badarneh
,
Enas A Assaf
,
Suhair Al-Ghabeesh
,
Ahmad Rajeh Saifan
,
Nabeel Al-Yateem
,
Aram Halimi
Abstract
Background & Aim: Fatigue is a commonly reported issue in individuals with chronic obstructive pulmonary disease (COPD), often overlooked or inadequately addressed in Jordan and globally. This study aimed to assess illness-related fatigue in COPD people, its contributing factors, and its impact on their quality of life (QOL).
Methods & Materials: A cross-sectional correlational design was employed, recruiting 200 people from four hospitals in Jordan between April and May 2021. Participants completed Arabic versions of the self-administered Fatigue Severity Scale and the WHOQOL questionnaire.
Results: The study revealed a high level of fatigue among COPD people, with an overall mean fatigue score of 5.07±0.62. Particularly noteworthy was the association between heightened fatigue levels and factors such as disease-related disability and interference with daily responsibilities. The overall mean QOL score was low (2.665±0.39), with the physical domain displaying the lowest mean score (2.6±0.47). Fatigue and QOL were significantly and negatively correlated.
Conclusion: COPD people in Jordan experience substantial levels of fatigue, negatively impacting their QOL. Unfortunately, fatigue is often unnoticed in healthcare services. Addressing fatigue should be a crucial aspect of treatment plans for these people. Particularly during pandemics or service disruptions, additional attention is needed to manage fatigue among COPD people effectively. Digital health interventions may offer opportunities to enhance continuity and quality of care, especially during challenging times.
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11. Yang Y, Li Q, Mao J, Mao Z. Fatigue and health‐related quality of life among patients with chronic obstructive pulmonary disease in China. The Clinical Respiratory Journal. 2020 Feb;14(2):109-15.
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14. Antoniu SA, Ungureanu D. Measuring fatigue as a symptom in COPD: from descriptors and questionnaires to the importance of the problem. Chronic Respiratory Disease. 2015 Aug;12(3):179-88.
15. Goërtz YMJ, Looijmans M, Prins JB, Janssen DJA, Thong MSY, Peters JB, et al. Fatigue in patients with chronic obstructive pulmonary disease: protocol of the Dutch multicentre, longitudinal, observational FAntasTIGUE study. BMJ Open. 2018;8(4):e021745.
16. Goërtz YM, Looijmans M, Prins JB, Janssen DJ, Thong MS, Peters JB, Burtin C, Meertens-Kerris Y, Coors A, Muris JW, Sprangers MA. Fatigue in patients with chronic obstructive pulmonary disease: protocol of the Dutch multicentre, longitudinal, observational FAntasTIGUE study. BMJ Open. 2018 Apr 1;8(4):e021745.
17. Kouijzer M, Brusse-Keizer M, Bode C. COPD-related fatigue: Impact on daily life and treatment opportunities from the patient's perspective. Respiratory Medicine. 2018 Aug 1;141:47-51.
18. Abdulla FA, Al-Khamis FA, Alsulaiman AA, Alshami AM. Psychometric properties of an Arabic version of the fatigue severity scale in patients with stroke. Topics in Stroke Rehabilitation. 2019 Aug 18;26(6):448-55.
19. Malibary H, Zagzoog MM, Banjari MA, Bamashmous RO, Omer AR. Quality of Life (QoL) among medical students in Saudi Arabia: A study using the WHOQOL-BREF instrument. BMC Medical Education. 2019 Dec;19:1-6.
20. Dalky HF, Meininger JC, Al-Ali NM. The reliability and validity of the Arabic World Health Organization quality of life-BREF instrument among family caregivers of relatives with psychiatric illnesses in Jordan. Journal of Nursing Research. 2017 Jun 1;25(3):224-30.
21. Tabar NA, Al Qadire M, Thultheen I, Alshraideh J. Health-related quality of life, uncertainty, and anxiety among patients with chronic obstructive pulmonary disease. F1000Research. 2021;10:420.
22. Stridsman C, Lindberg A, Skär L. Fatigue in chronic obstructive pulmonary disease: a qualitative study of people's experiences. Scandinavian Journal of Caring Sciences. 2014 Mar;28(1):130-8.
23. Elbeddini A, Tayefehchamani Y. Amid COVID-19 pandemic: Challenges with access to care for COPD patients. Research in Social and Administrative Pharmacy. 2021 Jan 1;17(1):1934-7.
24. Kentson M, Tödt K, Skargren E, Jakobsson P, Ernerudh J, Unosson M, Theander K. Factors associated with the experience of fatigue, and functional limitations due to fatigue in patients with stable COPD. Therapeutic Advances in Respiratory Disease. 2016 Oct;10(5):410-24.
25. Cheruvu VK, Odhiambo LA, Mowls DS, Zullo MD, Gudina AT. Health-related quality of life in current smokers with COPD: factors associated with current smoking and new insights into sex differences. International Journal of Chronic Obstructive Pulmonary Disease. 2016 Sep 15:2211-9.
26. Ahmed MS, Neyaz A, Aslami AN. Health-related quality of life of chronic obstructive pulmonary disease patients: Results from a community-based cross-sectional study in Aligarh, Uttar Pradesh, India. Lung India. 2016 Mar 1;33(2):148-53.
27. Siboni FS, Alimoradi Z, Atashi V, Alipour M, Khatooni M. Quality of life in different chronic diseases and its related factors. International Journal of Preventive Medicine. 2019 Jan 1;10(1):65.
28. Pengpid S, Peltzer K. The impact of chronic diseases on the quality of life of primary care patients in Cambodia, Myanmar, and Vietnam. Iranian Journal of Public Health. 2018 Sep;47(9):1308.
29. Ha NT, Duy HT, Le NH, Khanal V, Moorin R. Quality of life among people living with hypertension in a rural Vietnam community. BMC Public Health. 2014;14(1):833.
30. Kushwaha S, Singh SK, Manar M, Verma AK, Kar SK, Gupta A. Health-related quality of life of chronic obstructive pulmonary disease patients: A hospital-based study. Journal of Family Medicine and Primary Care. 2020 Aug 1;9(8):4074-8.
2. Adeloye D, Song P, Zhu Y, Campbell H, Sheikh A, Rudan I. Global, the regional, and national prevalence of, and risk factors for, chronic obstructive pulmonary disease (COPD) in 2019: A systematic review and modeling analysis. The Lancet Respiratory Medicine. 2022 May 1;10(5):447-58.
3. Khassawneh BY, Samrah SM, Jarrah MI, Ibdah RK, Ibnian AM, Almistarehi AW, Zghayer AA, Abuqudairi SI, Khader YS. Prevalence of undiagnosed COPD in male patients with coronary artery disease: A cross-sectional study in Jordan. International Journal of Chronic Obstructive Pulmonary Disease. 2018 Sep 5:2759-66.
4. CDC. Chronic Obstructive Pulmonary Disease (COPD) 2022 [Available from: https://www.cdc.gov/copd/index.html.
5. Parekh TM, Bhatia S, Cherrington A, Kim YI, Lambert A, Iyer A, Regan EA, DeMeo DL, Han M, Dransfield MT. Factors influencing the decline in quality of life in smokers without airflow obstruction: The COPDGene study. Respiratory Medicine. 2020 Jan 1;161:105820.
6. Swain MG. Fatigue in chronic disease. Clinical Science. 2000 Jul 1;99(1):1-8.
7. Bültmann U, Kant I, Kasl SV, Beurskens AJ, van den Brandt PA. Fatigue and psychological distress in the working population: psychometrics, prevalence, and correlates. Journal of Psychosomatic Research. 2002 Jun 1;52(6):445-52.
8. Al Barmawi MA, Subih M, Salameh O, Sayyah Yousef Sayyah N, Shoqirat N, Abdel‐Azeez Eid Abu Jebbeh R. Coping strategies as moderating factors to compassion fatigue among critical care nurses. Brain and Behavior. 2019 Apr;9(4):e01264.
9. Basu N, Yang X, Luben RN, Whibley D, Macfarlane GJ, Wareham NJ, Khaw KT, Myint PK. Fatigue is associated with excess mortality in the general population: Results from the EPIC-Norfolk study. BMC Medicine. 2016 Dec;14:1-8.
10. Castro-Marrero J, Faro M, Aliste L, Sáez-Francàs N, Calvo N, Martínez-Martínez A, de Sevilla TF, Alegre J. Comorbidity in chronic fatigue syndrome/myalgic encephalomyelitis: A nationwide population-based cohort study. Psychosomatics. 2017 Sep 1;58(5):533-43.
11. Yang Y, Li Q, Mao J, Mao Z. Fatigue and health‐related quality of life among patients with chronic obstructive pulmonary disease in China. The Clinical Respiratory Journal. 2020 Feb;14(2):109-15.
12. Shahpasand M, Mohammadpour A, Najafi S, Sobhani M. . The effect of local heat therapy on fatigue among patients with chronic obstructive pulmonary disease: A randomized controlled clinical trial. Nursing Practice Today. 2021;8(2):121-31.
13. Pati S, Swain S, Patel SK, Chauhan AS, Panda N, Mahapatra P, Pati S. An assessment of health-related quality of life among patients with chronic obstructive pulmonary diseases attending a tertiary care hospital in Bhubaneswar City, India. Journal of Family Medicine and Primary Care. 2018 Sep 1;7(5):1047-53.
14. Antoniu SA, Ungureanu D. Measuring fatigue as a symptom in COPD: from descriptors and questionnaires to the importance of the problem. Chronic Respiratory Disease. 2015 Aug;12(3):179-88.
15. Goërtz YMJ, Looijmans M, Prins JB, Janssen DJA, Thong MSY, Peters JB, et al. Fatigue in patients with chronic obstructive pulmonary disease: protocol of the Dutch multicentre, longitudinal, observational FAntasTIGUE study. BMJ Open. 2018;8(4):e021745.
16. Goërtz YM, Looijmans M, Prins JB, Janssen DJ, Thong MS, Peters JB, Burtin C, Meertens-Kerris Y, Coors A, Muris JW, Sprangers MA. Fatigue in patients with chronic obstructive pulmonary disease: protocol of the Dutch multicentre, longitudinal, observational FAntasTIGUE study. BMJ Open. 2018 Apr 1;8(4):e021745.
17. Kouijzer M, Brusse-Keizer M, Bode C. COPD-related fatigue: Impact on daily life and treatment opportunities from the patient's perspective. Respiratory Medicine. 2018 Aug 1;141:47-51.
18. Abdulla FA, Al-Khamis FA, Alsulaiman AA, Alshami AM. Psychometric properties of an Arabic version of the fatigue severity scale in patients with stroke. Topics in Stroke Rehabilitation. 2019 Aug 18;26(6):448-55.
19. Malibary H, Zagzoog MM, Banjari MA, Bamashmous RO, Omer AR. Quality of Life (QoL) among medical students in Saudi Arabia: A study using the WHOQOL-BREF instrument. BMC Medical Education. 2019 Dec;19:1-6.
20. Dalky HF, Meininger JC, Al-Ali NM. The reliability and validity of the Arabic World Health Organization quality of life-BREF instrument among family caregivers of relatives with psychiatric illnesses in Jordan. Journal of Nursing Research. 2017 Jun 1;25(3):224-30.
21. Tabar NA, Al Qadire M, Thultheen I, Alshraideh J. Health-related quality of life, uncertainty, and anxiety among patients with chronic obstructive pulmonary disease. F1000Research. 2021;10:420.
22. Stridsman C, Lindberg A, Skär L. Fatigue in chronic obstructive pulmonary disease: a qualitative study of people's experiences. Scandinavian Journal of Caring Sciences. 2014 Mar;28(1):130-8.
23. Elbeddini A, Tayefehchamani Y. Amid COVID-19 pandemic: Challenges with access to care for COPD patients. Research in Social and Administrative Pharmacy. 2021 Jan 1;17(1):1934-7.
24. Kentson M, Tödt K, Skargren E, Jakobsson P, Ernerudh J, Unosson M, Theander K. Factors associated with the experience of fatigue, and functional limitations due to fatigue in patients with stable COPD. Therapeutic Advances in Respiratory Disease. 2016 Oct;10(5):410-24.
25. Cheruvu VK, Odhiambo LA, Mowls DS, Zullo MD, Gudina AT. Health-related quality of life in current smokers with COPD: factors associated with current smoking and new insights into sex differences. International Journal of Chronic Obstructive Pulmonary Disease. 2016 Sep 15:2211-9.
26. Ahmed MS, Neyaz A, Aslami AN. Health-related quality of life of chronic obstructive pulmonary disease patients: Results from a community-based cross-sectional study in Aligarh, Uttar Pradesh, India. Lung India. 2016 Mar 1;33(2):148-53.
27. Siboni FS, Alimoradi Z, Atashi V, Alipour M, Khatooni M. Quality of life in different chronic diseases and its related factors. International Journal of Preventive Medicine. 2019 Jan 1;10(1):65.
28. Pengpid S, Peltzer K. The impact of chronic diseases on the quality of life of primary care patients in Cambodia, Myanmar, and Vietnam. Iranian Journal of Public Health. 2018 Sep;47(9):1308.
29. Ha NT, Duy HT, Le NH, Khanal V, Moorin R. Quality of life among people living with hypertension in a rural Vietnam community. BMC Public Health. 2014;14(1):833.
30. Kushwaha S, Singh SK, Manar M, Verma AK, Kar SK, Gupta A. Health-related quality of life of chronic obstructive pulmonary disease patients: A hospital-based study. Journal of Family Medicine and Primary Care. 2020 Aug 1;9(8):4074-8.
| Files | ||
| Issue | Vol 11 No 2 (2024): Spring | |
| Section | Original Article(s) | |
| DOI | https://doi.org/10.18502/npt.v11i2.15406 | |
| Keywords | ||
| COPD Jordan fatigue quality of life | ||
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How to Cite
1.
Badarneh A, Assaf E, Al-Ghabeesh S, Saifan A, Al-Yateem N, Halimi A. Illness-related fatigue and its association with quality of life among people with chronic obstructive pulmonary disease: A cross-sectional survey from Jordan. NPT. 2024;11(2):150-157.
