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Exploring the patient perspective of fatigue in adults with visual impairment: a qualitative study
OBJECTIVES: Fatigue is an often mentioned symptom by patients with irreversible visual impairment. This study explored the patient perspective of fatigue in visually impaired adults with a focus on symptoms of fatigue, causes, consequences and coping strategies. SETTING: Two large Dutch low vision m...
Autores principales: | , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
BMJ Publishing Group
2017
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5724118/ https://www.ncbi.nlm.nih.gov/pubmed/28775181 http://dx.doi.org/10.1136/bmjopen-2016-015023 |
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author | Schakel, Wouter Bode, Christina van der Aa, Hilde P A Hulshof, Carel T J Bosmans, Judith E van Rens, Gerardus H M B van Nispen, Ruth M A |
author_facet | Schakel, Wouter Bode, Christina van der Aa, Hilde P A Hulshof, Carel T J Bosmans, Judith E van Rens, Gerardus H M B van Nispen, Ruth M A |
author_sort | Schakel, Wouter |
collection | PubMed |
description | OBJECTIVES: Fatigue is an often mentioned symptom by patients with irreversible visual impairment. This study explored the patient perspective of fatigue in visually impaired adults with a focus on symptoms of fatigue, causes, consequences and coping strategies. SETTING: Two large Dutch low vision multidisciplinary rehabilitation organisations. PARTICIPANTS: 16 visually impaired adults with severe symptoms of fatigue selected by purposive sampling. METHODS: A qualitative study involving semistructured interviews. A total of four first-level codes were top–down predetermined in correspondence with the topics of the research question. Verbatim transcribed interviews were analysed with a combination of a deductive and inductive approach using open and axial coding. RESULTS: Participants often described the symptoms of fatigue as a mental, daily and physical experience. The most often mentioned causes of fatigue were a high cognitive load, the intensity and amount of activities, the high effort necessary to establish visual perception, difficulty with light intensity and negative cognitions. Fatigue had the greatest impact on the ability to carry out social roles and participation, emotional functioning and cognitive functioning. The most common coping strategies were relaxation, external support, socialising and physical exercise and the acceptance of fatigue. CONCLUSIONS: Our results indicate that low vision-related fatigue is mainly caused by population specific determinants that seem different from the fatigue experience described in studies with other patient populations. Fatigue may be central to the way patients react, adapt and compensate to the consequences of vision loss. These findings indicate a need for future research aimed at interventions specifically tailored to the unique aspects of fatigue related to vision loss. |
format | Online Article Text |
id | pubmed-5724118 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2017 |
publisher | BMJ Publishing Group |
record_format | MEDLINE/PubMed |
spelling | pubmed-57241182017-12-19 Exploring the patient perspective of fatigue in adults with visual impairment: a qualitative study Schakel, Wouter Bode, Christina van der Aa, Hilde P A Hulshof, Carel T J Bosmans, Judith E van Rens, Gerardus H M B van Nispen, Ruth M A BMJ Open Qualitative Research OBJECTIVES: Fatigue is an often mentioned symptom by patients with irreversible visual impairment. This study explored the patient perspective of fatigue in visually impaired adults with a focus on symptoms of fatigue, causes, consequences and coping strategies. SETTING: Two large Dutch low vision multidisciplinary rehabilitation organisations. PARTICIPANTS: 16 visually impaired adults with severe symptoms of fatigue selected by purposive sampling. METHODS: A qualitative study involving semistructured interviews. A total of four first-level codes were top–down predetermined in correspondence with the topics of the research question. Verbatim transcribed interviews were analysed with a combination of a deductive and inductive approach using open and axial coding. RESULTS: Participants often described the symptoms of fatigue as a mental, daily and physical experience. The most often mentioned causes of fatigue were a high cognitive load, the intensity and amount of activities, the high effort necessary to establish visual perception, difficulty with light intensity and negative cognitions. Fatigue had the greatest impact on the ability to carry out social roles and participation, emotional functioning and cognitive functioning. The most common coping strategies were relaxation, external support, socialising and physical exercise and the acceptance of fatigue. CONCLUSIONS: Our results indicate that low vision-related fatigue is mainly caused by population specific determinants that seem different from the fatigue experience described in studies with other patient populations. Fatigue may be central to the way patients react, adapt and compensate to the consequences of vision loss. These findings indicate a need for future research aimed at interventions specifically tailored to the unique aspects of fatigue related to vision loss. BMJ Publishing Group 2017-08-03 /pmc/articles/PMC5724118/ /pubmed/28775181 http://dx.doi.org/10.1136/bmjopen-2016-015023 Text en © Article author(s) (or their employer(s) unless otherwise stated in the text of the article) 2017. All rights reserved. No commercial use is permitted unless otherwise expressly granted. This is an Open Access article distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/ |
spellingShingle | Qualitative Research Schakel, Wouter Bode, Christina van der Aa, Hilde P A Hulshof, Carel T J Bosmans, Judith E van Rens, Gerardus H M B van Nispen, Ruth M A Exploring the patient perspective of fatigue in adults with visual impairment: a qualitative study |
title | Exploring the patient perspective of fatigue in adults with visual impairment: a qualitative study |
title_full | Exploring the patient perspective of fatigue in adults with visual impairment: a qualitative study |
title_fullStr | Exploring the patient perspective of fatigue in adults with visual impairment: a qualitative study |
title_full_unstemmed | Exploring the patient perspective of fatigue in adults with visual impairment: a qualitative study |
title_short | Exploring the patient perspective of fatigue in adults with visual impairment: a qualitative study |
title_sort | exploring the patient perspective of fatigue in adults with visual impairment: a qualitative study |
topic | Qualitative Research |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5724118/ https://www.ncbi.nlm.nih.gov/pubmed/28775181 http://dx.doi.org/10.1136/bmjopen-2016-015023 |
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