Cargando…

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...

Descripción completa

Detalles Bibliográficos
Autores principales: 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
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BMJ Publishing Group 2017
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
_version_ 1783285301954740224
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
work_keys_str_mv AT schakelwouter exploringthepatientperspectiveoffatigueinadultswithvisualimpairmentaqualitativestudy
AT bodechristina exploringthepatientperspectiveoffatigueinadultswithvisualimpairmentaqualitativestudy
AT vanderaahildepa exploringthepatientperspectiveoffatigueinadultswithvisualimpairmentaqualitativestudy
AT hulshofcareltj exploringthepatientperspectiveoffatigueinadultswithvisualimpairmentaqualitativestudy
AT bosmansjudithe exploringthepatientperspectiveoffatigueinadultswithvisualimpairmentaqualitativestudy
AT vanrensgerardushmb exploringthepatientperspectiveoffatigueinadultswithvisualimpairmentaqualitativestudy
AT vannispenruthma exploringthepatientperspectiveoffatigueinadultswithvisualimpairmentaqualitativestudy