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KMID : 0390119960360020479
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Journal of Pusan Medical College
1996 Volume.36 No. 2 p.479 ~ p.490
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A Concept Analysis of Fatigue
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Abstract
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Nursing has evidenced a long-standing recognition of importance of concept development for the advancement of nursing theory and practice. Concept analysis was given a major impetus in the early 1980s when both Chin and Jacobs(1983) and Walker
and
Avant(1983) published books on nursing theory that offered guidelines for conducting concept analysis. Since then, authors have continued to publish both guidelines for concept analysis and result of analyses.
Fatigue is a universal complaint that occurs with almost every illness, mental or physical. It often is the first indication of the occurrence of some abnormality, but patients do not mention fatigue unless it is a prominent symptom, it is
impeding
an
important aspect of their lives, or they are asked.
In many chronic illness such as cancer and multiple sclerosis, fatigues the most common, disruptive, and distressful symptom experienced because it interferes with self - care activities. Attribution of this symptom to a physical cause is
commonplace in
patients experiencing fatigue of long duration. Patients who experience chronic fatigue without other localizing manifestation, however, usually suffer primarily from psychological disturbances such as overstress, deprivation, loss and grief, and
chronic unresolved conflict.
Fatigue of this origin can disappear dramatically the moment the the conflict is resolved.
The process of concept analysis was illustrated and documented using the analytical approach described by Walker and Avant(1983).
To explore the explicit or implicit meaning of fatigue, existing literatures were reviewed. Dictionary definitions were also added.
The purpose of this study was to develop nursing diagnosis to define the precise attributes of "Fatigue"which could be a basis for nursing intervention.
@ES Attributes of fatigue are defined as:
@EN 1. Physical change : heavy head, tired body, unsteadiness, drowsiness and eyestrain.
2. Mental change : difficulty of thinking, unable to concentrate, anxious, forgetful, lacking patience.
3. Neurosensual change (feelings of specipic body parts) : stiff shoulders, dizzy, thirsty, tremors in limbs, headache, oral dryness, vertigo, hoarseness.
4. Decrease of work efficacy : difficulties of activity of daily living, social interaction impaired.
5. Symptom of disease : anorexia, sleep pattern disturbance, self care disturbance, tireness,
This fatigue is a state of self-realized human inadequacy symptomatized by discomfort and productive inadequacy as well as feeling of weakness and futility. The experience of fatigue is one phase on the continum of experiences people encounter as
they
move from the subjective state of feeling tired to a state of complete exhaustion.
A tool to measure the physical and mental quality of fatigue should be developed.
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