Nutritional Status and Fatigue of Patients with Cirrhosis in Tertiary Hospitals, Yunnan Province, the People’s Republic of China
Keywords:
Nutritional status, fatigue, cirrhosisAbstract
Nutritional status is one of the major concerns in patients with cirrhosis, which is likely to influence their perception of fatigue. This descriptive-comparative study aimed to examine the nutritional status and fatigue, and the difference of fatigue within different levels of nutritional status among patients with cirrhosis. Purposive sampling was used to select 133 participants from two tertiary hospitals in Yunnan province, the People’s Republic of China. The research instruments included the Demographic Data form, Serum albumin concentration and the Fatigue Impact Scale (FIS). Data were analyzed by using descriptive statistics, the Kruskal-Wallis H test and the Mann-Whitney U for Post Hoc test.
The results of this study showed that:
1. The total mean concentration of serum albumin in participants was 32.71 g/L (SD = 7.01) with
a range of 17.30 to 51.20.
2. The mean of the total FIS score was 33.00 (SD = 19.04) with a range of 5 to 123.
3. There were four pairs of different levels of nutritional status which showed a significant difference in fatigue: normal nutrition and moderate malnutrition (p < .01), normal nutrition and serious malnutrition (p < .01), mild malnutrition and moderate malnutrition (p < .01) and mild malnutrition and serious malnutrition (p < .01).
The results of this study could be useful for clinical nurses to be aware of fatigue symptoms among patients with cirrhosis by considering serum albumin concentration levels. Also, they may be useful in developing effective fatigue management programs and improving nutritional status.
References
Bao, M. J., Wang, J. N., Lei, X.Y., & Liu, A.Z. (2014). Investigation and analysis of symptoms in hospitalized patients with liver cirrhosis. China Practice Nurse, 21(7), 67-70. (in Chinese)
Bedogni, G., Battistini, N., Severi, S., & Borghi, A. (1996). The physiological bases of the assessment of nutritional. Clinica Dietologica, 23, 141-146.
Canadian MS Research Group. (1987). A randomized controlled trial of amantadine in fatigue associated with multiple sclerosis. Canadian Journal of Neurological Sciences, 14(3), 273-278.Chinese Society of Hepatology. (2020). Chinese guidelines on the management of liver cirrhosis. Modern Medicine & Health, 36(2), 320-339. (in Chinese)
Di Pascoli, M., Ceranto, E., De Nardi, P., Donato, D., Gatta, A., Angeli, P., & Pontisso, P. (2017). Hospitalizations due to cirrhosis: Clinical aspects in a large cohort of Italian patients and cost analysis report. Digestive Diseases, 35(5), 433-438.
Ekerfors, U., Sunnerhagen, K., Westin, J., Jakobsson Ung, E., Marschall, H. U., Josefsson, A., & Simrén, M. (2019). Muscle performance and fatigue in compensated chronic liver disease. Scandinavian Journal of Gastroenterology, 54(7), 925-933.
Fisk, J. D., Ritvo, P. G., Ross, L., Haase, D. A., Marrie, T. J., & Schlech, W. F. (1994). Measuring the functional impact of fatigue: Initial validation of the Fatigue Impact Scale. Clinical Infectious Diseases, 18(1), S79-S83.
Gerber, L. H., Weinstein, A. A., Mehta, R., & Younossi, Z. M. (2019). Importance of fatigue and its measurement in chronic liver disease. World Journal of Gastroenterology, 25(28), 3669-3683.
Liang, B. H., Huang L. F., & Zhang X., H. (2020). Analysis of the service capacity of Chinese medical institutions in the context of the Health China Strategy. Management of Rural Health Services in China, 12(1), 858-863. (in Chinese)
Lin, W. R., Huang, H. M., & Sun, F. K. (2018). The relationship between fatigue and uncertainty in patients with liver cirrhosis. Journal of Nursing, 65(3), 38-46. (in Chinese)
Louati, K., & Berenbaum, F. (2015). Fatigue in chronic inflammation-a link to pain pathways. Arthritis Research & Therapy, 17(1), 254.
Łapiński, T. W., & Łapińska, M. (2019). Nutritional status in patients with liver cirrhosis. Clinical and Experimental Hepatology, 5(1), 30–34.
Madan, K., Gupta, E., Saju, L., Kumar, P., Paliwal, M., Dhingra, R., . . . Yadav, M. (2016). Prevalence of malnutrition and factors associated with it, among North Indian cirrhotics presenting to a tertiary care centre. Journal of Clinical and Experimental Hepatology,
(2), S51-S52.
Pérez-Reyes, E., Rivera-Sánchez, J., Servín-Caamaño, A. I., Pérez-Torres, E., Abdo-Francis, J. M., & Higuera-De La Tijera, F. (2016). Malnutrition is related to a higher frequency of serious complications in patients with cirrhosis. Revista Médica del Hospital General de
México, 79(1), 11-16.
Polit, D. F., & Beck, C. T. (2017). Nursing research: Generating and assessing evidence for nursing practice (10th ed.). Philadelphia: Wolters Kluwer Health.
Rojas-Loureiro, G., Servín-Caamaño, A., Pérez-Reyes, E., Servín-Abad, L., & Higuera-de la Tijera, F. (2017). Malnutrition negatively impacts the quality of life of patients with cirrhosis: An observational study. World Journal of Hepatology, 9(5), 263–269.
Swain, M. G., & Jones, D. E. (2019). Fatigue in chronic liver disease: New insights and therapeutic approaches. Liver International, 39(1), 6-19.
Wen, H. R., & Li, B. W. (2019). Adhere to the characteristics of Yunnan national diet, develop Yunnan diet culture. Industrial & Science Tribune, 18(1), 23-24. (in Chinese)
Xiao, J., Wang, F., Wong, N. K., He, J., Zhang, R., Sun, R., . . . He, W. (2019). Global liver disease burdens and research trends: Analysis from a China perspective. Journal of Hepatology, 71(1), 212-221.
Yang, Y. J., Tai, X. T., & Guo, T. P. (2018). On the view of health preservation in the culture of Hui ethnic group diet. Western Journal of Traditional Chinese Medicine, 31(8), 42-43. (in Chinese)
Yue, Y. J. (2017). Research on social governance function of national culture. Kunming: Yunnan. (in Chinese)
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