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| Main Authors: | , , , , , |
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| Format: | Artículo Open Access |
| Published: |
Wiley
2025
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| Subjects: | |
| Online Access: | https://onlinelibrary.wiley.com/doi/10.1111/ctr.70341 |
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Table of Contents:
- Fatigue, Sleep Problems, and Self‐Efficacy Before and After Heart Transplantation: A 5 Year Follow‐Up Marita Dalvindt Hannah Lindahl Veungen Annika M. Kisch Annette Lennerling Maria Hjorth Anna Forsberg Clinical Transplantation ABSTRACT Introduction Fatigue is a troublesome symptom after heart transplantation and is poorly studied in a long‐term perspective. One hypothesis is that there is a strong relationship between fatigue, sleep problems, and self‐efficacy, and that fatigue decreases self‐efficacy. The aim of this study was to explore self‐reported fatigue from the time on the waiting list to 5 years after heart transplantation and its association with self‐efficacy and sleep problems. Methods In this multicenter, longitudinal cohort study 48 heart recipients, 12 women and 36 men with a median age of 57 years, were followed from pre‐transplant to 5 years post‐transplant. Three instruments were used: (1) the transplant‐specific Organ Transplant Symptom and Well‐Being Instrument (OTSWI), (2) the Swedish version of the Multi‐Dimensional Fatigue Inventory (MFI), and (3) the Self‐Efficacy for Managing Chronic Disease 6‐Item Scale (SES6G). Results Sleep problems decreased after transplantation, but after 3–5 years, there were no differences in comparison with pre‐transplant. Self‐efficacy improved for the whole group from pre‐transplant up to 5 years after heart transplantation. General fatigue predicted self‐efficacy. Conclusion Fatigue plays a pivotal role in self‐efficacy after heart transplantation. It reduces self‐efficacy due to causing uncertainty and should constitute a primary target for future interventions. 10.1111/ctr.70341 http://creativecommons.org/licenses/by-nc/4.0/