title: Impact of fatigue on everyday life among older people with chronic heart failure.
abstract: OBJECTIVE
  To explore the relationship between fatigue and performance of activities of daily living (ADL), use of assistive devices, home-help service and community mobility services in older clients with chronic heart failure.
  
  
  METHODS
  A cross-sectional descriptive study of 40 patients was performed using the Multidimensional Fatigue Inventory, the Staircase of ADL, Assessment of Motor and Process Skills and a demographic checklist.
  
  
  RESULTS
  We found high levels of general fatigue, physical fatigue and reduced activity. Greater fatigue was associated significantly with increased dependence and decreased quality of ADL, but not for shopping. Use of community mobility services and assistive devices was frequent and home help less frequent. Use of assistive devices and home help were associated significantly with greater fatigue, but not the use of community mobility services.
  
  
  CONCLUSIONS
  Fatigue had a negative impact on ADL mainly from physical rather than from mental causes. Improved energy conservation strategies to reduce the consequences of fatigue are needed.
authors.affiliation: Department of Community Medicine and Rehabilitation, Occupational Therapy, Umeå University, Umeå, Sweden. evabritt.norberg@gmail.com
authors.forename: Eva-Britt
authors.initials: EB
authors.lastname: Norberg
authors.forename: Kurt
authors.initials: K
authors.lastname: Boman
authors.forename: Britta
authors.initials: B
authors.lastname: Löfgren
mesh_terms: D000203:Activities of Daily Living; D000368:Aged; D003430:Cross-Sectional Studies; D005221:Fatigue / Q000175:diagnosis / Q000209:etiology / Q000503:physiopathology* / Q000523:psychology; D005260:Female; D006333:Heart Failure / Q000150:complications* / Q000503:physiopathology / Q000628:therapy; D006699:Home Care Services; D006801:Humans; D008297:Male; D051346:Mobility Limitation; D009788:Occupational Therapy / Q000379:methods*; D012656:Self-Help Devices; D018434:Sickness Impact Profile; D011795:Surveys and Questionnaires; D013548:Sweden; D014186:Transportation / Q000379:methods