Accuracy of the Defining Characteristics of Fatigue in Patients with Heart Failure as Identified by the 6-Minute Walking Test

Abstract

PURPOSE

Identify the prevalence of the nursing diagnosis (ND) Fatigue in patients with heart failure (HF) and to analyze the accuracy of its defining characteristics (DCs).

METHODS

50 patients were assessed for Fatigue through a distance ambulated <300m during the Six-Minute Walking Test (6MWT) and the report of insufficient energy. Sensitivity, specificity, positive and negative predictive values were calculated for the DCs associated with Fatigue.

FINDINGS

The prevalence of Fatigue was 48%. No DCs were sensitive and specific for determining Fatigue.

CONCLUSIONS

There were no DCs accurate enough to infer Fatigue.

IMPLICATIONS FOR PRACTICE

A distance ambulated <300m during the 6MWT should be included as a DC of Fatigue.

Keywords

Fatigue heart failure nursing diagnosis Six-minute walk test

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