Energy conservation to manage fatigue: a pragmatic cluster randomised control trial

Paper


Sharma, Sita, Bonner, Ann, Wu, Min-Lin (Winnie), Alexander, Kimberly E. and Green, Theresa. 2022. "Energy conservation to manage fatigue: a pragmatic cluster randomised control trial." 2022 Renal Society of Australasia (RSA) Annual Conference . Darwin, Australia 16 - 18 Jun 2022 Australia.
Paper/Presentation Title

Energy conservation to manage fatigue: a pragmatic cluster randomised control trial

Presentation TypePaper
AuthorsSharma, Sita, Bonner, Ann, Wu, Min-Lin (Winnie), Alexander, Kimberly E. and Green, Theresa
Journal or Proceedings TitleRenal Society of Australasia Journal
Journal Citation18 (Supplement - June), pp. 11-11
Number of Pages1
Year2022
Place of PublicationAustralia
ISSN1832-3804
Web Address (URL) of Paperhttps://www.renalsociety.org/journal/previous-issues/
Web Address (URL) of Conference Proceedingshttps://www.renalsociety.org/education/2022-conference/
Conference/Event2022 Renal Society of Australasia (RSA) Annual Conference
Event Details
2022 Renal Society of Australasia (RSA) Annual Conference
Delivery
In person
Event Date
16 to end of 18 Jun 2022
Event Location
Darwin, Australia
Event Venue
Darwin Convention Centre
Abstract

Background: Fatigue is a common and debilitating symptom to those receiving haemodialysis (HD). Energy conservation is a strategy that has been used to manage fatigue in other chronic conditions such as multiple sclerosis, cancer, and stroke, however, such evidence is lacking in the HD population.

Aims: To test the effectiveness of an energy conservation education program on fatigue in the HD population.

Methods: A pragmatic cluster randomised controlled trial recruited 126 participants on HD and randomised into intervention and the control groups based on HD shifts. The intervention group received four face-to-face structured energy conservation education (ECE) sessions during HD treatment plus usual care over 12 weeks. The control group received usual care. The fatigue symptom inventory (FSI) was used to measure fatigue at baseline, weeks 4, 8, and 12 for both groups. It measures 4 aspects of fatigue (severity, interference, fatigue days, and percent of days being fatigued). Intention-to-treat analysis was used.

Results: At baseline, there were no significant differences in demographic, clinical, or FSI scores between groups. Total fatigue severity was significantly reduced in the intervention group from baseline to week 12 compared to the control (p < .001). Similar findings were observed for fatigue interference (p < .001), fatigue days (p < .001) and percent of days being fatigued (p < .001).

Conclusion: The ECE program, designed to be delivered by nurses during HD treatment, was effective in managing fatigue in an HD population. It could be incorporated into the routine care of people in dialysis units.

Contains Sensitive ContentDoes not contain sensitive content
ANZSRC Field of Research 2020420599. Nursing not elsewhere classified
Public Notes

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Byline AffiliationsGriffith University
Queensland University of Technology
University of Queensland
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