Factors in relation with fatigue and illness perception in patients with myocardial infarction and the changes in fatigue due to intervention on illness perception: Research design, methodology, and preliminary results

BACKGROUND: In physical diseases including cardiovascular diseases (CVDs), illness perception (IP) plays an important role in illness outcomes. Fatigue is a major bothersome symptom after myocardial infarction (MI). This manuscript presents the research design, methodology, and primary findings of a study on factors in relation with fatigue and IP in patients with MI, and changes in fatigue after intervention on IP.METHODS: ۲۴۱ patients with MI who experienced a first-time acute MI (AMI) participated in this study in ۲۰۱۶-۲۰۱۷. During hospitalization, the demographic and clinical information of participants were collected. After four months, the information regarding fatigue, IP, coping with stress, type D personality, perceived social support (PSS), and locus of control of the participants was collected at their houses. About one year later, based on the results of phase one of the study, a psychoeducation course was conducted for ۳۵ of the patients as intervention group while ۳۶ patients were supervised as control group. Two months later, the role of IP in fatigue changes of the participants was assessed.RESULTS: ۱۵۵ (۶۵%) of the patients had positive family history of coronary heart disease (CHD). ۱۰۳ (۴۳%) were cigarette smokers, ۱۰۰ (۴۳.۵%) had high blood cholesterol, and ۷۲ (۳۰%) had sedentary life style before MI.CONCLUSION: The overview of the factors related to fatigue and IP of the patients with MI could help the care teams to provide better care in the recovery period of the illness. 

کلیدواژه ها:

Myocardial Infarction ، Perception ، Fatigue ، Education ، Structural Equation Modeling