Non-pharmacological interventions for self-management of fatigue in adults: an umbrella review of potential interventions to support patients recovering from critical illness

Brown, S. E. , Shah, A., Czuber-Dochan, W., Bench, S. and Stayt, L. (2023) Non-pharmacological interventions for self-management of fatigue in adults: an umbrella review of potential interventions to support patients recovering from critical illness. Journal of Critical Care, 75, 154279. (doi: 10.1016/j.jcrc.2023.154279) (PMID:36828754)

Abstract

Purpose: Fatigue is a common symptom after critical illness. However, evidence-based interventions for fatigue after critical illness are lacking. We aimed to identify interventions to support self-management of fatigue caused by physical conditions and assess their effectiveness and suitability for adaptation for those with fatigue after critical illness. Materials and methods: We conducted an umbrella review of systematic reviews. Databases included CINAHL, PubMed, Medline, PsycINFO, British Nursing Index (BNI), Web of Science, Cochrane Database of Systematic Reviews (CDSR), JBI Evidence Synthesis Database, and PROSPERO register. Included reviews were appraised using the JBI Checklist for Systematic Reviews and Research Syntheses. Results were summarised narratively. Results: Of the 672 abstracts identified, 10 met the inclusion criteria. Reviews focused on cancer (n = 8), post-viral fatigue (n = 1), and Systemic Lupus Erythematosus (SLE) (n = 1). Primary studies often did not address core elements of self-management. Positive outcomes were reported across all reviews, and interventions involving facilitator support appeared to be most effective. Conclusions: Self-management can be effective at reducing fatigue symptoms and improving quality of life for physical conditions and has clear potential for supporting people with fatigue after critical illness, but more conclusive data on effectiveness and clearer definitions of self-management are required.

• Item Type: Articles
• Additional Information: This research was supported by a grant from the Garfield Weston Foundation.
• Status: Published
• Refereed: Yes
• Glasgow Author(s) Enlighten ID: Brown, Dr Eleanor

Creator Roles

Brown, E.: Methodology, Investigation, Formal analysis, Validation, Writing – original draft, Writing – review and editing

• Authors: Brown, S. E., Shah, A., Czuber-Dochan, W., Bench, S., and Stayt, L.
• College/School: College of Medical Veterinary and Life Sciences > School of Health & Wellbeing > MRC/CSO SPHSU
• Journal Name: Journal of Critical Care
• Publisher: Elsevier
• ISSN: 0883-9441
• ISSN (Online): 1557-8615
• Published Online: 23 February 2023
• Copyright Holders: Copyright © 2023 The Author(s)
• First Published: First published in Journal of Critical Care 75:154279
• Publisher Policy: Reproduced under a Creative Commons license