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

Journal article

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, p. 154279. https://doi.org/10.1016/j.jcrc.2023.154279
AuthorsBrown, S.E., Shah, A., Czuber-Dochan, W., Bench, S. and Stayt, L.
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.

KeywordsCritical illness; fatigue; intervention studies; self-management; systematic review
Year2023
JournalJournal of Critical Care
Journal citation75, p. 154279
PublisherElsevier
ISSN0883-9441
Digital Object Identifier (DOI)https://doi.org/10.1016/j.jcrc.2023.154279
Publication dates
Print23 Feb 2023
Publication process dates
Accepted06 Feb 2023
Deposited15 Feb 2023
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