Clinical validation of nursing diagnosis fatigue (00093) in women in the immediate hospital postpartum period.
Bruna Valentina Zuchatti, Raisa Camilo Ferreira, Elaine Ribeiro and 1 others
PMID 35776946WHAT IT FOUND
In 153 women in immediate postpartum hospital, fatigue was present in 85.
Tiredness, pain, and sleep deprivation were reported as validated indicators for identifying fatigue.
Key findings
01Fatigue was present in 55.55% (n = 85) of the 153 women.
02Women who slept up to 3 hours had fatigue more often than women who slept more than 3 hours (64.00% vs 39.60%), and the association was significant (p = 0.0039).
03Tiredness, pain, and sleep deprivation were reported as validated indicators for nursing diagnosis fatigue.
STILL TO COME
How it was doneWhat they foundWhat it means for RNs
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What it does not show
The sample was convenience based and came from one hospital rooming-in unit, so it may not represent other postpartum settings. The researcher who collected data also made the diagnostic judgment, and the paper calls this an imperfect gold standard, so bias is possible. Pain was not measured with a standard scale because the paper says there was no hospital recommendation and women were confused by scales. The study only included women after 48 hours postpartum and excluded some women and infants, so it does not cover all immediate postpartum patients. Data collection was interrupted by the COVID-19 pandemic in March 2020. This is a diagnostic validation study, not a treatment trial, so it does not show that identifying fatigue improves maternal or infant outcomes.
Declared interests
The supplied text does not report funding or conflicts of interest.
The easy way to misread this
Do not conclude that tiredness alone diagnoses postpartum fatigue. The study used one researcher's assessment as an imperfect gold standard, and the paper states tiredness is a clinical indicator of fatigue, not the same as fatigue.