The Perimenopausal Fatigue Self-Management Scale Is Suitable for Evaluating Perimenopausal Taiwanese Women’s Vulnerability to Fatigue Syndrome
Abstract
1. Introduction
2. Materials and Methods
2.1. Design
2.2. Subjects
2.3. Development of the Perimenopausal Fatigue Self-Management Scale (P-MFSMS)
2.4. Analysis
3. Results
3.1. Demographics
3.2. The Perimenopausal Fatigue Self-Management Scale (P-MFSMS)
4. Discussion
5. Conclusions
Author Contributions
Funding
Institutional Review Board Statement
Informed Consent Statement
Data Availability Statement
Acknowledgments
Conflicts of Interest
Abbreviations
BMI | body mass index |
CFS | chronic fatigue syndrome |
CFI | Comparative Fit Index |
CFA | confirmatory factor analysis |
CVI | content validity index |
DIF | differential item function |
EFA | exploratory factor analysis |
IFI | Incremental Fit Index |
IRB | Institutional Review Board |
KMO | Kaiser–Meyer–Olkin |
MSA | measure of sampling adequacy |
P-MFSMS | perimenopausal fatigue self-management scale |
RMSEA | root mean square error of approximation |
SD | standard deviation |
SE | Standard error |
TLI | Tucker–Lewis Index |
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Qualitative Categories |
---|
1. Strive to maintain work energy and efficiency |
2. Seek self-help from medical resources |
3. Strive to maintain normal operation of the family |
4. Make time for activities or exercise in busy life |
5. Slow down or adjust lifestyle |
6. Frustration |
Ways of Dealing with Fatigue | Method | Effectiveness | ||||
---|---|---|---|---|---|---|
No | Yes | 25% | 50% | 75% | 100% | |
Strive to maintain work energy and efficiency | ||||||
1. You have temporarily left your work and not thought of other things to give yourself a break. | 0 | 1 | 1 | 2 | 3 | 4 |
2. You have drunk coffee to refresh yourself. | 0 | 1 | 1 | 2 | 3 | 4 |
3. You have kept yourself busy. | 0 | 1 | 1 | 2 | 3 | 4 |
4. You have canceled a scheduled plan or arrangement. | 0 | 1 | 1 | 2 | 3 | 4 |
5. You have consulted people who have gone through menopause. | 0 | 1 | 1 | 2 | 3 | 4 |
Seek self-help from medical resources | ||||||
6. You have turned to traditional Chinese medicine to treat fatigue. | 0 | 1 | 1 | 2 | 3 | 4 |
7. You have sought psychological counseling. | 0 | 1 | 1 | 2 | 3 | 4 |
8. You have used Western medicine to supply hormone supplements. | 0 | 1 | 1 | 2 | 3 | 4 |
9. You have used healthy foods or other alternative therapies. | 0 | 1 | 1 | 2 | 3 | 4 |
Strive to maintain normal operation of the family | ||||||
10. You have asked your family to share the housework. | 0 | 1 | 1 | 2 | 3 | 4 |
11. You have asked your family to help buy daily necessities. | 0 | 1 | 1 | 2 | 3 | 4 |
12. You have relieved discomfort through a body massage and other methods. | 0 | 1 | 1 | 2 | 3 | 4 |
Make time for activities or exercise in busy life | ||||||
13. You have found partners to participate in activities. | 0 | 1 | 1 | 2 | 3 | 4 |
14. You have arranged simple and non-time-consuming activities, such as getting up and drinking water from time to time. | 0 | 1 | 1 | 2 | 3 | 4 |
15. You have found time to exercise to increase your physical fitness. | 0 | 1 | 1 | 2 | 3 | 4 |
16. You have listened to music to relax. | 0 | 1 | 1 | 2 | 3 | 4 |
17. You have meditated or sat still. | 0 | 1 | 1 | 2 | 3 | 4 |
Slow down or adjust lifestyle | ||||||
18. You have lived with these fatigue symptoms or discomfort. | 0 | 1 | 1 | 2 | 3 | 4 |
19. You have endured fatigue. | 0 | 1 | 1 | 2 | 3 | 4 |
20. You can bear these fatigue experiences. | 0 | 1 | 1 | 2 | 3 | 4 |
21. For fatigue, you have adjusted your future lifestyle. | 0 | 1 | 1 | 2 | 3 | 4 |
22. For fatigue, you have shared your management experiences with others. | 0 | 1 | 1 | 2 | 3 | 4 |
Frustration | ||||||
23. You feel helpless about fatigue. | 0 | 1 | 1 | 2 | 3 | 4 |
24. You feel angry about fatigue. | 0 | 1 | 1 | 2 | 3 | 4 |
25. You have closed yourself to fatigue. | 0 | 1 | 1 | 2 | 3 | 4 |
Variables | n | (%) | |
---|---|---|---|
Age (years) | 51.28 ± 4.64 | ||
Body mass index (kg/m2) | 23.07 ± 3.04 | ||
Marital status | Single | 26 | (11.8) |
Married | 167 | (75.9) | |
Divorced | 18 | (8.2) | |
Widowed | 9 | (4.1) | |
Education | Elementary school or below | 4 | (1.9) |
Junior high school | 4 | (1.8) | |
Senior high school | 60 | (27.3) | |
College or university | 115 | (52.3) | |
Graduate school or above | 37 | (16.8) | |
Career | No paid salary | 43 | (19.6) |
With paid salary | 176 | (80.4) | |
Family type | Nuclear family | 178 | (81.3) |
Stem family | 35 | (16.0) | |
Extended family | 6 | (2.7) | |
None | 212 | (96.4) | |
Yes | 8 | (3.6) | |
Menstruation status * | Perimenopause | 99 | (45.0) |
Menopause | 111 | (55.0) | |
Regular exercise ** | None | 141 | (64.1) |
Yes | 79 | (35.9) | |
Chronic disease | None | 167 | (75.9) |
Hypertension | 25 | (11.4) | |
Diabetes | 13 | (5.9) | |
Renal disease | 1 | (0.5) | |
Other | 20 | (9.1) |
(Yes) | 25% | 50% | 75% | 100% | M | |
---|---|---|---|---|---|---|
Items in the Perimenopausal Fatigue Self-Management Scale | n (%) | n (%) | n (%) | n (%) | n (%) | (SD) |
Strive for maintaining work energy and efficiency | ||||||
| 173 (78.6) | 40 (23.1) | 68 (39.3) | 50 (28.9) | 15 (8.7) | 2.2 (0.9) |
| 168 (76.4) | 39 (23.2) | 64 (38.1) | 47 (28.0) | 18 (10.7) | 2.3 (0.9) |
| 116 (52.7) | 41 (35.3) | 33 (28.4) | 38 (32.8) | 4 (3.4) | 2.0 (0.9) |
| 114 (51.8) | 46 (40.4) | 42 (36.8) | 18 (15.8) | 8 (7.0) | 1.9 (0.9) |
| 102 (46.4) | 49 (48.0) | 33 (32.4) | 17 (16.7) | 3 (2.9) | 1.8 (0.8) |
Seek self-help from medical resources | ||||||
| 67 (30.5) | 25 (37.3) | 27 (40.3) | 12 (17.9) | 3 (4.5) | 1.9 (0.9) |
| 29 (13.2) | 11 (37.9) | 10 (34.5) | 5 (17.2) | 3 (10.3) | 2.0 (1.0) |
| 32 (14.5) | 11 (34.4) | 14 (43.8) | 4 (12.5) | 3 (9.4) | 2.0 (0.9) |
| 106 (48.2) | 45 (42.5) | 38 (35.8) | 21 (19.8) | 2 (1.9) | 1.8 (0.8) |
Strive to maintain the normal operation of the family | ||||||
| 146 (66.4) | 43 (59.5) | 48 (32.9) | 40 (27.4) | 15 (10.3) | 2.2 (1.0) |
| 117 (53.2) | 39 (33.3) | 38 (32.5) | 31 (26.5) | 9 (7.7) | 2.1 (1.0) |
| 172 (78.2) | 40 (23.3) | 60 (34.9) | 58 (33.7) | 14 (8.1) | 2.3 (0.9) |
Make time for activities or exercise in busy life | ||||||
| 128 (58.2) | 24 (18.8) | 48 (37.5) | 42 (32.8) | 14 (10.9) | 2.4 (0.9) |
| 151 (68.6) | 55 (36.4) | 49 (32.5) | 4 (28.5) | 4 (2.6) | 2.0 (0.9) |
| 166 (75.5) | 39 (23.5) | 52 (31.3) | 49 (29.5) | 26 (15.7) | 2.4 (1.0) |
| 182 (82.7) | 38 (20.9) | 61 (33.5) | 52 (28.6) | 31 (17.0) | 2.4 (1.0) |
| 96 (43.6) | 27 (28.1) | 33 (34.4) | 25 (26.0) | 11 (11.5) | 2.2 (1.0) |
Slow down or adjust lifestyle | ||||||
| 182 (82.7) | 59 (32.4) | 71 (39.0) | 38 (20.9) | 14 (7.7) | 2.0 (0.9) |
| 185 (84.1) | 63 (34.1) | 67 (36.2) | 48 (25.9) | 7 (3.8) | 2.0 (0.9) |
| 197 (89.5) | 63 (32.0) | 74 (37.6) | 47 (23.9) | 13 (6.6) | 2.1 (0.9) |
| 178 (80.9) | 49 (27.5) | 70 (39.3) | 48 (27.0) | 11 (6.2) | 2.1 (0.9) |
| 165 (75.0) | 53 (32.1) | 68 (41.2) | 34 (20.6) | 10 (6.1) | 2.0 (0.9) |
Frustration | ||||||
| 82 (37.3) | 41 (50.0) | 28 (34.1) | 10 (12.2) | 3 (3.7) | 1.7 (0.8) |
| 72 (32.7) | 38 (52.8) | 22 (30.6) | 11 (15.3) | 1 (1.4) | 1.7 (0.8) |
| 54 (24.5) | 28 (51.9) | 16 (29.6) | 9 (16.7) | 1 (1.9) | 1.7 (0.8) |
Item | Person Class | Person Class | DIF Contrast | DIF SE | Rush–Welch | |
---|---|---|---|---|---|---|
t | p-Value | |||||
m1 | Perimenopause | Menopause | −0.18 | 0.12 | −1.44 | 0.1509 |
m2 | Perimenopause | Menopause | 0.10 | 0.12 | 0.84 | 0.4022 |
m3 | Perimenopause | Menopause | 0.11 | 0.13 | 0.81 | 0.4178 |
m4 | Perimenopause | Menopause | 0.07 | 0.14 | 0.49 | 0.6233 |
m5 | Perimenopause | Menopause | 0.27 | 0.15 | 1.82 | 0.0704 |
m6 | Perimenopause | Menopause | 0 | 0.17 | 0 | 1.0000 |
m7 | Perimenopause | Menopause | 0.51 | 0.26 | 1.95 | 0.0527 |
m8 | Perimenopause | Menopause | 0.42 | 0.25 | 1.71 | 0.0898 |
m9 | Perimenopause | Menopause | −0.19 | 0.14 | −1.33 | 0.1847 |
m10 | Perimenopause | Menopause | −0.13 | 0.13 | −1 | 0.3192 |
m11 | Perimenopause | Menopause | 0.11 | 0.13 | 0.82 | 0.4112 |
m12 | Perimenopause | Menopause | −0.15 | 0.12 | −1.22 | 0.2254 |
m13 | Perimenopause | Menopause | 0 | 0.13 | 0 | 1.000 |
m14 | Perimenopause | Menopause | −0.07 | 0.13 | −0.56 | 0.573 |
m15 | Perimenopause | Menopause | 0.19 | 0.12 | 1.51 | 0.132 |
m16 | Perimenopause | Menopause | 0.05 | 0.13 | 0.38 | 0.705 |
m17 | Perimenopause | Menopause | 0.19 | 0.14 | 1.35 | 0.1787 |
m18 | Perimenopause | Menopause | 0.07 | 0.12 | 0.58 | 0.5622 |
m19 | Perimenopause | Menopause | −0.18 | 0.12 | −1.41 | 0.1609 |
m20 | Perimenopause | Menopause | 0 | 0.12 | 0 | 1.000 |
m21 | Perimenopause | Menopause | −0.15 | 0.12 | −1.2 | 0.2298 |
m22 | Perimenopause | Menopause | −0.07 | 0.13 | −0.56 | 0.5728 |
m23 | Perimenopause | Menopause | −0.02 | 0.16 | −0.13 | 0.9002 |
m24 | Perimenopause | Menopause | −0.13 | 0.17 | −0.74 | 0.463 |
m25 | Perimenopause | Menopause | −0.18 | 0.19 | −0.95 | 0.3418 |
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Chiu, H.-H.; Tsao, L.-I.; Liu, C.-Y.; Lu, Y.-Y.; Shih, W.-M.; Wang, P.-H. The Perimenopausal Fatigue Self-Management Scale Is Suitable for Evaluating Perimenopausal Taiwanese Women’s Vulnerability to Fatigue Syndrome. Healthcare 2021, 9, 336. https://doi.org/10.3390/healthcare9030336
Chiu H-H, Tsao L-I, Liu C-Y, Lu Y-Y, Shih W-M, Wang P-H. The Perimenopausal Fatigue Self-Management Scale Is Suitable for Evaluating Perimenopausal Taiwanese Women’s Vulnerability to Fatigue Syndrome. Healthcare. 2021; 9(3):336. https://doi.org/10.3390/healthcare9030336
Chicago/Turabian StyleChiu, Hsiao-Hui, Lee-Ing Tsao, Chieh-Yu Liu, Yu-Ying Lu, Whei-Mei Shih, and Peng-Hui Wang. 2021. "The Perimenopausal Fatigue Self-Management Scale Is Suitable for Evaluating Perimenopausal Taiwanese Women’s Vulnerability to Fatigue Syndrome" Healthcare 9, no. 3: 336. https://doi.org/10.3390/healthcare9030336
APA StyleChiu, H.-H., Tsao, L.-I., Liu, C.-Y., Lu, Y.-Y., Shih, W.-M., & Wang, P.-H. (2021). The Perimenopausal Fatigue Self-Management Scale Is Suitable for Evaluating Perimenopausal Taiwanese Women’s Vulnerability to Fatigue Syndrome. Healthcare, 9(3), 336. https://doi.org/10.3390/healthcare9030336