{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,22]],"date-time":"2026-10-22T12:46:31Z","timestamp":1792673191281,"version":"4.5.0"},"reference-count":98,"publisher":"Wiley","license":[{"start":{"date-parts":[[2026,10,22]],"date-time":"2026-10-22T00:00:00Z","timestamp":1792627200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2026,10,22]],"date-time":"2026-10-22T00:00:00Z","timestamp":1792627200000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Public Health Nursing"],"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Fatigue is a significant yet under\u2010addressed symptom in chronic obstructive pulmonary disease (COPD) and heart diseases, impairing quality of life. This systematic review aims to investigate the effectiveness of rehabilitation interventions, including exercise and psychosocial support, in managing fatigue in COPD, ischemic heart disease, and heart failure, providing evidence to guide clinical practice.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>This systematic review is registered in PROSPERO and follows the PRISMA 2020 guidelines. A comprehensive literature search was conducted in PubMed, EMBASE, MEDLINE, CINAHL, and PsycINFO.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>The pooled meta\u2010analysis with all studies had an overall mean difference of \u221211.93 [\u221215.63; \u22128.24]. Physical activity had the largest effect (\u221217.01 [\u221224.40; \u22129.61]), while combined psychosocial and physical activity interventions were insignificant. Results remained unchanged after sensitivity analysis.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Meta\u2010analyses highlight the effectiveness of non\u2010pharmacological rehabilitation interventions, particularly physical activity, in managing fatigue. Psychosocial interventions show potential but may be less effective. Future research should optimize strategies, explore fatigue mechanisms, and address patient needs to improve intervention efficacy.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/phn.70199","type":"journal-article","created":{"date-parts":[[2026,10,22]],"date-time":"2026-10-22T12:18:31Z","timestamp":1792671511000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Fatigue Interventions in Patients With Chronic Obstructive Pulmonary Disease and Heart Diseases: A Systematic Review and Meta\u2010Analysis"],"prefix":"10.1111","author":[{"given":"Fie Gr\u00fcnfeld","family":"Holmgaard","sequence":"first","affiliation":[{"name":"Research Department Midt\u2010 og Vestsj\u00e6lland Hospital  Slagelse Denmark"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1197-5455","authenticated-orcid":false,"given":"Mette","family":"Raunkiaer","sequence":"additional","affiliation":[{"name":"REHPA, The Danish Knowledge Centre for Rehabilitation and Palliative Care Odense University Hospital  Nyborg Denmark"},{"name":"Department of Clinical Research University of Southern Denmark  Odense Denmark"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rikke Syrak","family":"Hansen","sequence":"additional","affiliation":[{"name":"REHPA, The Danish Knowledge Centre for Rehabilitation and Palliative Care Odense University Hospital  Nyborg Denmark"},{"name":"Department of Clinical Research University of Southern Denmark  Odense Denmark"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0183-6216","authenticated-orcid":false,"given":"Jahan","family":"Shabnam","sequence":"additional","affiliation":[{"name":"REHPA, The Danish Knowledge Centre for Rehabilitation and Palliative Care Odense University Hospital  Nyborg Denmark"},{"name":"Department of Clinical Research University of Southern Denmark  Odense Denmark"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,10,22]]},"reference":[{"issue":"4","key":"e_1_2_9_2_1","first-page":"559","article-title":"The Effect of an Educational Plan Based on the Roy Adaptation Model for Fatigue and Activities of Daily Living of Patients With Heart Failure Disease","volume":"30","author":"Abdolahi M.","year":"2020","journal-title":"Ethiopian Journal of Health Sciences"},{"issue":"11","key":"e_1_2_9_3_1","doi-asserted-by":"crossref","first-page":"1772","DOI":"10.1002\/pon.5522","article-title":"Moderators of the Effect of Psychosocial Interventions on Fatigue in Women With Breast Cancer and Men With Prostate Cancer: Individual Patient Data Meta\u2010Analyses","volume":"29","author":"Abrahams H. 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