Critical Medical and Surgical Nursing Journal
Vol. 15 No. 2 (2026): JUNE 2026

The Effect of a Web-Based Energy Conservation Intervention on Fatigue Scores Among Patients With Heart Failure

Tasya Putri Aulia (Poltekkes Kemenkes Banten)
Siti Wasliyah (Departement of Nursing, Politeknik Kesehatan Kementerian Kesehatan Banten, Tangerang, Banten)



Article Info

Publish Date
30 Jun 2026

Abstract

Introduction: Heart failure is commonly associated with fatigue, which negatively affects physical functioning and quality of life. Website-based energy conservation education may improve access to educational resources and support fatigue management. This study evaluated the effect of website-based energy conservation education on fatigue among patients with heart failure. Method: A quasi-experimental study with a pre-test–post-test control group design was conducted in a secondary healthcare setting. Thirty-six patients with heart failure were recruited using consecutive sampling and allocated to an intervention group (n = 18) or a control group (n = 18). The intervention group received website-based energy conservation education, whereas the control group received leaflet-based education. Fatigue was assessed using the Fatigue Assessment Scale (FAS). Data were analyzed using paired and independent t-tests with a significance level of p < 0.05. Results: The mean fatigue score in the intervention group significantly decreased from 29.44 to 22.78 after the intervention (mean difference = 6.67; 95% CI: 6.25–7.08; paired t-test, p < 0.001). The control group also demonstrated a statistically significant reduction (mean difference = 0.39; 95% CI: 0.09–0.69; paired t-test, p = 0.015), although the improvement was substantially smaller. Independent t-test analysis showed a significant difference in post-intervention fatigue scores between the two groups (p < 0.001). Conclusions: Website-based energy conservation education was more effective than leaflet-based education in reducing fatigue among patients with heart failure. This intervention may serve as a practical nursing strategy to support fatigue management in this population.

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Journal Info

Abbrev

CMSNJ

Publisher

Subject

Health Professions Nursing

Description

Critical Medical and Surgical Nursing Journal (CMSNJ) (p-ISSN: 2355-1992), (e-ISSN: 2656-470X) was established at the end of 2012 under Universitas Airlangga. The CMSNJ was prepared in response to the development of nursing/health science and technology to contribute to the development of ...