Factors Associated with Post-Stroke Fatigue Among Patients with Acute Ischemic Stroke
Keywords:
Post-stroke fatigue, Acute ischemic strokeAbstract
Post-stroke fatigue (PSF) is a key factor in post-stroke recovery. This descriptive correlation research aimed to study the factors associated with PSF in acute ischemic stroke patients. The participants were purposely selected to include 97 patients diagnosed with acute ischemic stroke who were over 18 years old and had stable symptoms while receiving services at Thammasat University Hospital. The instruments used in the research included a demographic characteristics' questionnaire, the Fatigue Severity Score (FSS), the Numerical Pain Rating Scale (NRS), the Athens Insomnia Scale: (AIS-Thai), the Barthel Activities of Daily Living (ADL), the Hospital Anxiety and Depression Scale (HADs), and the Stress Test Questionnaire (ST-5). All instruments were tested for reliability, which was .96, 1.00, .86, .88, .81, .86, and .86, respectively. Data analysis used descriptive statistics and Pearson correlation statistics.
The results found that the participants consisted of equal numbers of males and females, with an average age of 64.44 years (SD = 11.28). Post-stroke period ranged from 1-13 days (Mean = 3.40, SD = 1.77), and 44.3% had fatigue after stroke (Mean = 3.76, SD = 1.42). The relationships between the FSS and the NRS, AIS-Thai, ADL, Anxiety, Depression, and ST-5 were statistically significant (r = .334, p < .01; r = .481, p < .01; r = -2.67, p < .01; r = .476, p < .01; r = .384, p < .01; and r = .469, p < .01, respectively).
The results of this study can be used as basic information for planning care to prevent and manage PSF in patients with acute stroke.
References
Aali, G., Drummond, A., das Nair, R., & Shokraneh, F. (2020). Post-stroke fatigue: A scoping review. F1000Research, 9, 242. https://doi.org/10.12688/f1000research.22880.2
Aarnes, R., Stubberud, J., & Lerdal, A. (2020). A literature review of factors associated with fatigue after stroke and a proposal for a framework for clinical utility. Neuropsychological Rehabilitation, 30(8), 1449-1476. https://doi.org/10.1080/09602011.2019.1589530
Betancur, D. F. A., Tarragó, M. D. G. L., Torres, I. L. D. S., Fregni, F., & Caumo, W. (2021). Central post-stroke pain: An integrative review of somatotopic damage, clinical symptoms, and neurophysiological measures. Frontiers in Neurology, 12, 678198. https://doi.org/10.3389/fneur.2021.678198
Chalardsakul, P., & Sithinamsuwan, P. (2022). Development of the Thai version of the Athens Insomnia Scale (AIS-Thai). https://pmkneurology.com/development-of-the-thai-version-of-the-athens-insomnia-scale-ais-thai/
Choi-Kwon, S., Han, S. W., Kwon, S. U., & Kim, J. S. (2005). Poststroke fatigue: Characteristics and related factors. Cerebrovascular Diseases, 19(2), 84-90. https://doi.org/10.1159/000082784
Cumming, T. B., Yeo, A. B., Marquez, J., Churilov, L., Annoni, J. M., Badaru, U., Ghotbi, N., Harbison, J., Kwakkel, G., Lerdal, A., Mills, R., Naess, H., Nyland, H., Schmid, A., Tang, W. K., Tseng, B., van de Port, I., Mead, G., & English, C. (2018). Investigating post-stroke fatigue: An individual participant data meta-analysis. Journal of Psychosomatic Research, 113, 107-112. https://doi.org/10.1016/j.jpsychores.2018.08.006
De Doncker, W., Dantzer, R., Ormstad, H., & Kuppuswamy, A. (2018). Mechanisms of poststroke fatigue. Journal of Neurology, Neurosurgery & Psychiatry, 89(3), 287-293. https://doi.org/10.1136/jnnp-2017-316007
De Groot, M. H., Phillips, S. J., & Eskes, G. A. (2003). Fatigue associated with stroke and other neurologic conditions: Implications for stroke rehabilitation. Archives of Physical Medicine and Rehabilitation, 84(11), 1714-1720.
Gyawali, P., Hinwood, M., Chow, W. Z., Kluge, M., Ong, L. K., Nilsson, M., & Walker, F. R. (2020). Exploring the relationship between fatigue and circulating levels of the pro-inflammatory biomarkers interleukin-6 and C-reactive protein in the chronic stage of stroke recovery: A cross-sectional study. Brain, Behavior, & Immunity - Health, 9, 100157. https://doi.org/10.1016/j.bbih.2020.100157
Hamre, C., Fure, B., Helbostad, J. L., Wyller, T. B., Ihle-Hansen, H., Vlachos, G., Ursin, M. H., & Tangen, G. G. (2021). Factors associated with level of physical activity after minor stroke. Journal of Stroke and Cerebrovascular Diseases, 30(4), 105628. https://doi.org/10.1016/j.jstrokecerebrovasdis.2021.105628
Hoomart, K., & Jitpanya, C. (2019). Relationships among hemoglobin, insomnia, physical activity, and fatigue in post-stroke patients. Chulalongkorn Medical Bulletin, 1(6), 571-580. (in Thai)
Joa, K. L., Kim, W. H., Choi, H. Y., Park, C. H., Kim, E. S., Lee, S. J., Kim, S. Y., Ko, S. H., & Jung H. Y. (2017). The effect of sleep disturbances on the functional recovery of rehabilitation inpatients following mild and moderate stroke. American Journal of Physical Medicine & Rehabilitation, 96(10), 734-740.
Katz, J., & Melzack, R. (1999). Measurement of pain. Surgical Clinics of North America, 79(2), 231-252.
Krupp, L. B., LaRocca, N. G., Muir-Nash, J., & Steinberg, A. D. (1989). The fatigue severity scale: Application to patients with multiple sclerosis and systemic lupus erythematosus. Archives of Neurology, 46(10), 1121-1123. https://doi.org/10.1001/archneur.1989.00520460115022
Lenaert, B., Neijmeijer, M., van Kampen, N., van Heugten, C., & Ponds, R. (2020). Poststroke fatigue and daily activity patterns during outpatient rehabilitation: An experience sampling method study. Archives of Physical Medicine and Rehabilitation, 101(6), 1001-1008. https://doi.org/10.1016/j.apmr.2019.12.014
Nadarajah, M., & Goh, H. T. (2015). Post-stroke fatigue: A review on prevalence, correlates, measurement, and management. Topics in Stroke Rehabilitation, 22(3), 208-220. https://doi.org/10.1179/1074935714z.0000000015
National Institute of Neurological Disorders and Stroke. (2019). Stroke scales and related information. National Institute of Neurological Disorders and Stroke.
Neurological Institute of Thailand. (2019). Clinical practice guidelines for ischemic stroke. Tana Press & Graphic. (in Thai)
NilchaiKovit, T., Lortrakul, M., & Phaisansuthidet, U. (1996). Development of Thai version of hospital anxiety and depression scale in cancer patients. Journal of the Psychiatrist Association of Thailand, 41(1), 18-30. http://www.psychiatry.or.th/JOURNAL/hads.html (in Thai)
Oyake, K., Otaka, Y., Matsuura, D., Honaga, K., Mori, N., & Kondo, K. (2021). Poststroke fatigue at admission is associated with independence levels of activities of daily living at discharge from subacute rehabilitation wards. Archives of Physical Medicine and Rehabilitation, 102(5), 849-855. https://doi.org/10.1016/j.apmr.2020.10.117
Panossian, A. G. (2013). Adaptogens in mental and behavioral disorders. The Psychiatric Clinics of North America, 36(1), 49-64. https://doi.org/10.1016/j.psc.2012.12.005
Ponchel, A., Bombois, S., Bordet, R., & Hénon, H. (2015). Factors associated with poststroke fatigue: A systematic review. Stroke Research and Treatment, 2015, 347920. https://doi.org/10.1155/2015/347920
Poulsen, M. B., Skovbølling, S. L., Kruuse, C., Overgaard, K., & Rasmussen, R. S. (2020). How to identify fatigue in stroke patients: An investigation of the post-stroke fatigue case definition validity. Topics in Stroke Rehabilitation, 27(5), 369-376. https://doi.org/10.1080/10749357.2019.1704387
Rajashekar, D., Wilms, M., MacDonald, M. E., Schimert, S., Hill, M. D., Demchuk, A., Goyal, M., Dukelow, S. P., & Forkert, N. D. (2022). Lesion-symptom mapping with NIHSS sub-scores in ischemic stroke patients. Stroke and Vascular Neurology, 7(2), 124-131.
Rakkaew, S. (2023). Post stroke fatigue and related factors: A systematic review. Thammasat University Hospital Journal Online, 8(2), 1-17. (in Thai)
Sangchan, A., & Jitpanya, C. (2018). Relationships between blood glucose levels, stress, and fatigue of stroke patients. HCU Journal, 21(42), 29-40. (in Thai)
Sawasdee, A., Preechawoong, S., & Jitpanya, C. (2017). Relationships between pain, sleep quality, depressive symptoms, and fatigue in post stroke patients. Kuakarun Journal of Nursing, 24(2), 7-22. (in Thai)
Srisatidnarakul, B. (2020). Effect size, power analysis calculating the optimal sample size using the G*Power sofeware (Vol. 1). Chulalongkorn University Book Center: Chulalongkorn University.
Thilarajah, S., Mentiplay, B. F., Bower, K. J., Tan, D., Pua, Y. H., Williams, G., Koh, G., & Clark, R. A. (2018). Factors associated with post-stroke physical activity: A systematic review and meta-analysis. Archives of Physical Medicine and Rehabilitation, 99(9), 1876-1889. https://doi.org/10.1016/j.apmr.2017.09.117
Wu, S, Kutlubaev, M. A., Chun, H. Y. Y., Cowey, E., Pollock, A., MacLeod, M. R., Dennis, M., Keane, E., Sharpe, M., & Mead, G. E. (2015). Interventions for post-stroke fatigue. Cochrane Database of Systematic Reviews, 7, CD007030. https://doi.org/10.1002/14651858.CD007030.pub3
Yamma, C., & Lueboonthavatchai, P. (2013). Sleep problems, fatigue and work efficiency among registered nurse at King Chulalongkorn Memorial Hospital. Journal of the Psychiatric Association of Thailand, 58(2), 183-196.
Zhang, S., Cheng, S., Zhang, Z., Wang, C., Wang, A., & Zhu, W. (2020). Related risk factors associated with post-stroke fatigue: A systematic review and meta-analysis. Neurological Sciences, 42(4), 1463-1471. https://doi.org/10.1007/s10072-020-04633-w
Zigmond, A. S., & Snaith, R. P. (1983). The hospital anxiety and depression scale. Acta Psychiatrica Scandinavica, 67(6), 361-370.
Downloads
Published
How to Cite
Issue
Section
License
Copyright (c) 2024 Nursing Journal CMU
This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.
บทความที่ได้รับการตีพิมพ์เป็นลิขสิทธิ์ของวารสารพยาบาลสาร
ข้อความที่ปรากฏในบทความแต่ละเรื่องในวารสารวิชาการเล่มนี้เป็นความคิดเห็นส่วนตัวของผู้เขียนแต่ละท่านไม่เกี่ยวข้องกับมหาวิทยาลัยเชียงใหม่ และคณาจารย์ท่านอื่นๆในมหาวิทยาลัยฯ แต่อย่างใด ความรับผิดชอบองค์ประกอบทั้งหมดของบทความแต่ละเรื่องเป็นของผู้เขียนแต่ละท่าน หากมีความผิดพลาดใด ๆ ผู้เขียนแต่ละท่านจะรับผิดชอบบทความของตนเองแต่ผู้เดียว
