Relationship between Various Unpleasant Symptoms in Adolescents with Systemic Lupus Erythematosus (SLE)

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Supattana Sakdisthanont
Pulsuk Siripul
Yupawadee Tasako
Phawantree Ponyiem
Khunkamon Lardsena
Narida Rattana-umpa


This correlative descriptive research aimed to study the relationship between pain, stress and fatigue symptoms in adolescents with SLE., using the Theory of Unpleasant Symptom as the conceptual framework. The sample consisted of male and female adolescents aged 10-19 years, who had been diagnosed with SLE for at least 6 months.The purposive sampling method was used to select 102 participants.Data were collected using questionnaires, in the pediatric outpatient department of two tertiary care hospitals in Khon Kaen Province. The data were analyzed using descriptive statistics. The results showed that pain was significantly positively associated with stress (r=.20, p<.05), stress was significantly positively associated with fatigue (r=.38, p<.01), and pain was significantly positively correlated with fatigue (r=.18, p<.05). In conclusion, pain, stress and fatigue in adolescents with SLE had the positive relationships with one another. Nurses should focus on assessing pain, stress and fatigue, and develop strategies for managing these symptoms, in order to help adolescents reduce their suffering from SLE and to live normal lives, and to improve their own ability to effectively control and manage these symptoms.


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Sakdisthanont S, Siripul P, Tasako Y, Ponyiem P, Lardsena K, Rattana-umpa N. Relationship between Various Unpleasant Symptoms in Adolescents with Systemic Lupus Erythematosus (SLE). NJPH (วารสาร พ.ส.) [Internet]. 2022 Aug. 31 [cited 2023 Feb. 7];32(2):52-64. Available from:


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