Physical impairment, depressive symptoms and pre-stroke fatigue are related to fatigue in the acute phase after stroke
Physical impairment, depressive symptoms and pre-stroke fatigue are related to fatigue in the acute phase after stroke
复制标题
DOI：
10.3109/09638288.2010.490867
复制
发表时间：
2011-01-01
影响因子：
2.2
通讯作者：
Kim, Hesook Suzie
中科院分区：
文献类型：
--
作者：
Lerdal, Anners;Bakken, Linda N.;Kim, Hesook Suzie
方法。数据收集在横断面相关性研究面对面访谈使用结构化问卷调查和患者的医疗记录。样本包括2007年和2008年挪威两家医院收治的115名首次中风患者。用疲劳严重程度量表（FSS）测量脑卒中后疲劳程度。FSS测量作为连续变量应用于分析，并用于将患者分为三组疲劳强度：无疲劳（平均FSS评分< 4），中度疲劳（平均FSS评分= 4-4.9）和重度疲劳（平均FSS评分>= 5）。中风前报告疲劳持续时间超过3个月的患者被定义为中风前疲劳。卒中前疲劳34例（30%）。中风后，24%的人有严重的疲劳，疲劳在女性中更为常见（57%）。控制性别和脑卒中前疲劳因素，多因素分析显示，脑卒中前疲劳、身体机能下降和抑郁症状与脑卒中后疲劳有关。中风前的疲劳和急性期的疲劳需要根据恢复和康复过程中的身体功能和抑郁进行评估。
Method. Data were collected in a cross-sectional correlational study from face-to-face interviews using structured questionnaires and patient's medical records. The sample consists of 115 patients with first-ever stroke admitted to two hospitals in Norway in 2007 and 2008. Post-stroke fatigue was measured with the Fatigue Severity Scale (FSS). The FSS measure was applied in the analysis as a continuous variable, and also used to categorise patients into three groups of fatigue intensity: no fatigue (mean FSS-score < 4), moderate fatigue (mean FSS-score = 4-4.9) and severe fatigue (mean FSS-score >= 5). Patients who reported fatigue lasting longer than 3 months before the stroke were defined as having prestroke fatigue.Results. Pre-stroke fatigue was reported by 34 patients (30%). After stroke, 24% had severe fatigue, and fatigue was more common for women (57%). Controlling for sex and prestroke fatigue, the multivariate analysis showed that prestroke fatigue, lower physical function and depressive symptoms were related to post-stroke fatigue.Conclusion. Pre-stroke fatigue and fatigue during the acute phase needs to be assessed in relation to physical functioning and depression during recovery and the rehabilitation process.