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Hokkaido University Collection of Scholarly and Academic Papers >
Graduate School of Health Sciences / Faculty of Health Sciences >
Peer-reviewed Journal Articles, etc >
Predictors and short-term outcomes of post-stroke fatigue in initial phase of transition from hospital to home : A prospective observational study
| Title: | Predictors and short-term outcomes of post-stroke fatigue in initial phase of transition from hospital to home : A prospective observational study |
| Authors: | Su, Ya Browse this author | | Asamoto, Mitsuko Browse this author | | Yuki, Michiko Browse this author →KAKEN DB | | Saito, Masaru Browse this author | | Hasebe, Naoko Browse this author | | Hirayama, Kengo Browse this author →KAKEN DB | | Otsuki, Mika Browse this author →KAKEN DB | | Iino, Chieko Browse this author |
| Keywords: | depression | | fatigue | | insomnia | | nursing | | quality of life | | sarcopenia | | stroke |
| Issue Date: | 23-Dec-2020 |
| Publisher: | John Wiley & Sons |
| Journal Title: | Journal of Advanced Nursing |
| Volume: | 77 |
| Issue: | 4 |
| Start Page: | 1825 |
| End Page: | 1838 |
| Publisher DOI: | 10.1111/jan.14731 |
| PMID: | 33368578 |
| Abstract: | Aim To analyse the interactions of associated factors with post stroke fatigue (PSF) after discharge home and determine the predictors of PSF and their impact on stroke survivors. Design A prospective observational study. Methods A total of 94 patients with acute stroke were recruited between May 2019 -July 2020. The main outcomes were fatigue, depression, insomnia, sarcopenia, and health-related quality of life (HRQOL) and were assessed at admission and 1 month after discharge. Fatigue was measured using the Fatigue Assessment Scale. Depression and Insomnia were assessed using the Hospital Anxiety and Depression Scale-Depression and Insomnia Severity Index, respectively. Sarcopenia was measured using the SARC-F questionnaire, and HRQOL was assessed using the Short Form-8. Results Acute phase PSF was an independent predictor of PSF after discharge home. Moreover the path analysis revealed that this effect is mediated through both the direct effect of acute-phase PSF on PSF after discharge home and through the indirect effect of interaction with pre-stroke SARC-F, acute phase depression, and acute phase insomnia, which remains a separate predictor of acute-phase PSF. In total, 17% of the survivors had persistent PSF. Persistent PSF was significantly associated with depression, insomnia, sarcopenia, and a lower quality of life scores. Conclusions Post-stroke fatigue may occur in the acute phase and persists after discharge, it will not only affect later depression, insomnia, and quality of life, but also sarcopenia. Impact Acute phase PSF was found to be an independent predictor of PSF after discharge home. In addition, the interaction with pre-stroke SARC-F, acute phase depression and insomnia had an indirect connection with PSF after discharge home, which remains a separate predictor of acute-phase PSF. Thus, early assessment and management of mental status, sleep problems, and sarcopenia during hospitalization might be an important step in post-stroke rehabilitation and home transition. |
| Type: | article |
| URI: | http://hdl.handle.net/2115/80906 |
| Appears in Collections: | 保健科学院・保健科学研究院 (Graduate School of Health Sciences / Faculty of Health Sciences) > 雑誌発表論文等 (Peer-reviewed Journal Articles, etc)
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