Predictors and short-term outcomes of post-stroke fatigue in initial phase of transition from hospital to home : A prospective observational study

Su, Ya; Asamoto, Mitsuko; Yuki, Michiko; Saito, Masaru; Hasebe, Naoko; Hirayama, Kengo; Otsuki, Mika; Iino, Chieko

Predictors and short-term outcomes of post-stroke fatigue in initial phase of transition from hospital to home : A prospective observational study

Su, Ya; Asamoto, Mitsuko; Yuki, Michiko et al.

Journal of Advanced Nursing, 2020, 77(4), 1825-1838

Permalink : https://hdl.handle.net/2115/80906

このアイテムのアクセス数:447件（2026-10-16 12:27 集計）

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https://doi.org/10.1111/jan.14731			54

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アクセス権	open access
URI	https://hdl.handle.net/2115/80906
タイトル	Predictors and short-term outcomes of post-stroke fatigue in initial phase of transition from hospital to home : A prospective observational study
著者	Su, Ya ; Asamoto, Mitsuko ; Yuki, Michiko ; Saito, Masaru ; Hasebe, Naoko ; Hirayama, Kengo ; Otsuki, Mika ; Iino, Chieko
著者名 Su, Ya
著者名 Asamoto, Mitsuko
e-Rad_Researcher 20276661 著者名 Yuki, Michiko
著者名 Saito, Masaru
著者名 Hasebe, Naoko
e-Rad_Researcher 40779469 著者名 Hirayama, Kengo
e-Rad_Researcher 10372880 著者名 Otsuki, Mika
著者名 Iino, Chieko
言語	英語
キーワード	depression
	fatigue
	insomnia
	nursing
	quality of life
	sarcopenia
	stroke
発行日	2020-12-23
出版者	John Wiley & Sons
収録物名	Journal of Advanced Nursing
巻(号)	77(4)
ページ	1825-1838
抄録	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.
資源タイプ	学術雑誌論文
出版タイプ	Version of Record
PISSN	0309-2402
関連情報	PMID 33368578
関連情報 (isIdenticalTo)	出版社版DOI https://doi.org/10.1111/jan.14731