Self-Reported Fatigue and Associated Factors Six Years after Stroke

Elf, Marie; Eriksson, Gunilla; Johansson, Sverker; Koch, Lena von; Ytterberg, Charlotte

doi:10.1371/journal.pone.0161942

Cited by 53 publications

(57 citation statements)

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“…Almost half of the participants reported unmet needs in relation to fatigue and mobility. These results are in line with previous studies showing that fatigue and mobility problems are common long after the stroke occurred and impact negatively on many aspects of functioning, in particular participation in everyday life [41][42][43][44]. Since rehabilitation targeting mobility can yield beneficial effects [45] even in the chronic phase after stroke [46], our results indicate that there is a need for recurrent long-term rehabilitation.…”

Section: Discussionsupporting

confidence: 92%

Factors related to met needs for rehabilitation 6 years after stroke

et al. 2020

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Introduction Research on stroke rehabilitation mainly concerns the first year of recovery, and there is a lack of knowledge regarding long-term rehabilitation needs and associated factors. Aim The aim was to explore the perceived needs for rehabilitation services of people six years after stroke and factors associated with having rehabilitation services needs met. Methods The study was a 6-year follow up of a prospective study on the rehabilitation process after stroke. Data on perceived needs for rehabilitation, personal factors, disease specific factors, and patient-reported disability were collected through face-to-face interviews in the participants' homes. Logistic regression models were created to explore associations between having rehabilitation services needs met in 11 problem areas (dependent variable) and the independent variables: involvement in decisions regarding care and treatment, sex, age, sense of coherence, self-defined level of private financing, stroke severity, frequency of social everyday activities, perceived impact of stroke, and life satisfaction. Results The 121 participants had a mean age of 63 years at stroke onset and 58% were men. In all problem areas the majority (53-88%) reported having needs met at six years after stroke, however 47% reported unmet needs regarding fatigue and 45% regarding mobility. A lower perceived impact on participation was found to be associated with having rehabilitation services needs met in seven problem areas: mobility, falls, pain, fatigue, concentration, memory, and sight. The strongest association for having needs met was found for the independent variable, involvement in care and treatment, within the three problem areas mobility, falls, and speaking.

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Section: Discussionsupporting

confidence: 92%

Factors related to met needs for rehabilitation 6 years after stroke

et al. 2020

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“…Respecto a la fatiga, los estudios indican que es uno de los síntomas más exteriorizados por las personas con ECV, prevaleciendo este de forma crónica en un 37% de los casos y coexistiendo con depresión, ansiedad y baja participación en actividades sociales 26 . En lo referente a la actividad física un estudio encontró que es baja tras el ictus, disminuyendo aún más alrededor de los 6 meses, cuando finalizan los programas de rehabilitación 27 .…”

Section: Discusión Y Conclusionesunclassified

“…En lo referente a la actividad física un estudio encontró que es baja tras el ictus, disminuyendo aún más alrededor de los 6 meses, cuando finalizan los programas de rehabilitación 27 . Destacamos la importancia de mantener buenos niveles de actividad física en el paciente que sufrió un ictus, con pautas de ejercicio adecuado a la enfermedad, teniendo en cuenta la funcionalidad y la prevención de eventos cardiovasculares futuros en dichos pacientes 26,27 . En cuanto a la reducción significativa de la velocidad de la marcha observada en el grupo de ancianos con ECV, la misma puede explicarse por los déficits motores comúnmente presentes en esta enfermedad.…”

Section: Discusión Y Conclusionesunclassified

Fragilidad en ancianos que viven en la comunidad con y sin enfermedad cerebrovascular previa

Preto

Conceição

Amaral

et al. 2017

Revista Científica de la Sociedad Española de Enfermería Neurol

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ORIGINALFragilidad en ancianos que viven en la comunidad con y sin enfermedad cerebrovascular previa ResumenObjetivo: Determinar la prevalencia de fragilidad en ancianos que viven en la comunidad con y sin enfermedad cerebrovascular (ECV) y describir las principales características sociodemográficas y clínicas que presentan dichos pacientes. Material y método: Estudio descriptivo y transversal realizado entre enero y julio de 2016 en personas mayores residentes en 2 zonas concretas del Norte de Portugal. Los datos se han recogido mediante un cuestionario sociodemográfico y clínico. La existencia de ECV previa se evaluó a través de una valoración inicial y aplicación del Índice de comorbilidad de Charlson, y la fragilidad utilizando los criterios de la metodología fenotípica. Resultados: Se estudiaron 435 participantes, de edad > 65 años (media = 74,3 años), siendo en su mayoría mujeres (62,3%). El 6,9% de los ancianos tenía antecedentes de ECV. La prevalencia del síndrome de fragilidad fue de 60,0% en los ancianos con antecedentes de ECV y 20,5% en los restantes casos (p < 0,05). Relaciones estadísticamente significativas (p < 0,05) fueron encontradas entre ECV y problemas de visión, miedo a caer, hospitalizaciones en el último año, uso de ayudas para caminar y percepción del estado de salud. Conclusión: La mayoría de los ancianos con antecedentes de ECV eran frágiles. Según la teoría fenotípica la fragilidad es un estado que precede a la dependencia total. El diagnóstico y la gestión de la fragilidad podrán ayudar a la prevención de eventos adversos que precipitan la institucionalización del anciano con ECV. Frailty in the elderly living in the community with and without prior cerebrovascular disease Abstract Objective: To determine the prevalence of frailty in elderly people living in the community with and without cerebrovascular disease (CVD) and describe the main sociodemographic and clinical characteristics of these patients. Material and method: Descriptive and cross-sectional study carried out between January and July 2016 in elderly people living in two specific areas of northern Portugal. Data were collected using a sociodemographic and clinical questionnaire. The existence of previous CVD was evaluated through an initial assessment and application of the Charlson Comorbidity Index. Frailty was assessed using the criteria of phenotypic methodology. Results: A total of 435 participants, aged > 65 years (mean = 74.3 years), mostly women (62.3%), were studied. Six point nine percent of the elderly people had a history of CVD. The prevalence of frailty syndrome was 60.0% in the elderly people with a history of CVD, and 20.5% in the other cases (P < .05). Statistically significant relationships (P < .05) were found between CVD and vision problems, fear of falling, hospitalisations in the last year, use of walking aids and perception of health status. Conclusion: Most of the elderly with a history of CVD were frail. According to the phenotypic theory, frailty is a state that precedes total dependence. The d...

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“…Stroke is one of the most common diseases and a leading cause of disabilities (WHO, , ). It can lead to major life changes in terms of cognitive and psychological functioning (Whyte & Mulsant, ), bodily disabilities (Kvigne & Kirkevold, ), profound fatigue (Elf, Eriksson, Johansson, Koch, & Ytterberg, ), and restricted independence and participation in community and social activities (Singam, Ytterberg, Tham, & von Koch, ). By hindering patients’ ability to return to everyday life activities, stroke episodes create a life course disruption (Ekstam, Uppgard, von Koch, & Tham, ) and negatively impact the overall quality of life of stroke survivors and their families (Algurén, Lundgren‐Nilsson, & Sunnerhagen, ; Bergström, von Koch, Andersson, Tham, & Eriksson, ; Haewon & Hyeung Woo, ).…”

Section: Introductionmentioning

confidence: 99%

Home setting after stroke, facilitators and barriers: A systematic literature review

Marcheschi

Koch

Pessah‐Rasmussen

et al. 2017

Health Soc Care Community

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This paper seeks to improve the understanding of the interaction between patients with stroke and the physical environment in their home settings. Stroke care is increasingly performed in the patient's home. Therefore, a systematic review was conducted to identify the existing knowledge about facilitators and barriers in the physical environment of home settings for the stroke rehabilitation process. Based upon Arksey and O'Malley's framework, a Boolean search strategy was performed in the databases; CINAHL, Medline, Web of Science and Scopus. Fifteen articles were retained from the literature search conducted between August and November 2016, and two researchers independently assessed their quality based on the Swedish Council on Health Technology Assessment guidelines. The results suggest that despite the healthcare system's ongoing shift towards home-based rehabilitation, the role played by the physical environment of home settings is still considered a side finding. Moreover, the research appears to focus mainly on how this environment supports mobility and activities of daily living, whereas information regarding the psychosocial and emotional processes that mediate the interaction between stroke survivors and their home setting are missing. A lack of information was also found with regard to the influence of different geographic locations on the stroke rehabilitation process. Future investigations are therefore needed to advance the understanding of the role played by the physical environment of home settings in supporting stroke recovery.

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Self-Reported Fatigue and Associated Factors Six Years after Stroke

Cited by 53 publications

References 54 publications

Factors related to met needs for rehabilitation 6 years after stroke

Factors related to met needs for rehabilitation 6 years after stroke

Fragilidad en ancianos que viven en la comunidad con y sin enfermedad cerebrovascular previa

Home setting after stroke, facilitators and barriers: A systematic literature review

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