Associations Between Fatigue and Disability, Depression, Health-Related Hardiness and Quality of Life in People with Stroke.


Journal

Journal of stroke and cerebrovascular diseases : the official journal of National Stroke Association
ISSN: 1532-8511
Titre abrégé: J Stroke Cerebrovasc Dis
Pays: United States
ID NLM: 9111633

Informations de publication

Date de publication:
Jul 2022
Historique:
received: 24 11 2021
revised: 11 04 2022
accepted: 25 04 2022
pubmed: 8 5 2022
medline: 25 5 2022
entrez: 7 5 2022
Statut: ppublish

Résumé

Stroke is a common cause of mortality and morbidity which affects approximately 17 million people globally each year. Common symptoms associated with stroke are physical disabilities, impaired cognitive functions, depression, and fatigue, all of which can significantly impact health-related quality of life (HRQoL). To date, no research has explored the inter-relationship among fatigue, disability, depression, health-related hardiness, and quality of life in stroke survivors. Data was obtained from a sub-study of the 45 and Up Study; including 576 Australian adults who had been diagnosed with a stroke. The cross-sectional questionnaire obtained demographic and health status information, as well as clinical measures and stroke-related measures. Associations among fatigue and disability, depression, health-related hardiness and quality of life were analysed using a linear regression model. In comparison to those participants with no stroke-related disability, those with slight (β = 1.141; p = 0.008), moderate (β = 3.250; p < 0.001) or severe (β = 3.526; p < 0.001) disability had significantly higher fatigue scores. For every one unit increase in the depression score, the fatigue score increased by 1.502 points (p < 0.001). For every one unit increase in the health-related hardiness score, the fatigue score decreased by 0.054 points (p = 0.044). For every one unit increase in the quality of life score, the fatigue score decreased by 0.068 points (p < 0.001). This study found significant associations among fatigue and disability, depression, health-related hardiness, and quality of life in stroke survivors. Accurate detection and management of fatigue may help improve the rehabilitation of stroke survivors.

Sections du résumé

BACKGROUND BACKGROUND
Stroke is a common cause of mortality and morbidity which affects approximately 17 million people globally each year. Common symptoms associated with stroke are physical disabilities, impaired cognitive functions, depression, and fatigue, all of which can significantly impact health-related quality of life (HRQoL). To date, no research has explored the inter-relationship among fatigue, disability, depression, health-related hardiness, and quality of life in stroke survivors.
METHODS METHODS
Data was obtained from a sub-study of the 45 and Up Study; including 576 Australian adults who had been diagnosed with a stroke. The cross-sectional questionnaire obtained demographic and health status information, as well as clinical measures and stroke-related measures. Associations among fatigue and disability, depression, health-related hardiness and quality of life were analysed using a linear regression model.
RESULTS RESULTS
In comparison to those participants with no stroke-related disability, those with slight (β = 1.141; p = 0.008), moderate (β = 3.250; p < 0.001) or severe (β = 3.526; p < 0.001) disability had significantly higher fatigue scores. For every one unit increase in the depression score, the fatigue score increased by 1.502 points (p < 0.001). For every one unit increase in the health-related hardiness score, the fatigue score decreased by 0.054 points (p = 0.044). For every one unit increase in the quality of life score, the fatigue score decreased by 0.068 points (p < 0.001).
CONCLUSION CONCLUSIONS
This study found significant associations among fatigue and disability, depression, health-related hardiness, and quality of life in stroke survivors. Accurate detection and management of fatigue may help improve the rehabilitation of stroke survivors.

Identifiants

pubmed: 35525062
pii: S1052-3057(22)00237-3
doi: 10.1016/j.jstrokecerebrovasdis.2022.106543
pii:
doi:

Types de publication

Journal Article

Langues

eng

Sous-ensembles de citation

IM

Pagination

106543

Informations de copyright

Copyright © 2022 Elsevier Inc. All rights reserved.

Déclaration de conflit d'intérêts

Declaration of Competing Interest The authors have no conflicts of interest to declare.

Auteurs

David Sibbritt (D)

School of Public Health, Faculty of Health, University of Technology Sydney, Level 8, Building 10, 235-253 Jones Street, Sydney, NSW 2007, Australia.

Jessica Bayes (J)

School of Public Health, Faculty of Health, University of Technology Sydney, Level 8, Building 10, 235-253 Jones Street, Sydney, NSW 2007, Australia. Electronic address: Jessica.bayes@yahoo.com.

Wenbo Peng (W)

School of Public Health, Faculty of Health, University of Technology Sydney, Level 8, Building 10, 235-253 Jones Street, Sydney, NSW 2007, Australia.

Jane Maguire (J)

School of Nursing and Midwifery, Faculty of Health, University of Technology Sydney, Sydney, Australia.

Jon Adams (J)

School of Public Health, Faculty of Health, University of Technology Sydney, Level 8, Building 10, 235-253 Jones Street, Sydney, NSW 2007, Australia.

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