Flinn Nancy A, Stube Jan E
Occupational Science and Occupational Therapy Department, College of St. Catherine, St. Paul, Minnesota 55105, USA. nafl
Occup Ther Int. 2010 Jun;17(2):81-91. doi: 10.1002/oti.286.
Fatigue affects many persons after cerebrovascular accident, particularly those with mild stroke. A qualitative methodology using focus groups with 19 community-living post-stroke survivors was utilized to explore the occupational impact of fatigue as communicated by the participants. Although self-report of a small sample of the United States' post-stroke population will have limitations in generalizability, this study identifies specific health-related quality of life issues that can occur with post-stroke fatigue. The participants felt unprepared for the fatigue phenomenon and struggled to adapt, with fatigue having a debilitating influence upon daily occupational performance and roles, including social participation, return to work, driving, reading and sleeping. The participants indicated that exercise (such as walking and water aerobics) and use of assistive technology were helpful strategies in reducing fatigue. The occupational performance and role impact identified by participants in this study can inform the design of effective occupational therapy interventions and further quantitative study of persons with post-stroke fatigue.
疲劳在脑血管意外后影响许多人，尤其是轻度中风患者。本研究采用定性方法，通过对19名社区生活的中风后幸存者进行焦点小组访谈，以探讨参与者所表达的疲劳对职业的影响。尽管对一小部分美国中风后人群的自我报告在普遍性方面存在局限性，但本研究确定了中风后疲劳可能出现的与健康相关的特定生活质量问题。参与者对疲劳现象感到毫无准备，并努力适应，疲劳对日常职业表现和角色产生了削弱性影响，包括社会参与、重返工作岗位、驾驶、阅读和睡眠。参与者表示，运动（如散步和水中有氧运动）和使用辅助技术是减轻疲劳的有效策略。本研究中参与者所确定的职业表现和角色影响可为有效的职业治疗干预措施的设计以及对中风后疲劳患者的进一步定量研究提供参考。
