Department of Medical Rehabilitation (Physiotherapy), College of Medical Sciences, University of Maiduguri, Nigeria.
J Stroke. 2014 Sep;16(3):195-201. doi: 10.5853/jos.2014.16.3.195. Epub 2014 Sep 30.
A stroke event is often characterized by a number of debilitating consequences that may impact negatively on the health-related quality of life (HRQL) of survivors. This study examined the impact of poststroke fatigue (PSF), a persistent and prevalent stroke consequence, on HRQL of Nigerian stroke survivors.
One hundred stroke survivors were recruited from the physiotherapy outpatient departments of two tertiary hospitals in Northern Nigeria. The Fatigue Severity Scale and Health-Related Quality of Life in Stroke Patients-26 were respectively used to assess PSF and HRQL. The independent impact of PSF on overall and domain-specific HRQL was examined using hierarchical regression analyses.
Mean age of the stroke survivors was 55.32 years (SD 13.9 years). The majority were males (66%), had suffered ischemic stroke (70%) and presented with moderately severe disability (42%). After controlling for demographic and stroke-related variables, PSF was found to be significantly and independently associated with all the domains of HRQL albeit at varying degrees. While the influence of PSF on the emotional domain was the most pronounced and uniquely contributed to 15% of the variance in the domain, its influence on the cognitive domain was the least prominent. PSF also solely accounted for 9% of the variation in overall HRQL with higher levels of PSF related with lower HRQL.
Being a potentially treatable condition, PSF's significant impact on HRQL has implications for successful stroke care and rehabilitation. For instance, addressing PSF through appropriate interventions may assist in enhancing HRQL of stroke survivors.
中风事件常伴有多种使人虚弱的后果，可能对幸存者的健康相关生活质量（HRQL）产生负面影响。本研究考察了中风后疲劳（PSF）这一持续且普遍的中风后果对尼日利亚中风幸存者 HRQL 的影响。
从尼日利亚北部两家三级医院的物理治疗门诊部门招募了 100 名中风幸存者。疲劳严重程度量表和中风患者健康相关生活质量量表-26 分别用于评估 PSF 和 HRQL。使用分层回归分析检查 PSF 对整体和特定领域 HRQL 的独立影响。
中风幸存者的平均年龄为 55.32 岁（SD 13.9 岁）。大多数是男性（66%），患有缺血性中风（70%），表现出中度严重的残疾（42%）。在控制人口统计学和中风相关变量后，发现 PSF 与所有 HRQL 领域显著且独立相关，尽管程度不同。虽然 PSF 对情绪领域的影响最为明显，并且对该领域的 15%的方差有独特贡献，但它对认知领域的影响最小。PSF 还单独解释了整体 HRQL 变异的 9%，PSF 水平越高，HRQL 越低。
作为一种潜在可治疗的疾病，PSF 对 HRQL 的显著影响对成功的中风护理和康复具有重要意义。例如，通过适当的干预措施解决 PSF 问题可能有助于提高中风幸存者的 HRQL。
