Department of Rehabilitation, University Hospital of North Norway.
Faculty of Health Sciences, Department of Psychology, UiT - The Arctic University of Norway.
J Rehabil Med. 2023 Jan 30;55:jrm00374. doi: 10.2340/jrm.v55.4813.
Post-stroke fatigue may be associated with functioning even in patients with mild stroke. In order to guide rehabilitation, the aim of this study was to investigate the independent contribution of 12 function-related domains to severe long-term fatigue.
Observational follow-up study.
A total of 144 stroke survivors (mean age 67.3, standard deviation (SD) 10.9 years) were included.
Fatigue 3-4 years post-stroke was measured with the Fatigue Severity Scale (cut-off ≥5). Independent variables were the multidimensional Stroke-Specific Quality of Life scale with 12 domains, demographics, and baseline stroke characteristics.
Most of the participants had mild and moderate stroke. Thirty-five percent (n = 51) reported severe fatigue 3-4 years after stroke. Those living with a significant other, and working participants reported significantly less fatigue. All domains of the Stroke-specific Quality of Life scale were significantly associated with the Fatigue Severity Scale. Adjusted for age, sex, marital status, and work status, the domains "energy", "mood", and, unexpectedly, the domain "vision", were all variables independently associated with severe long-term fatigue.
Stroke survivors with prominent self-reported visual problems were more likely to experience fatigue. This finding should be verified in further studies. Visual examination and visual rehabilitation may reduce fatigue in selected stroke survivors.
即使是轻度中风患者，中风后疲劳也可能与功能相关。为了指导康复，本研究旨在调查 12 个与功能相关的领域对严重长期疲劳的独立贡献。
观察性随访研究。
共纳入 144 名中风幸存者（平均年龄 67.3 岁，标准差（SD）10.9 岁）。
中风后 3-4 年用疲劳严重程度量表（临界值≥5）测量疲劳。自变量是多维中风特异性生活质量量表的 12 个领域、人口统计学和基线中风特征。
大多数参与者患有轻度和中度中风。35%（n=51）在中风后 3-4 年内报告严重疲劳。与重要他人同住和工作的参与者报告的疲劳明显较少。中风特异性生活质量量表的所有领域都与疲劳严重程度量表显著相关。调整年龄、性别、婚姻状况和工作状况后，“能量”、“情绪”和令人意外的“视力”领域都是与严重长期疲劳独立相关的变量。
自我报告有明显视觉问题的中风幸存者更有可能出现疲劳。这一发现需要在进一步的研究中得到验证。视觉检查和视觉康复可能会减少选定中风幸存者的疲劳。
