Poststroke Fatigue and its Effect on Functional Status and Quality of Life in Patient with Ischemic Stroke
Introductıon: Ischemic stroke constitutes 80% of all strokes and it is the first leading cause of disability. Although post stroke fatigue is frequent and adversely affects the quality of life, only few studies on this issue are present.
Purpose: In this study we aimed to assess the effect of post-stroke fatigue over functional and emotional status by scales.
Methods: A total of 39 ischemic stroke patients who were diagnosed in the last 15 months and admitted to our outpatient stroke clinic between January to April 2015 were included to the study. Fatigue severity was recorded by Fatigue Severity Scale (FSS) and functional status by Brunnstrom scale, respectively. Activities of daily living was evaluated by Barthel index and Modified Rankin Scale (mRS) and quality of life was assessed by Nottingham Health Profile. Hospital Anxiety and Depression Scale (HADS) was used to evaluate the anxiety and depression of the patients.
Results: The mean age of 23M/16F patients was 67.74 ± 12.11 years. Left hemiparesis was present in 18 and right hemiparesis in 19 of the patients. A statistically significant negative correlation between fatigue severity and Brunnstrom and Barthel index values was detected. Fatigue severity was significantly higher in patients with high mRS score. A positively significant correlation was detected between fatigue severity and four sub-parameters of Nottingham Health Profile. According to HADS, fatigue severity was significantly higher in patients with high depression and anxiety scores.
Conclusion: Significant correlation determined between post-stroke fatigue severity and activities of daily living, quality of life, functional and emotional status. In this group of chronic patients, we believe that the consideration of all of these parameters constitutes a positive impact over the management of the patients.