Post stroke fatigue and its associated factors among stroke survivors in the second affiliated hospital of Guizhou University of traditional Chinese Medicine, China
Post stroke fatigue (PSF) is a common and debilitating condition among stroke survivors, significantly affecting their quality of life (QoL), activities of daily living (ADLs), and recovery outcomes. Despite its clinical importance, the proportion and associated factors of PSF remain underexplore...
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| Format: | Thesis |
| Language: | English |
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2025
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| Online Access: | http://eprints.usm.my/62754/ http://eprints.usm.my/62754/1/DONG%20YUAN-TESIS%20P-SKM003122%28R%29-E.pdf |
| _version_ | 1848885080005541888 |
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| author | Yuan, Dong |
| author_facet | Yuan, Dong |
| author_sort | Yuan, Dong |
| building | USM Institutional Repository |
| collection | Online Access |
| description | Post stroke fatigue (PSF) is a common and debilitating condition among stroke
survivors, significantly affecting their quality of life (QoL), activities of daily living
(ADLs), and recovery outcomes. Despite its clinical importance, the proportion and
associated factors of PSF remain underexplored, particularly in young and middleaged
stroke survivors. This cross-sectional study aimed to assess the proportion of PSF
and its associated factors among 271 stroke survivors at the Second Affiliated Hospital
of Guizhou University of Traditional Chinese Medicine, conducted from September
2023 to January 2024, using a convenient sampling method. Participants were included
if they were aged 18 to less than 60 years, not bedridden, and had experienced a stroke
within 3 months, while those with severe cognitive dysfunction or life-threatening
comorbidities were excluded. Data were collected using validated instruments,
including a sociodemographic characteristics questionnaire, the Fatigue Severity Scale
(FSS), Short Version of the Stroke-Specific Quality of Life Scale (SV-SS-QoL),
Patient Health Questionnaire-9 (PHQ-9), and Barthel Index (BI), and analyzed using
SPSS version 29.0. The proportion of PSF among stroke survivors was 45.8%.
Univariate analysis identified significant factors associated with PSF, including age,
gender, income, education level, occupational status, living situation, depression, QoL,
and ADLs. Multivariate logistic regression confirmed that age, gender, income,
occupational status, depression, QoL, and ADLs were key factors. Middle-aged survivors (36–59 years) were 12.94 times more likely to experience fatigue compared
to younger survivors (18–35 years) (OR 12.94, 95% CI: 1.91–87.83), and female
survivors faced a 3.54 times higher risk of PSF compared to males (OR 3.54, 95% CI:
1.45–8.64). Depression significantly increased the likelihood of fatigue by 23% per
unit increase in the depression score (OR 1.23, 95% CI: 1.13–1.34), while protective
factors included higher income (OR 0.14, 95% CI: 0.04–0.53), stable occupational
status (OR 0.09, 95% CI: 0.02–0.44), better QoL (OR 0.81, 95% CI: 0.75–0.86), and
improved ADLs (OR 0.97, 95% CI: 0.95–0.98). The model demonstrated good
calibration (Hosmer-Lemeshow test, χ² = 3.85, P = 0.87) and an accuracy of 85.2%.
This study highlights the high proportion of PSF and its multifactorial associations in
young and middle-aged stroke survivors. Identifying high-risk groups, such as middleaged
individuals, females, and those with depression, is essential. Nurses can address
PSF by providing psychological support, enhancing QoL and ADLs, and promoting
income and occupational stability. These findings offer insights for developing
personalized rehabilitation programs to alleviate PSF and improve recovery outcomes. |
| first_indexed | 2025-11-15T19:16:54Z |
| format | Thesis |
| id | usm-62754 |
| institution | Universiti Sains Malaysia |
| institution_category | Local University |
| language | English |
| last_indexed | 2025-11-15T19:16:54Z |
| publishDate | 2025 |
| recordtype | eprints |
| repository_type | Digital Repository |
| spelling | usm-627542025-09-17T03:54:19Z http://eprints.usm.my/62754/ Post stroke fatigue and its associated factors among stroke survivors in the second affiliated hospital of Guizhou University of traditional Chinese Medicine, China Yuan, Dong R Medicine RA440-440.87 Study and teaching. Research RC666-701 Diseases of the circulatory (Cardiovascular) system Post stroke fatigue (PSF) is a common and debilitating condition among stroke survivors, significantly affecting their quality of life (QoL), activities of daily living (ADLs), and recovery outcomes. Despite its clinical importance, the proportion and associated factors of PSF remain underexplored, particularly in young and middleaged stroke survivors. This cross-sectional study aimed to assess the proportion of PSF and its associated factors among 271 stroke survivors at the Second Affiliated Hospital of Guizhou University of Traditional Chinese Medicine, conducted from September 2023 to January 2024, using a convenient sampling method. Participants were included if they were aged 18 to less than 60 years, not bedridden, and had experienced a stroke within 3 months, while those with severe cognitive dysfunction or life-threatening comorbidities were excluded. Data were collected using validated instruments, including a sociodemographic characteristics questionnaire, the Fatigue Severity Scale (FSS), Short Version of the Stroke-Specific Quality of Life Scale (SV-SS-QoL), Patient Health Questionnaire-9 (PHQ-9), and Barthel Index (BI), and analyzed using SPSS version 29.0. The proportion of PSF among stroke survivors was 45.8%. Univariate analysis identified significant factors associated with PSF, including age, gender, income, education level, occupational status, living situation, depression, QoL, and ADLs. Multivariate logistic regression confirmed that age, gender, income, occupational status, depression, QoL, and ADLs were key factors. Middle-aged survivors (36–59 years) were 12.94 times more likely to experience fatigue compared to younger survivors (18–35 years) (OR 12.94, 95% CI: 1.91–87.83), and female survivors faced a 3.54 times higher risk of PSF compared to males (OR 3.54, 95% CI: 1.45–8.64). Depression significantly increased the likelihood of fatigue by 23% per unit increase in the depression score (OR 1.23, 95% CI: 1.13–1.34), while protective factors included higher income (OR 0.14, 95% CI: 0.04–0.53), stable occupational status (OR 0.09, 95% CI: 0.02–0.44), better QoL (OR 0.81, 95% CI: 0.75–0.86), and improved ADLs (OR 0.97, 95% CI: 0.95–0.98). The model demonstrated good calibration (Hosmer-Lemeshow test, χ² = 3.85, P = 0.87) and an accuracy of 85.2%. This study highlights the high proportion of PSF and its multifactorial associations in young and middle-aged stroke survivors. Identifying high-risk groups, such as middleaged individuals, females, and those with depression, is essential. Nurses can address PSF by providing psychological support, enhancing QoL and ADLs, and promoting income and occupational stability. These findings offer insights for developing personalized rehabilitation programs to alleviate PSF and improve recovery outcomes. 2025-03 Thesis NonPeerReviewed application/pdf en http://eprints.usm.my/62754/1/DONG%20YUAN-TESIS%20P-SKM003122%28R%29-E.pdf Yuan, Dong (2025) Post stroke fatigue and its associated factors among stroke survivors in the second affiliated hospital of Guizhou University of traditional Chinese Medicine, China. Masters thesis, Universiti Sains Malaysia. |
| spellingShingle | R Medicine RA440-440.87 Study and teaching. Research RC666-701 Diseases of the circulatory (Cardiovascular) system Yuan, Dong Post stroke fatigue and its associated factors among stroke survivors in the second affiliated hospital of Guizhou University of traditional Chinese Medicine, China |
| title | Post stroke fatigue and its associated factors among stroke survivors in the second affiliated hospital of Guizhou
University of traditional Chinese
Medicine, China |
| title_full | Post stroke fatigue and its associated factors among stroke survivors in the second affiliated hospital of Guizhou
University of traditional Chinese
Medicine, China |
| title_fullStr | Post stroke fatigue and its associated factors among stroke survivors in the second affiliated hospital of Guizhou
University of traditional Chinese
Medicine, China |
| title_full_unstemmed | Post stroke fatigue and its associated factors among stroke survivors in the second affiliated hospital of Guizhou
University of traditional Chinese
Medicine, China |
| title_short | Post stroke fatigue and its associated factors among stroke survivors in the second affiliated hospital of Guizhou
University of traditional Chinese
Medicine, China |
| title_sort | post stroke fatigue and its associated factors among stroke survivors in the second affiliated hospital of guizhou
university of traditional chinese
medicine, china |
| topic | R Medicine RA440-440.87 Study and teaching. Research RC666-701 Diseases of the circulatory (Cardiovascular) system |
| url | http://eprints.usm.my/62754/ http://eprints.usm.my/62754/1/DONG%20YUAN-TESIS%20P-SKM003122%28R%29-E.pdf |