Browse > Article

Activities of Daily Living and Fatigue in the Stroke Patients  

Park, Geun-Ok (Soon Chun Hyang University Cheonan Hospital)
Shin, Su-Jin (Soon Chun Hyang University)
Publication Information
The Korean Journal of Rehabilitation Nursing / v.13, no.1, 2010 , pp. 23-31 More about this Journal
Abstract
Purpose: The purpose of this study were to describe the level of activities of daily living (ADLs) and fatigue of stroke patients and to identify related factors of ADLs and fatigue. Method: A sample of 132 were used who were recovering from stroke. The face-to-face interviews were conducted to collect data. The levels of ADLs and fatigue were evaluated using the Modified Barthel Index and Kim's fatigue scale respectively. A series of t-test and analysis of variance analyses were conducted to examine study purposes using SPSS 15.0. Results: The levels of fatigue and ADLs were 65.6 (SD=16.52) and 74.6 (SD=22.32) respectively. Significantly poorer ADLs were found: women (t=2.05, p=.001), older people aged ${\geq}$ 70 years (F=2.74, p=.046), the duration of onset (F=4.34, p=.006), the use of assist devices (F=35.64, p<.001), the parts of paralysis (F=4.25, p=.007), the time to attack (F=3.34, p=.039), and accompanying symptoms (F=15.23, p<.001). There was a significant difference in fatigue with patients with lower accompanying symptoms having lower fatigue (F=11.08, p<.001). Conclusion: These findings suggest gender, the duration from onset, the use of assist device, the parts of paralysis, the time to attack and accompanying symptoms were significant factors of the ADLs and fatigue post stroke. These factors should be considered when developing and testing nursing intervention programs for stroke survivors.
Keywords
Stroke; Activity of daily living; Fatigue;
Citations & Related Records
Times Cited By KSCI : 2  (Citation Analysis)
연도 인용수 순위
1 Glader, E. L., Stegmayr, B., & Asplund, K. (2002). Poststroke fatigue: A 2-year follow-up study of stroke patients in Sweden. Stroke, 33(5), 1327-1333.   DOI   ScienceOn
2 Han, Y. A. (2004). Analysis of in daily activities, family support and depression in hemiparesis patients due to stroke. Unpublished master's thesis, Yonsei University, Seoul.
3 Hwang, E. H. (2001). Depression of CVA patients in combined of western.oriental treatment hospitals. Unpublished master's thesis, Ewha Womans University, Seoul.
4 Jang, K. O. (2003). The relationship between perceived family support, activities of daily living and quality of life the hemiplegic patients. Unpublished master's thesis, Ajou University, Suwon.
5 Kang, B. H. (2000). The relationship between family support and activities of daily living abilities for the hemiplegic patients(after stroke). The Korean Journal of Rehabilitation Nursing, 3(1), 5-14.
6 Kim, B. E., & Lee, H. Y. (1994). A follow-up study on the performance of activities of daily living of patients with hemiplegia -After one year at the completion of the health contract-. Journal of Korean Academy of Adult Nursing, 6(1), 101-111.
7 Choi, H. S. (1996). Relationship between the level of physical function of stroke patients (barthel index) and their psychological and social adaptation. Unpublished master's thesis, Chung Ang University, Seoul.
8 Choi, J. S. (2002). Effect of foot reflex zone massage on hemodialysis patient' stress, depression and fatigue. Unpublished master's thesis. Kangwon National University, Kangwon.
9 Suh, M. J., Noh, S., Davins, Gerald M., Kim, K. S., Kim, G. K., Song, J. Y., et al. (1999). Readjustment and social support of the post hospitalized stroke patients. Journal of Korean Academy of Nursing, 29(3), 639-654.   DOI
10 Stephen, B., Alicia, P. P., & Wilma, H. (2002). Effect of age on functional outcomes after stroke rehabilitation, Stroke, 33(1), 179-185.   DOI   ScienceOn
11 Van der Lee, J. H., Wagenaar, R. C., Lankhorst, G. J., Vogelaar, T. W., Devillé, W. L., & Bouter, L. M. (1999). Forced use of the upper extremity in chronic stroke patients: results from a singe blind randomized clinical trial. Stroke, 30(11), 2369-2375.   DOI   ScienceOn
12 Van Zandvoort, M. J. E., Kappelle, L., Algra, A., & De Haan, E. H. F. (1998). Decreased capacity for mental effort after single supratentorial lacunar infarct may affect performance in everyday life. Journal of Neurology, Neurosurgery and Psychiatry, 65(5), 697-702.   DOI   ScienceOn
13 Korean Center for Disease Control and Prevention. (2006). Health behavior and chronic disease statistics. Seoul: Korean Center for Disease Control and Prevention.
14 Yun, Y. H. (2001). A study on the relation between abilities for activities of daily living by the hemiplegic patients after stroke and the educational need of family. Unpublished master's thesis, Chosun University, Gwangju.
15 Kim, H. M. (2005). A study on the effects of stroke patients' activities of daily living, depression and social support for them on their life quality. Unpublished master's thesis, Hanyang University, Seoul.
16 Kim, K. J. (1984). Physical education open lab experiment. Seoul: Hyung Seul publish.
17 Korea National Statistical Office. (2008). Death and cause of death statistics. Daejeon: Korea National Statistical Office.
18 Korean Neurological Association (2007). Neurology. Seoul: Koonja publish.
19 Lee, E. M., & Kang, H. S. (1999). Effect of a proper positioning on prevention of musculoskeletal complication on patients with stroke. The Korean Journal of Rehabilitation Nursing, 2(2), 163-175.
20 National Health Insurance Corporation (2008). 2007 National health insurance statistical yearbook. Seoul: National Health Insurance Corporation.
21 Park, K. H. (2007). Association for daily activities with depression and anxiety in stroke patients. Unpublished master's thesis, Ajou University, Suwon.
22 Song, M. R., & Song, H. M. (2005). The effects of foot reflexology on ADL and fatigue in stroke patients. The Korean Journal of Rehabilitation Nursing, 8(2), 139-148.
23 Park, S. I., & Cho, B. H. (2004). A study on the activities of daily living, self-efficacy and (2004). A promoting behavior in stroke patients. The Korean Journal of Rehabilitation Nursing, 7(2), 149-157.
24 Pedretti, L. W., & Early, M. B. (2001). Occupational therapy practice skills for physical dysfunction (5th ed.). Missouri: Mosby.
25 Ra, H. S. (2002). A study on the correlation between supports from the family of stroke patients and their motor activities in daily lives. Unpublished master's thesis, Daejeon University, Daejeon.
26 Choi-Kwon, S., Han, S. W., Kwon, S. U., & Kim, J. S. (2005). Post stroke fatigue characteristics and related factors. Cerebrovascular Disease, 19(2), 84-90.   DOI   ScienceOn
27 Chuang, K. Y., Wu, S. C., Ma, A. H., Chen, Y. H., & Wu, C. L. (2005). Identifying factors associated with hospital readmissions among stroke patients in Taipei. Journal of Nursing Research, 13(2), 117-128.   DOI   ScienceOn
28 Colle, F., Bonan, I., Gellez Leman, M. C., Bradai, N., & Yelnik, A. (2006). Fatigue after stroke. Annales de Readaptation et de Medecine Physique, 49(6), 361-364.   DOI   ScienceOn
29 Feys, H. M., De Weerdt, W. J., Selz. B. E., Cox Steck, G. A., Spichiger, R., Vereeck, L. E., et al. (1998). Effect of a therapeutic intervention for the hemiplegic upper limb in the acute phase after stroke. Stroke, 29(4), 785-792.   DOI   ScienceOn
30 Granger, C. V., Albrecht, G. L., & Hamilton, B. B. (1979). Outcome of comprehensive medical rehabilitation: Measurement by PULSES profile and the Barthel Index. Archives of Physical Medicine and Rehabilitation, 60(4), 145-154.