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  • 1.
    Bergsten, Lisa Maria
    Jönköping University, School of Health Science, HHJ, Dep. of Rehabilitation.
    Utbredd trötthet och beroende i vardagliga aktiviteter efter trombolyserad stroke2015Independent thesis Advanced level (degree of Master (One Year)), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background and purpose – Thrombolysis after stroke improves the neurological conditions but there is uncertainty if the improvement also embraces other areas. The aim was to describe the prevalence and occurrence of fatigue and dependence in ADL in individuals with stroke, and the relationship between them. The aim was also to identify which possible factors affect fatigue or dependence in ADL within the thrombolysis group and the control group of people with stroke who have not received thrombolysis. Methods - This study included 443 persons registered in Riks-Stroke, during 2010-2012. Information on background variables and thrombolytic treatment was collected during the hospital stay. All persons were discharged to their homes after the hospital stay. The persons were divided in thrombolysis group and control group and after three months, fatigue and ADL-ability (living situation, personal care, movements, dependence on relative) and memory were assessed. Results– Within the thrombolysis group there was 32.1% who reported great problems of fatigue and one-third (32.1%) was partly dependent in ADL. No statistical differences were observed between the groups, but an association was found between fatigue and need for assistance in ADL. The association persisted when people with memory problems were excluded. In the thrombolysis group, an association was found between fatigue and memory problems and an increased tendency of fatigue in women. In the thrombolysis group it was also established an association between ADL and memory problems, NIHSS (National Institutes of Health Stroke Scale) and days at stroke unit, and an increased need for support in ADL for women. Conclusion – Post stroke fatigue (PSF) is a significant problem affecting the ADL-ability.  The study showed no distinct predictors of PSF. The results indicate the importance of information to pay attention to PSF and a great need of rehabilitation after stroke, irrespectively of group.

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