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Published on: March 11, 2021
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Patients experience of cognitive fatigue post-stroke: an exploratory study
Sorayya Askari1, Keri Harvey1, Mary Sam-Odutola1
1School of Occupational Therapy, Dalhousie University, Halifax, Canada.
Disability and Rehabilitation
|November 8, 2023
Summary
Post-stroke cognitive fatigue is a complex and underdiagnosed condition affecting stroke survivors. Understanding its characteristics and impact is crucial for effective rehabilitation and patient support.
Area of Science:
- Neurology
- Rehabilitation Medicine
- Psychology
Background:
- Cognitive fatigue is a frequently reported, disabling symptom in neurological recovery, particularly post-stroke.
- It is often underdiagnosed in stroke survivors, leading to inadequate treatment strategies.
- This gap necessitates a deeper exploration of the lived experience of post-stroke cognitive fatigue.
Purpose of the Study:
- To explore the phenomenon of cognitive fatigue as experienced by individuals recovering from stroke.
- To identify the characteristics, triggers, and impact of post-stroke cognitive fatigue on daily life.
- To understand the social awareness and support surrounding this condition.
Main Methods:
- A qualitative descriptive phenomenological approach was employed.
- Semi-structured interviews were conducted with eleven stroke survivors experiencing cognitive fatigue.
- Inductive content analysis was used to analyze the interview data.
Main Results:
- Five key themes emerged: characteristics of cognitive fatigue, aggravating factors, management strategies, impact on daily life, and social awareness/support.
- Participants described cognitive fatigue as complex and significantly affecting their daily activities.
- Triggers included sensory overload, emotional distress, poor sleep, and demanding cognitive tasks.
Conclusions:
- Post-stroke cognitive fatigue is a complex issue significantly impacting survivors' daily lives and rehabilitation.
- Clinicians must actively screen for cognitive fatigue, especially post-discharge, and educate patients and caregivers.
- Enhanced education for healthcare providers is essential for proper identification and management of this symptom.
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