Nursing strategies for severe poststroke fatigue: a case report of a structured, multidimensional intervention...

Poststroke fatigue (PSF) is a complex, multidimensional symptom characterized by a persistent, disproportionate sense of exhaustion that is not fully relieved by rest. It typically manifests as early-onset fatigue with reduced energy reserves, significantly hindering post-stroke recovery. This article reports the nursing process of a patient with a right basal ganglia infarction complicated by severe PSF. After admission, the patient received intravenous thrombolysis and antiplatelet therapy, combined with early-stage rehabilitation. A personalized, phased nursing plan centered on "precise assessment-energy restructuring-sleep optimization-psychological empowerment-family collaboration" was implemented. Specific interventions included structured activity and rest diary management, personalized energy conservation technique training, sleep hygiene interventions, goal setting and behavioral activation using Motivational Interviewing (MI) techniques, and systematic education and support for caregivers. Following a 6-week intervention period, the patient was discharged. Follow-ups at 1, 3, and 6 months post-discharge indicated recovery.