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Effectiveness of Nursing Interventions for Poststroke Fatigue: A Systematic Review
1Department of Nursing, Dongguk University WISE, Gyeongju-si, Gyeongbuk, South Korea.
Summary
Nursing interventions effectively reduce poststroke fatigue in stroke survivors. This systematic review highlights the benefits of nurse-led strategies, including psychosocial support and self-management, for improving patient outcomes in rehabilitation nursing practice.
Area of Science:
- Rehabilitation Nursing
- Neurology
- Evidence-Based Practice
Background:
- Poststroke fatigue is a common and debilitating condition affecting stroke survivors' quality of life.
- Effective management strategies are crucial for optimizing recovery and functional outcomes in stroke rehabilitation.
Purpose of the Study:
- To systematically review and analyze the effects of nursing interventions on poststroke fatigue.
- To characterize the nature and components of effective nursing interventions for poststroke fatigue.
Main Methods:
- A systematic review adhering to the 2020 Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines.
- Inclusion of experimental and quasi-experimental studies using the Population, Intervention, Comparisons, Outcomes, Study Design (PICO-SD) framework.
- Quality assessment of included studies using Cochrane Risk of Bias 2.0 and ROBINS-I tools.
Main Results:
- Ten studies met the inclusion criteria, evaluating various nurse-led interventions.
- Interventions commonly included psychosocial support, physical activities, and self-management strategies, often delivered individually.
- Methodological limitations, such as concerns with blinding and study design, were identified in several studies.
Conclusions:
- Nursing interventions demonstrate beneficial effects in alleviating poststroke fatigue.
- Proactive nursing involvement and multidisciplinary collaboration are essential for addressing fatigue in stroke survivors.
- Findings underscore the importance of targeted nursing interventions within rehabilitation settings.
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