جستجوی مقالات مرتبط با کلیدواژه « fatigue » در نشریات گروه « پزشکی »

Facing with emergencies in operating rooms can lead to nurses' fatigue and physical discomfort. The evidence shows that aromatherapy can effect on fatigue and physical discomfort.

This study was performed with aim to investigate the effect of aromatherapy with R.Damascena essential oil on fatigue and physical discomfort in operating room nurses.

This randomized controlled clinical trial was conducted in 2023 on 60 operating room nurses in Qom University of Medical Sciences, Qom, Iran. Participants were divided into two equal intervention and control groups using the random blocking method. The intervention group received R.Damascena essential oil and the control group received normal saline as a placebo. In the intervention group, two drops of essence and in the control group, two drop of normal saline were applied to cotton ball, and the participants were asked to attach it to their clothes or scarf at a distance of ten centimeters below the chin and inhale it for 10 min. Fatigue and physical discomfort were assessed before and after aromatherapy.

After the intervention, the mean intensity of fatigue and physical discomfort significantly reduced with a mean decrease 18.38% (t=6.62, p<0.001) and 27.75% (t=5.19, p<0.001), respectively. There was significant difference between the intervention and control groups regarding fatigue (t=-2.78, p=0.007) and physical discomfort (t=-3.47, p=0.001).

Implications for Practice: 

Aromatherapy with R.Damascena can reduce fatigue and physical discomfort in operating room nurses. Therefore, it is recommended to use aromatherapy along with other interventions to improve fatigue and physical discomfort.

Fatigue is the most common complaint among patients with rheumatoid arthritis, leading to decreased productivity and reduced quality of life.

The present study was conducted with aim to compare the effect of sole reflexology and stretching exercises on fatigue of rheumatoid arthritis patients.

This clinical trial study was conducted on patients with rheumatoid arthritis in Yasuj city of Iran during 2017-2018. Participants were selected through convenience sampling method but randomly allocated to one of the three groups using randomized block allocation. Multidimensional fatigue questionnaire was used to collect data at two times of pre and post interventions. The interventions were performed during 30 minutes per session for three sessions per week over one month.

Mean scores of global fatigue before the interventions in the sole reflexology group was 80.72±8.61, in stretching exercise group 81±7.30, and in control group (76.43±8.17), however, these values for post intervention were reported to be 68.72±8.59, 50.95±5.73, and 76.82±7.43, respectively. Intergroup comparison showed significant differences between the sole reflexology and stretching exercise groups with the control group (p<0.001); also the two intervention groups significantly differed (p<0.001).

Implications for Practice: 

Both sole reflexology and stretching exercises could improve fatigue of patients with rheumatoid arthritis, but this improvement was higher by stretching exercises than sole reflexology.

Phytochemical-rich foods have anti-inflammatory effects and play a role in the prevention and control of inflammatory diseases such as Multiple Sclerosis (MS). Although some aspects of a diet high in phytochemicals promoting health and preventing chronic diseases are known, further studies are required to confirm the previous findings. 

This cross-sectional study investigated the relationship between Dietary Phytochemical Index (DPI) and fatigue severity in patients with MS. A total of 240 patients aged 18 to 65 years were selected from the MS Association center of Golestan province. A valid and reliable food frequency questionnaire was used to evaluate the diet, and fatigue severity was assessed using the Fatigue Severity Scale (FSS) questionnaire. DPI was calculated using the formula [daily energy from foods rich in phytochemicals (kcal) divided by total daily energy intake (kcal)] and was calculated as 100. 

After controlling for potential confounding factors, the highest tertile of DPI had a lower prevalence of fatigue symptoms (odds ratio (OR: 0.27; 95%CI: 0.03-0.36; p=0.012) compared to those in the lowest tertile. The average age of the study participants was 31.9±7.7 years, and the fatigue score scale among the participants was 39.31±11.62. 

In conclusion, a significant inverse relationship between DPI and fatigue severity was observed in patients with MS. Further prospective studies are needed to confirm these findings.

Delayed dyspnea and fatigue are prevalent symptoms among patients with COVID-19, and family caregivers play a crucial role in their care. This study aimed to investigate the effects of a health literacy-promoting intervention based on the Family-Centered Empowerment Model (FCEM) on delayed dyspnea and fatigue in patients with COVID-19. A randomized controlled trial was conducted at Chamran Hospital in Tehran, Iran, in 2022, involving 70 pairs of COVID-19 patients and their primary family caregivers. Patients were randomly assigned to either the intervention group or the control group using a block randomization method. The intervention group received two 30-minute training sessions for primary family caregivers, while the control group received routine training. Data were collected using the Health Literacy Instrument for Adults, the Fatigue Severity Scale, and the Borg Dyspnea Scale before, one week after, and six weeks after the intervention. The chi-square and Fisher's exact tests, Mann-Whitney test, Friedman test, repeated measures analysis of variance, and Pearson correlation test were used to analyze the data. The mean baseline health literacy score was higher in the control group; however, the increase in health literacy was significantly greater in the intervention group (F=75.31; Df=1.73; P<0.000; Effect size=0.52). The intervention group also experienced a greater reduction in dyspnea during the study (F=13.90; Df=2; P<0.000; Effect size=0.17) and a greater reduction in fatigue (F=10.65; Df=1.18; P<0.001; Effect size=0.13) despite having a higher baseline fatigue score. The health literacy-promoting intervention based on FCEM significantly improved family caregivers' health literacy and reduced delayed fatigue and dyspnea in patients with COVID-19. Nurses are encouraged to implement similar programs to mitigate delayed complications in patients with COVID-19.

Fatigue leads to an increase in joint restoration errors because of nervous system fatigue and a lack of understanding of joint position and imbalance that may be due to the changes in walking patterns and excessive pressure on bones and soft tissue structures, which may ultimately lead to injuries in climbers. Accordingly, this study investigates the effect of fatigue on the restoration error of the knee and ankle joint angles.

This was a quasi-experimental study. A total of 35 mountaineers aged 20-35 years were selected by the non-random sampling method. This research was conducted on September 10, 2022, at the Tochal Climbing Rout in Velenjak, Tehran City, Iran. The tests were taken before and after a mountaineering program for a distance of 8 km at an average speed. The position sense of knee and ankle joints was evaluated using the Mobimed, which is a type of electrogoniometer. The normal distribution of the data was statistically analyzed using the Shapiro-Wilk test, and the data were analyzed using the paired t-test. The SPSS software, version 24, was used for all statistical operations (P≤0.05).

The findings showed that fatigue causes errors and significant changes in the restoration of knee and ankle joint angles and 30° (P=0.003), 45° (P=0.004), 60° (P=0.007), dorsiflexion of 10° (P=0.009) and plantar flexion of 20° (P=0.001), the restoration and sense of position is disturbed, which shows that fatigue is effective in understanding the state of the joints.

Fatigue increases the error of restoration of the knee and ankle joint angles, which can reduce the optimal performance of the muscles around the joints by reducing the person’s understanding of the angles and the sense of the joint position.

Fatigue is a significant factor that affects nurses and the quality of care they provide. This study aimed to compare the effects of foot reflexology (FR) and foot massage (FM) on fatigue and its impacts in female nurses. A randomized controlled trial was conducted with 60 nurses who were randomly assigned to two groups of 30 to receive either FR or FM, in Buali Hospital (Sari-Iran), from January 2022 to July 2023. Nurses received FR or FM for 10 minutes once a day for three consecutive days. Fatigue and its impacts were assessed before, immediately after, and one week following the intervention. Data were collected using the General Health Questionnaire (GHQ-12), the Chalder Fatigue Scale (CFS), and the Fatigue Impact Scale (FIS). The mean baseline fatigue scores in the FR and FM groups were 23.33±9.69 and 22.07±6.51, respectively (P=0.65). Both groups showed a significant decrease in fatigue scores immediately and one-week post-intervention, with the FM group exhibiting a significantly smaller decrease (P<0.05). There was no significant difference in the mean baseline FIS scores between the two groups (P=0.91), but both groups showed a significant decrease in FIS scores over time. The GEE model indicated a significant reduction in CFS and FIS scores over time in both groups (P<0.001). Foot reflexology and foot massage were effective in reducing fatigue and its impacts in nurses. Nurses can choose either of these methods based on their preferences and conditions to alleviate fatigue and its effects.

Chronic kidney disease is one of the public health issues in the world. Imbalances in the gut microbiome contribute to the progression of multiple diseases, including chronic kidney disease. The consumption of probiotics and synbiotics in treating various diseases has progressed significantly. 

The present study investigates the effects of synbiotic supplements on the intestinal microbiome, resulting in improving fatigue and sleep quality of end-stage renal disease patients undergoing hemodialysis.

The study was a double-blind, randomized, placebo-controlled clinical trial. A total of 52 patients with end-stage renal disease undergoing hemodialysis were included in the research and, through permuted block randomization, assigned to the synbiotic group (28 patients) and the placebo group (24 patients). The intervention group received 500 mg of synbiotic (Lactocore) twice a day for eight weeks, and the control group received a placebo for the same period. The patients were evaluated with the Chalder fatigue and Pittsburgh sleep quality questionnaires at the beginning, the fourth week of the study, and at the end of the study. Demographic variables were analyzed using the chi-square test, Fisher exact test, or independent sample t-test, as appropriate. The repeated measures test was used because the outcome variable has been measured three times in each group.

The samples, consisting of 26 males (50%) and 26 females (50%), were randomly allocated to the placebo (n=24, 46.16%), 12 males and 12 females, and the synbiotic supplement (n=28, 53.84%), 14 males and 14 females, groups. The result showed regular use of a synbiotic supplement for 8 weeks did not show a change in the amount of fatigue and sleep quality reported in patients receiving the synbiotic supplement considering the effect of time and group compared to the placebo group.

In general, the 8-week consumption of synbiotic supplements in the intervention group compared to the control group did not significantly affect the fatigue and sleep quality of patients undergoing hemodialysis treatment. However, further studies with larger sample sizes and longer duration are suggested.

Fatigue is a commonly reported issue in individuals with chronic obstructive pulmonary disease (COPD), often overlooked or inadequately addressed in Jordan and globally. This study aimed to assess illness-related fatigue in COPDpeople, its contributing factors, and its impact on their quality of life (QOL).

Methods & Materials: 

A cross-sectional correlational design was employed, recruiting 200 people from four hospitals in Jordan between April and May 2021. Participants completed Arabic versions of the self-administered Fatigue Severity Scale and the WHOQOL questionnaire.

The study revealed a high level of fatigue among COPD people, with an overall mean fatigue score of 5.07±0.62. Particularly noteworthy was the association between heightenedfatigue levels and factors suchas disease-related disabilityand interferencewith daily responsibilities. The overall mean QOL score was low (2.665±0.39), with the physical domain displaying the lowest mean score (2.6±0.47). Fatigue and QOL were significantly and negatively correlated.

COPD people in Jordan experience substantial levels of fatigue, negatively impacting their QOL. Unfortunately, fatigue is often unnoticed in healthcare services. Addressing fatigue should be a crucial aspect of treatment plans for these people. Particularly during pandemics or service disruptions, additional attention is needed to manage fatigue among COPD people effectively. Digital health interventions may offer opportunities toenhance continuityand qualityof care, especiallyduringchallengingtimes.

Symptoms of depression, sleep, and fatigue in stroke patients are associated with each other, and intervention development for improving of these symptoms is needed. This study aimed to examine the effects of hot red bean bag on depression, sleep state, sleep satisfaction, and fatigue among Korean stroke patients.

A quasi-experimental pretest-posttest control group design was employed. The study participants included 57 stroke patients (Intervention: n=28, Control: n=29) in a hospital in Seoul, South Korea from Aug 2017 to Mar 2018. Hot red bean bag, as an intervention, was heated in a 2,450 MHz microwave oven for 3 min, and applied for 30 min at 41±6 ℃ in the lower limbs of the intervention group for 5 days.

There were statistically significant differences on depression (P<0.001), sleep state (P<0.001), sleep satisfaction (P<0.001), and total fatigue (P<0.001) between the two groups.

Hot red bean bag was an effective intervention for decreasing depression and total/subcategories fatigue, and for improving sleep state and sleep satisfaction of Korean stroke patients. Research on complementary and alternative therapies for stroke patients needs be studied continuously.

This study aimed to investigate the effect of aerobic exercise and garlic supplementation on fatigue and cardiovascular risk factors in women with rheumatoid arthritis (RA). Twenty-eight patients who fulfilled the European League Against Rheumatism- American College of Rheumatology (EULAR-ACR) criteria for RA were assigned to three groups, exercise + placebo (E+P) (n = 6), exercise + garlic supplement 500 mg twice/day (E+G), (n = 11) and garlic supplement 500 mg twice/day (G), (n = 11) for 8 weeks. The training program consisted of working on an ergometer 3 sessions/week with a heart rate equal to 60% of VO2max and gradual overload. The outcomes of this study were a comparison of changes in the mean value of the fatigue assessment questionnaire score (FSI), cholesterol, and low-density lipoprotein (LDL) levels. For data analysis, paired t-tests and ANCOVA were used using SPSS software (P ≤ 0.05). The results of the paired t-test showed that after the intervention, the levels of fatigue decreased in the E+G (P = 0.025) as well as in the G (P = 0.002), while it did not change in the E+P (P = 0.151). Additionally, the amount of cholesterol did not change in any of the study groups, and the amount of LDL decreased only in E+G (p=0.028). Furthermore, ANCOVA analysis showed that, there is no significant difference between the study groups in the levels of fatigue (P = 0.962), cholesterol (P = 0.922) and LDL (P = 0.626) after the intervention. According to the results, aerobic exercise and the consumption of garlic can be effective in reducing fatigue and the risk factors of cardiovascular.

The rapid and increasing growth of cancer disease in developed and developing countries and its multi-factorial and destructive personal, social and economic consequences have drawn this disease as a deliberate problem that threatens people's mental health, drawing special attention from specialists and researchers in the health field.. theaim of this research is to analyze the relationship between deficits in "executive function" and "processing speed" with "PTSD symptoms" in cancer patients, by examining the mediating role of fatigue and attention bias.

This research was conducted by the path analysis-correlation method. Its statistical universe was all patients with gastrointestinal cancers (esophagus, stomach, colon, liver, and pancreas) referring to Tehran hospitals and medical centers (Iran) in the first six months of 2022. The statistical sample of this research was 158 men and women referring to two referal hospitals, who were selected for convenience sampling and participated in this research after obtaining informed consent. The research has used the post-traumatic stress disorder checklist (PCL-5), the Barkley Deficit in Executive Functioning Scale (BDEFS), Cancer Fatigue Scale (CFS), the Attention to Positive and Negative Information Scale (APNIS), and the Wechsler Adult Intelligence Scale (WAIS). The research data was tested using structural equation modeling method (path analysis); SPSS version 21 statistical software and Lisrel software were used to analyze the data.

According to the results of the path analysis, the direct path of the "executive function" ( β=-0.249, T=-3.328), the direct path of the "cancer fatigue (CRF)" (β=0.31, T=64.979), and the direct path of "positive attention bias"(β=-0.341, T=-4.648), " to the "PTSD symptom" is significant. However, the direct path of the "processing speed"(β=-0.024, T=-0.501) and the direct path of "negative attention bias" (β=-0.104, T=-1.774) to the "PTSD symptom" are not significant.The direct path of "executive function" to "cancer fatigue" (β=0.623, T=10.081) is significant, but, the direct path of the "processing speed" to "cancer fatigue" (β=0.119, T=1.932), direct path of "processing speed" to "positive attention bias" (β =-0.008, T=-0.132) and direct path of "executive function" to (β=-0.367, T=-4.782) to "negative attention bias" is insignificant.Moreover, according to the results, the indirect effect of the "executive functions" on the "PTSD symptoms" through "positive attention bias" is significant (b=0.077, P<0.05); but, the indirect effect of the "executive functions" on the "PTSD symptoms" through "negative attention bias" is not significant (b=0.013, P>0.05). The indirect effect of the "processing speed" to the "PTSD symptoms" through " cancer fatigue"(b=0.066, P>0.05), the indirect effect of the "processing speed" to the "PTSD symptoms" through "positive attention bias"(b=0.005, P>0.05), and the indirect effect of the "processing speed" to the "PTSD symptoms" through "negative attention bias" is not significant (b=-0.001, p>0.05).

According to the existing research evidence, people show different reactions after being diagnosed with cancer, and during the treatment process, as a traumatic event.Considering the research results, it can be concluded that the experience of cancer-related stress disorder is influenced by cancer fatigue (CRF), information processing speed, and positive and negative attention bias. These results can be the basis for designing an intervention program to reduce symptoms of post-traumatic stress disorder (PTSD) in people with cancer, especially gastrointestinal cancers.

Chemotherapy is one of the main options in treating childhood cancers. Fatigue and pain are common symptoms of cancer and one of the major complications experienced during chemotherapy. This study aimed to determine the effect of foot reflexology and simple foot massage on fatigue and pain in children with leukemia.

This randomized clinical trial was performed on 99 children with leukemia aged 4-14 years, undergoing chemotherapy in the oncology departments of Hazrat Ali Asghar Hospital and Children’s Medical Center, Tehran City, Iran, in 2019. The sampling was sequential, and participants were assigned into three groups by block randomization: Foot reflexology, simple foot massage, and control group. The foot reflexology and simple foot massage were performed for 5 consecutive days. Participants were asked to report the intensity of pain and fatigue over the past 48 hours using the pain visual and child fatigue scales. Statistical analysis was conducted with SPSS software, version 22. Quantitative variables were reported as the Mean±SD. The chi-square test, analysis of variance, and repeated measures tests were used for data analysis. 

Demographic characteristics in three groups were not significantly different except for gender (P=0.011). There was no significant difference in pain (P=0.67) and fatigue (P=0.45) before the intervention. The Mean±SD pain scores on the third day in foot reflexology, simple foot massage, and control group were 4.4±1.9, 5.2±1.79, and 6.3±1.76, respectively (P<0.001). The Mean±SD pain scores on the fifth day in foot reflexology, simple foot massage, and control group were 2.7±1.4, 3.9±1.83, and 6.7±1.5, respectively (P<0.001). The Mean±SD fatigue scores on the third day in foot reflexology, simple foot massage, and control group were 2.36±0.55, 2.95±0.6, and 3.65±0.32, respectively (P<0.0001). The Mean±SD fatigue scores on the fifth day in foot reflexology, simple foot massage, and control group were 2.14±0.42, 2.67±0.73, and 4.12±0.16, respectively (P<0.0001).

Our results showed that foot reflexology and simple foot massage can decrease pain and fatigue in children with leukemia. Performing foot reflexology could be recommended as a complementary intervention to reduce pain and fatigue in children with leukemia.