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

This study aimed to assess the impact of a volleyball-specific fatigue protocol on balance, proprioception, and performance in volleyball players with differing ACL injury risk levels.

his semi-experimental research utilized a pre-test-post-test design. Forty volleyball players from Urmia were selected and divided into low- and high-risk groups based on ACL injury potential, assessed using the Landing Error Scoring System (LESS). A LESS score below 6 indicated low risk, while above 6 indicated high risk. Balance was measured using the stork test (static balance) and Y balance test (dynamic balance), knee proprioception was assessed with a goniometer, and performance was evaluated with the Sargent jump test. After baseline assessments, players were subjected to a volleyball-specific fatigue protocol, after which all tests were repeated. Analysis of covariance and dependent t-tests were used to evaluate inter-group and intra-group differences.

The dependent t-tests and analysis of covariance indicated that fatigue significantly decreased static balance (P=0.001, P=0.001), dynamic balance (P=0.001, P=0.001), and performance (P=0.001, P=0.001). Wilcoxon and Mann-Whitney U tests also significantly reduced proprioception post-fatigue (P=0.001, P=0.001). Additionally, significant differences were found between the groups for all variables (P<0.05) except for proprioception (P>0.05).

Overall, the findings suggest that fatigue is a significant factor in reducing balance, proprioception, and explosive power. This decline was greater in the high-risk injury group, likely due to baseline neuromuscular weaknesses in this group.

 Anxiety and fatigue are symptoms typically experienced by cancer patients undergoing chemotherapy. In dealing with these symptoms, listening to music may help patients.

 The randomized controlled study was conducted between May 1, 2022 and November 10, 2022 with 60 patients treated in the outpatient chemotherapy unit. The data were gathered using a patient information form, Brief Fatigue Inventory, and the State Trait Anxiety Inventory. In addition to standard treatment and care, 30-minute music was played with a passive listening method in a total of three cycles of chemotherapy in the intervention group patients who completed the first cycle and visited for the second cycle of chemotherapy.

 According to the analysis of covariance (ANCOVA) findings, the group variable significantly affected the post-test state anxiety scores when an adjustment was made for pre-test state anxiety scores (F=240.398, P<0.001, η²=0.808). In addition, pre-test state anxiety scores affected post-test results (F=7.925, P=0.007, η²=0.122). According to the ANCOVA findings, the group variable significantly affected the post-test trait anxiety scores (F=235.243, P<0.001, η²=0.805). In addition, pre-test trait anxiety scores affected post-test results (F=34.977, P<0.001, η²=0.380). According to ANCOVA results, the group variable significantly affected post-test fatigue scores (F=79.201, P<0.001, η²=0.582). In addition, pre-test scores affected post-test scores (F=11.082, P=0.002, η²=0.163).

 We observed that music had positive effects on fatigue and anxiety levels in cancer patients undergoing chemotherapy. It may be recommended to include music intervention in nursing practices for cancer patients during chemotherapy. The study results demonstrated that music intervention can be used in nursing practices for cancer patients during chemotherapy. Its low-cost and non-invasive nature also provide ease of application. Therefore, we can recommend the application of music intervention in outpatient chemotherapy units.

 Despite significant advances in medicine, cancer remains one of the most important diseases of the present century. One of the most common and debilitating cancer-related problems experienced by patients at any stage of the disease is fatigue, which may be due to a disease or related treatment that is called cancer-related fatigue. The present study aimed at determining the relationship between demographic and clinical factors and cancer-related fatigue in patients referring to oncology clinics.

 A total of 160 cancer patients entered the present descriptive-correlational study. The participants were selected based on convenience sampling. Data collection tools included demographic information and a multidimensional fatigue symptom inventory-short form. Finally, the obtained data were analyzed using SPSS 22.

 The results of the independent t test demonstrated a significant difference in the mean total score of fatigue in patients with and without a family history of cancer (P=0.016, t=2.429). However, no significant difference was observed between the mean total score of fatigue in patients with and without a history of drug use (P=0.314, t=-1.010). The results of a one-way analysis of variance revealed that there was no significant difference between marital status and general level of fatigue (P=0.122, F=1.961).

 Based on the findings, the type of treatment and family history of cancer were linked to cancer-related fatigue. This suggests that, in addition to offering physical care and nursing interventions, considering the demographic and clinical aspects of cancer patients can be crucial in effectively addressing fatigue in these individuals.

Emergency nurses face various challenging conditions and many moral distress that may associated with fatigue from providing care. The spiritual intelligence of nurses has been found to have an impact on the quality of care. This study aimed to investigate the relationship between the spiritual intelligence of emergency nurses with fatigue from providing care and moral distress in emergency nurses.

This descriptive‑analytical cross‑sectional study was conducted on 200 nurses working in the emergency departments of hospitals in Semnan and Sabzevar, who were selected by stratified random method. They were asked to complete the spiritual intelligence, nurse fatigue scale, and moral distress questionnaire through self‑reporting. The data were analyzed using SPSS 26 and Amos software, path analysis, and correlation tests.

An increase in spiritual intelligence leads to a significant reduction in moral distress (p = 0.01) and fatigue from caregiving (p = 0.001). In contrast, an increase in moral distress leads to a considerable increase in fatigue from caregiving (p = 0.001).

The results showed that spiritual intelligence has an inverse relationship with moral distress and fatigue from providing care. Moral distress has a direct relationship with fatigue from providing care. Therefore, interventions in the field of increasing spiritual intelligence and reducing moral distress and fatigue from providing care are recommended.

This study investigated the effects of humor therapy on the fatigue levels of patients receiving hemodialysis (HD).

A single?blind, randomized clinical trial of 66 HD patients for 3 weeks was conducted, in which two groups were randomly allocated – humor therapy and control. In the intervention group, humor therapy sessions were conducted twice aweek for 3 weeks. As a pre? and postintervention assessment, the Fatigue Symptom Inventory (FSI) was completed.

According to the repeated?measures ANOVA test, FSI values exhibited a  significant decline in the humor therapy group and an increase in the control group at the first, second, and third visits (humor therapy vs. control: 30.38 ± 8.75 and 61.80 ± 13.92, P < 0.001; 35.71 ± 10.05 and 69.53 ± 15.32, P < 0.001; and 34.85 ± 9.24 and 70.34 ± 22.26, P < 0.001, respectively) compared with baseline (humor therapy vs.control: 49.26 ± 5.19 and 52.09 ± 11.69, P = 0.204).

Findings suggest that humor therapy can effectively reduce fatigue levels in patients presenting with HD.

Multiple sclerosis (MS) is a long-term autoimmune disorder affecting the central nervous system, leading to reduced quality of life and impaired physical and psychological functions.

This study aims to examine the relative efficacy of yoga and relaxation therapy in improving sleep disturbances, fatigue, and cognitive impairment among individuals diagnosed with MS.

This study employed a semi-experimental research design, including a pre-test, post-test, and follow-up over three months. The target population comprised all MS patients referred to the Iranian MS Association in Tehran between July and November 2023. Sixty participants were selected using purposive sampling and randomly assigned to research groups: Two yoga therapy groups with 17 participants each, a relaxation therapy group with 16 participants, and a control group with 18 participants. The yoga therapy group participated in twelve 90-minute sessions twice a week, while the control group received no intervention and was placed on a waiting list. Various tools, including the Multidimensional Fatigue Inventory (MFI), Cohen-Mansfield Agitation Inventory (CMAI-O), and a concentration skills questionnaire, were used to collect data. The data were analyzed using ANOVA, Bonferroni post hoc test, MANCOVA, and Kruskal-Wallis H tests with a significance level of 0.05, utilizing SPSS 27 software.

The study found a significant difference (P < 0.001) in the restlessness factor in both the post-test and follow-up phases. Additionally, there was a significant difference (P < 0.001) in the levels of physical fatigue, mental fatigue, decreased activity, and decreased motivation in both the post-test and follow-up phases, indicating significant changes in the fatigue factor among the research groups. However, there was no significant difference in the general fatigue component between the research groups. A significant difference (P < 0.001) was also found in the concentration factor, particularly in the components of voluntary and involuntary concentration, during both the post-test and follow-up stages.

The results of this study indicate that both yoga and relaxation therapy techniques significantly reduce restlessness, physical tiredness, mental fatigue, decreased activity, and decreased motivation. Furthermore, the findings validate that both yoga and relaxation therapy techniques effectively enhance voluntary and involuntary concentration.

Limited evidence is available regarding the effect of reflexology on Acute Myocardial Infarction (AMI). The present study evaluated the effect of foot reflexology on fatigue, sleep quality, physiological indices, and electrocardiogram changes in AMI.

This clinical trial was conducted on 80 subjects with AMI. They were divided into an intervention (received reflexology for 3 consecutive days) and a control (received the routine care) group. The Multidimensional Fatigue Inventory, the Pittsburgh Sleep Quality Index, a pain numeric analog scale, a daily physiological indices form, and daily electrocardiogram were used to collect data. The collected data were analyzed in SPSS software. The study was conducted based on CONSORT criteria.

After controlling the covariates, a significant difference was found between the intervention and control groups with regard to the mean scores of fatigue (F5,80 = 16.33; p < 0.001), sleep quality (F5,80 = 16.56; p < 0.001), and chest pain intensity (F5,80 = 6.86; p = 0.010); means of systolic blood pressure (F5,80 = 22.20; p < 0.001), heart rate (F5,80 = 5.86; p = 0.010), respiration (F5,80 = 9.37; p = 0.003), and temperature (F5,80= ‑4.23; p < 0.001); and incidence of ST‑segment (χ21,80 = 5.00; p = 0.020) and T‑wave changes (χ21,80 = 6.05, p = 0.010) on the fourth day of the intervention.

Given the effectiveness of foot reflexology in different aspects of AMI patients, the implementation of this intervention is recommended for these patients in coronary care units.

Several people suffered from fatigue after recovering from coronavirus disease 2019 (COVID‑19). However, limited studies focused on fatigue in women who recovered from COVID‑19 infection. This study aimed to investigate the prevalence of fatigue among Thai women after COVID‑19 infection and to identify predictive factors, including depression, anxiety, fear, and insomnia.

A cross‑sectional research design using convenience sampling was conducted from October 2022 to January 2023. A total of 142 Thai women after COVID‑19 infection were recruited from two urban communities located in the Bangkok Metropolitan area, Thailand. The participants completed self‑reported questionnaires, including the demographic and illness‑related data questionnaire, the Depress Anxiety Stress Scales, the Insomnia Severity Index, the Fear of Progression Questionnaire, and the Fatigue Severity Scale. Data were analyzed using mean, standard deviation, range, Pearson’s product‑moment correlations, and stepwise multiple regression.

All (100%) participants returned the questionnaires. After recovering from COVID‑19 infection for at least 1 month or longer, 39.40% of the participants reported fatigue. The multiple regression analysis revealed that fear, anxiety, and insomnia collectively contributed to 47% of the variance in the participants’ fatigue (R2 = 0.47; p < 0.001).

Nearly two‑quarters of Thai women after recovering from COVID‑19 infection experienced fatigue. To prevent fatigue among Thai women after COVID‑19 infection, it is necessary to help them overcome feelings of fear and anxiety. Furthermore, nursing interventions aiming to alleviate insomnia should be implemented.

Despite progress in cancer treatment, patients often experience pain and emotional distress, which can reduce sleep quality and, ultimately, the quality of life (QoL). This study aimed to identify the most important factors influencing QoL among cancer-related psychological symptoms in patients with cancer. 

This cross-sectional study with a correlational research design recruited 63 participants with cancer diagnoses from a cancer rehabilitation center in South Korea. Data were collected through convenience sampling between October 2023 and February 2024 using the following questionnaires: The European Organization for Research and Treatment of Cancer Core QoL questionnaire (EORTC QLQ-C30), consisting of 15 items to assess QoL and the breakthrough pain assessment tool (BPAT), brief fatigue inventory (BFI), Beck anxiety inventory (BAI), Beck depression inventory (BDI) and Pittsburgh sleep quality index (PSQI) to measure cancer-related psychological symptoms. 

Only the fatigue symptom in cancer patients was significantly correlated with all items of the EORTC QLQ-C30, whereas pain was correlated with a relatively small number (five items) of EORTC QLQ-C30 items compared to other psychological symptoms. Additionally, there were moderate to strong correlations between cancer-related pain, fatigue, anxiety, depression and poor sleep quality. 

Cancer-related psychological symptoms were interrelated, and these symptoms were related to the multidimensional components of QoL. Fatigue was the most important factor influencing the overall QoL. We suggest that healthcare professionals consider a comprehensive approach to improving the QoL of patients with cancer.

Since the foot is vital for maintaining stability and posture, knowing the difference between dominant and non-dominant knees can help reduce the risk of knee injury. Basketball players with dynamic knee valgus (DKV) following fatigue application were the subjects of the current study, which compared the angle and pattern of knee valgus in dominant and non-dominant feet.

In this cross-sectional study, our selection process involved choosing 27 basketball players with a knee dynamic valgus pattern (mean age=20.77±3.06 years, mean height=188±9 centimeters, and mean weight=79.68±18.35 kilograms) in a non-random, targeted manner. To assess the knee valgus angle in the frontal plane, we performed imaging using a digital camera positioned at 366 centimeters and a height of 105 centimeters relative to the subject. Furthermore, the subjects performed three countermovement jumps. Data were analyzed using “KINOVEA” software, version 0.9.5. In this study, players engaged in a 40-minute basketball game, conducted under regulations and including all scheduled rest periods.

No significant difference was observed between the pre-test and post-test in the dominant foot initial contact valgus variable (P=0.900), non-dominant foot initial contact valgus variable (P=0.134), dominant foot maximum flexion valgus variable (P=0.237), and non-dominant foot maximum flexion valgus variable (P=0.188), according to the results of the paired t-test for within-group comparison of the study’s mean variables. Furthermore, no statistically significant difference was observed in the first contact valgus between the dominant and non-dominant foot prior to the test (P=0.485) or between the two groups after the test (P=0.066). However, a significant difference was found in the maximum flexion valgus between the dominant and non-dominant foot before the test (P=0.012) and after the test (P=0.018), indicating that the dominant foot had a greater valgus angle than the non-dominant foot in both instances.

The current study’s results indicate that functional exhaustion, as employed in this investigation, does not raise the knee valgus angle; however, among basketball players, the dominant foot’s valgus angle was larger than the non-dominant foot. Therefore, the basketball players’ dominant foot is probably more vulnerable to non-contact anterior cruciate ligament (ACL) injuries.

This study seeks to explore the effects of pelvic floor muscle exercises on urinary incontinence and leisure time in women diagnosed with multiple sclerosis (MS).

A quasi-experimental design was utilized in this study. The research included 15 women with MS at stages 7 or lower on the expanded disability status scale, selected conveniently to form the intervention group. This group underwent a structured pelvic floor muscle exercise program. Pre-test and post-test assessments were conducted using the international consultation on incontinence questionnaire-urinary incontinence short form, the leisure activities questionnaire and the fatigue severity scale. The impact of the intervention was analyzed using the Wilcoxon test.

The results demonstrated a significant reduction in urinary incontinence (P=0.007) and increased leisure activities (P=0.003) among women with MS who engaged in pelvic floor muscle exercises. However, these exercises did not significantly affect the participants’ fatigue levels.

The study suggests pelvic floor exercises can effectively decrease urinary incontinence and enhance leisure activities in women with MS. These findings emphasize the importance of incorporating targeted exercises into the care of this patient population, providing valuable insights for healthcare professionals and individuals aiming to enhance their quality of life (QoL). Further research and integration of pelvic floor exercises into comprehensive care strategies are recommended to optimize the well-being of women with MS.

Pain and fatigue are common in women with breast cancer. Mindfulness-based stress reduction training has shown varying results regarding pain and fatigue scores. Therefore, this study was conducted to determine the effect of mindfulness-based stress reduction intervention on pain and fatigue in women with breast cancer in Yazd, Iran.

This quasi-experimental study was conducted on 56 women with breast cancer in Yazd City, Iran. Using a simple randomization method, participants were assigned to the intervention and control groups (28 patients per group). Mindfulness-based stress reduction training was conducted via WhatsApp in eight virtual sessions for the intervention group. Data were collected using an electronic demographic form and the Fatigue Severity Scale Questionnaire (FSS) and Brief Pain Inventory (BPI) before the intervention, immediately after the intervention (week eight), and four weeks after the intervention (week 12). Descriptive statistics and both parametric and nonparametric analyses were performed using SPSS 16 software.

There was no significant difference in demographic and clinical characteristics between the groups. The mean fatigue score of the intervention group improved at week eight compared to the control group (p<0.001). However, there was no significant difference between the two groups in the average pain score after the intervention, although a decreasing trend was observed (p>0.05).

MBSR training reduces fatigue in women with breast cancer, and although it decreases pain, this reduction is not significant.

Multiple sclerosis (MS) is associated with many healthrelated problems and changes in diet were shown to help the patients reduce some symptoms. This cross sectional study investigated the relationship between dietary acid load with fatigue, quality of life, and nutrient adequacy ratio in MS patients. Totally, 283 MS patients were enrolled in Shiraz, Iran between June 2018 and February 2019. Dietary acid load indices including potential renal acid load (PRAL) and net endogenous acid production (NEAP) were determined for the patients. The level of fatigue and quality of life of the individuals were evaluated by the modified fatigue impact scale (MFIS) and the multiple sclerosis quality of life-54 questionnaires (MSQoL-54), respectively. Nutrient intake was determined to calculate the mean adequacy ratio (MAR) using a food frequency questionnaire (FFQ). The mean score of MAR, NEAP, and PRAL was 0.9±0.18, 87.71±44.86, and 36.27±33.81, respectively. After adjusting for confounders, a significant, negative and very weak association was observed between physical health composite (PHC) of the quality of life and NEAP (p=0.003) and PRAL (p=0.007). Also, a significant, negative, and very weak correlation was found between MAR and NEAP (p=0.006) and PRAL (p=0.028) in a crude model. Furthermore, after adjusting for confounders, the association between MAR and NEAP remained significant (p=0.003). Our findings revealed that there might be an association between dietary acid load indices, physical dimension of MSQoL-54 and MAR.

The research aims to investigate the impact of a single bout of functional fatigue on proprioception, coordination, and variability among lower extremity joints and segments in semi-skilled male cyclists. Cycling is recognized as a sport in both professional and public contexts, yet excessive activity and fatigue pose significant risks for injury during pedaling. The present study utilized a semi-experimental design employing a pretest-posttest method. It involved 24 randomly selected semi-skilled male cyclists with a mean age of 26.32±5.72 years. Before inducing fatigue through cycling, participants underwent pretest and posttest assessments to evaluate coordination and variability among segments of the lower extremities and proprioception of the knee and ankle joints. These assessments were conducted using a three-dimensional optoelectronic system with six cameras operating at a sampling frequency of 200 Hz. This system facilitated the acquisition of kinematic data related to the lower extremities. Statistical analysis included a one-way repeated measures ANOVA test and dependent t-test to compare all variables. The significance level in all statistical tests was set at 0.05. The findings indicated a significant increase in knee and ankle proprioception (P < 0.001) as well as coordination and variability among lower extremity segments (P < 0.001). The presence of heightened proprioceptive errors in the joints, decreased coordination, and increased variability between segments indicates their association with sports injuries. Consequently, prolonged cycling and fatigue may contribute to an elevated prevalence and diversity of sports injuries among semi-skilled cyclists.

Few comparative studies have been carried out into the effects of nonpharmacological interventions on reducing fatigue in hemodialysis patients. This study compared the effect of warm footbath with effleurage and petrissage massages on fatigue in hemodialysis patients.

Seventy patients undergoing hemodialysis referring to two dialysis centers in 2016 were included in this clinical trial study. However, 62 hemodialysis patients finally completed the study. The patients were selected through a nonrandom sampling method, but were later assigned to one of the three groups of warmwater footbath, effleurage, and petrissage massages based on randomized blocked allocation. Using a multidimensional inventory, fatigue was assessed before the  ommencement of the interventions, at the end of the first and the 2nd month of the interventions. The data were analyzed using statistical software of SPSS, version 25, through descriptive statistics by running median and Friedman tests with considering 95% confidence interval.

Warmwater footbath, effleurage, and petrissage resulted in a significant reduction or improvement in global fatigue and types of fatigue of patients undergoing hemodialysis at the end of the first and 2nd month of the interventions (P = 0.001). The results of the between?groups comparison showed that there was no significant difference (P > 0.05) in fatigue reduction among the three groups of warmwater footbath, effleurage, and petrissage massages in terms of the median index of fatigue scores.

Warmwater footbath, effleurage, and petrissage massages have similar positive effects on fatigue in patients undergoing hemodialysis.

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.

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.