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Documents  Fatigue | enregistrements trouvés : 15

     

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Objective: The present study aims to explore the relative effectiveness of two group-based cognitive rehabilitation programs for reducing fatigue in pediatric acquired brain injury (pABI). Method: This is an exploratory study of secondary endpoints in a blinded, parallel-randomized controlled trial with children and adolescents (ages 10-17 years) with pABI and reported executive dysfunction. It investigates the effectiveness of a metacognitive program (pediatric goal management training, n = 36) compared to a psychoeducational program (pediatric brain health workshop, n = 37) for reducing fatigue (Pediatric Quality of Life Inventory, Multidimensional Fatigue Scale), 8 weeks and 6 months postintervention. Results: Seventy-three participants completed the allocated interventions, and 71 attended the 6-month follow-up. The results showed a significant decrease in parent-reported fatigue for both interventions from baseline to the 6-month follow-up. Forty percent of the total sample had a reliable change. There was no significant difference between the intervention groups, but a tendency in favor of the psychoeducational approach. Only subscales cognitive and sleep/rest fatigue showed significant reductions. In regression analyses, several factors predicted fatigue at 6 months follow-up, but only better global outcome and executive attention predicted a decrease in fatigue symptoms after 6 months. Conclusions: Group-based cognitive rehabilitation in the chronic phase of pABI, including education of parents and teachers, may be helpful in reducing fatigue. Global outcome and executive attention at baseline predicted fatigue improvement. Developmental factors are important to consider when tailoring pediatric interventions, as well as modifiable factors associated with fatigue.
Objective: The present study aims to explore the relative effectiveness of two group-based cognitive rehabilitation programs for reducing fatigue in pediatric acquired brain injury (pABI). Method: This is an exploratory study of secondary endpoints in a blinded, parallel-randomized controlled trial with children and adolescents (ages 10-17 years) with pABI and reported executive dysfunction. It investigates the effectiveness of a metacognitive ...

Fatigue ; Pédiatrie ; Cerveau - Lésions et blessures

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Fatigue After Traumatic Brain Injury: A Systematic Review | Septembre/Octobre 2022 H

Article (Neurologie et neuropsychologie)

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Objective: To provide a systematic review of published interventions for posttraumatic brain injury fatigue (PTBIF).

Methods: PubMed and OneSearch were systematically searched for PTBIF interventions published between January 1, 1989, and March 31, 2019. Search results were evaluated for inclusion based on an abstract and full-text review. Inclusion criteria were (1) an investigation of an intervention, (2) participant sample including individuals with traumatic brain injury (TBI), (3) report of fatigue outcome data among individuals with TBI, and (4) articles available in English, Spanish, French, German, Afrikaans, or Dutch. A risk of bias assessment was conducted on all included publications.

Results: The search resulted in 2343 publications, with 37 meeting inclusion criteria for this review. Categories of PTBIF interventions were pharmacological (n = 13), psychological (n = 9), exercise-based (n = 4), complementary alternative medicine (n = 5), electrotherapeutic (n = 3), and multimodal (n = 3). Only methylphenidate, modafinil, and cognitive behavioral therapy interventions included multiple cohorts. Pharmacological and psychological interventions represented the groups with the lowest risk of bias.

Conclusions: This review includes 37 studies, with 21 studies published after 2014. Methylphenidate and melatonin were the only pharmacological agents found to reduce fatigue in randomized controlled trials. Creatine given to children prospectively at onset of injury reduced fatigue at follow-up. Walking and water aerobics were effective exercise interventions in isolated randomized controlled studies. One multimodal study of children after concussion was more effective at reducing fatigue and postconcussion symptoms than community standard of care. Other interventions had equivocal results. Overall, more work remains to understand and develop treatments for PTBIF.
Objective: To provide a systematic review of published interventions for posttraumatic brain injury fatigue (PTBIF).

Methods: PubMed and OneSearch were systematically searched for PTBIF interventions published between January 1, 1989, and March 31, 2019. Search results were evaluated for inclusion based on an abstract and full-text review. Inclusion criteria were (1) an investigation of an intervention, (2) participant sample including ...

Cerveau - Lésions et blessures ; Fatigue ; Fatigue mentale ; Traumatisme cranio-cérébral

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Purpose: The purpose of this study was to determine whether spasticity, pain, and fatigue symptoms were related to functional outcomes in people with stroke.

Design: A longitudinal correlation design was used.

Methods: Twenty-two stroke patients experiencing spasticity, pain, and fatigue were followed for 7 days over 6 weeks: 3 days in acute rehabilitation units, 3 days postdischarge to home/community, and an additional 1 day at 1 month postdischarge. Demographics, numeric ratings, and PROMIS tools were used to determine associations over time.

Results: Pain was related to fine motor activities on admission. Fatigue was significantly associated with activities of daily living, motor functions, mobility, and ability to perform physical tasks at 1 month. Spasticity was significantly related to activities of daily living, pain experiences and fatigue at 1 month.

Conclusions: Symptoms of spasticity, pain, and fatigue were associated with functional outcomes in this sample of patients.

Clinical Relevance to Rehabilitation Nursing: Symptoms can influence physical recovery; therefore, nurses could improve care through recognition of suspected correlation of symptoms in people with stroke.
Purpose: The purpose of this study was to determine whether spasticity, pain, and fatigue symptoms were related to functional outcomes in people with stroke.

Design: A longitudinal correlation design was used.

Methods: Twenty-two stroke patients experiencing spasticity, pain, and fatigue were followed for 7 days over 6 weeks: 3 days in acute rehabilitation units, 3 days postdischarge to home/community, and an additional 1 day at 1 month ...

Fatigue ; Douleur ; Insuffisance cardiaque

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Examining a Fatigue Management Model in Older Individuals | Mars / Avril 2022 H

Article (Soins infirmiers généraux)

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Purpose: The aim of this study was to examine a fatigue model for older individuals based on the theory of unpleasant symptoms.

Research Design: The research design used was a secondary data analysis of the "Patient-Reported Outcomes Measurement Information System Profiles-Health Utilities Index" data set.

Methods: Multiple regression analysis and path analyses were used to examine hypothesized model paths.

Results: A number of comorbidities, pain, sleep, depression, anxiety, education, and sensory impairment were significant predictors of fatigue. Higher fatigue scores predicted lower physical, social, and cognitive performances, as well as worse perceived health and quality of life (QOL). In addition, the identified fatigue outcomes mediated the relationship between fatigue and QOL.

Conclusions: Future research should be directed toward exploring other risk factors of fatigue and examining feedback loops depicted in the theory of unpleasant symptoms.

Clinical Relevance to the Practice of Rehabilitation Nursing: Rehabilitation nurses should closely monitor and manage the identified fatigue-influencing factors to improve older individuals' performance, perceived health, and QOL.
Purpose: The aim of this study was to examine a fatigue model for older individuals based on the theory of unpleasant symptoms.

Research Design: The research design used was a secondary data analysis of the "Patient-Reported Outcomes Measurement Information System Profiles-Health Utilities Index" data set.

Methods: Multiple regression analysis and path analyses were used to examine hypothesized model paths.

Results: A number of comorbidities, ...

Fatigue ; Personnes âgées - Soins ; SOINS INFIRMIERS

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Background: Patients with gastrointestinal cancers experience moderate to high levels of sleep disturbance during chemotherapy that decreases their functional status and quality of life (QOL).

Objective: The objectives of this study were to identify subgroups of patients with gastrointestinal cancers with distinct sleep disturbance profiles and evaluate for differences among these subgroups in demographic, clinical, and sleep characteristics, as well as co-occurring symptoms and QOL outcomes.

Methods: Patients (n = 405) completed questionnaires 6 times over 2 cycles of chemotherapy. Latent profile analysis was used to identify subgroups of patients with distinct sleep disturbance profiles.

Results: Three distinct sleep disturbance profiles (ie, low, high, very high) were identified. Compared with the low class, patients in the other 2 classes were significantly younger and less likely to be married and to exercise on a regular basis and received a higher number of previous treatments. Compared with the low class, patients in the other 2 classes reported higher levels of anxiety, depressive symptoms, morning and evening fatigue, and pain and lower levels of attentional function and QOL scores at enrollment.

Conclusions: This study is the first to use latent profile analysis to identify subgroups of patients with gastrointestinal cancers with distinct sleep disturbance profiles. Findings provide new insights on the associations between sleep disturbance and multiple co-occurring symptoms in these patients.

Implications for Practice: Clinicians can identify patients who are at the highest risk for sleep disturbance and recommend a variety of sleep hygiene interventions (eg, establishment of a bedtime routine), as well as initiate interventions for other co-occurring symptoms.
Background: Patients with gastrointestinal cancers experience moderate to high levels of sleep disturbance during chemotherapy that decreases their functional status and quality of life (QOL).

Objective: The objectives of this study were to identify subgroups of patients with gastrointestinal cancers with distinct sleep disturbance profiles and evaluate for differences among these subgroups in demographic, clinical, and sleep characteristics, ...

Anxiété ; Dépression ; Chimiothérapie ; Sommeil ; Fatigue ; Tractus gastro-intestinal - Cancer - Traitement ; Douleur ; Qualité de la vie ; Troubles du sommeil

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Moderate-intensity continuous aerobic exercise training (MICT) is used to help alleviate symptoms of cancerrelated fatigue (CRF) in many cancer rehabilitation programs. High-intensity interval training (HIIT) has become increasingly popular, including several research studies demonstrating promising effects of HIIT on CRF
among patients and survivors of cancer. However, we propose that 2 primary limitations exist in the current
literature that must be addressed before HIIT should be translated from research studies and implemented in
cancer rehabilitation. These limitations are the lack of generalizability of this research and a paucity of studies
that have directly compared MICT with HIIT while matching for total exercise volume. In this commentary, we
expand on the rationale for the proposed limitations and provide suggestions for future research directions.
(Rehab Oncol 2022;000:1–4) Key words: cancer rehabilitation, cancer-related fatigue, high-intensity interval training
Moderate-intensity continuous aerobic exercise training (MICT) is used to help alleviate symptoms of cancerrelated fatigue (CRF) in many cancer rehabilitation programs. High-intensity interval training (HIIT) has become increasingly popular, including several research studies demonstrating promising effects of HIIT on CRF
among patients and survivors of cancer. However, we propose that 2 primary limitations exist in the current
literature that ...

Cancer - Thérapeutique par l'exercice ; Cancéreux - Réadaptation ; Fatigue

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Background: Cancer-related fatigue (CRF) is one of the most reported and functionally limiting symptoms
experienced by individuals living with and beyond cancer. Exercise is effective at reducing CRF, although
currently it is not possible to predict the magnitude and time course of improvement for an individual participating in an exercise program. Objective: To develop a reference chart of CRF improvement for individuals
participating in a 3-month cancer-specific exercise program. Methods: In this retrospective cohort study, CRF
was assessed every 2 weeks (using the FACIT-Fatigue scale, range: 0-52, with lower scores indicating greater
fatigue) in 173 individuals participating in a 3-month supervised exercise program (741 observations). No cancer types were excluded and individuals were either undergoing chemotherapy and/or radiation, or within
6 months of completing treatment. The reference chart was developed using Generalized Additive Models
for Location Scale and Shape. Results: Each participant had an average of 4 CRF observations. Lower centiles
demonstrated greater improvement than higher centiles (11 points over the duration of the program for the
10th and 4 points for the 90th percentiles). Limitations: The population is biased to individuals self-selecting
or being referred to a clinical exercise program. Conclusions: This reference chart provides a novel method
of monitoring CRF improvement during a cancer-specific exercise program. Setting appropriate expectations
and informing exercise prescription adaptation are discussed in the context of representative data from 3
participants. Future research can investigate improvements in clinical outcomes and the remote monitoring
of CRF through the implementation of the reference chart. (Rehab Oncol 2022;000:1–7) Key words: cancer
exercise, oncology rehabilitation, symptom monitoring
Background: Cancer-related fatigue (CRF) is one of the most reported and functionally limiting symptoms
experienced by individuals living with and beyond cancer. Exercise is effective at reducing CRF, although
currently it is not possible to predict the magnitude and time course of improvement for an individual participating in an exercise program. Objective: To develop a reference chart of CRF improvement for individuals
participating in a ...

Fatigue ; Exercice ; Cancer

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Objectif : La fatigue et les troubles cognitifs qui se manifestent après un cancer sont des effets indésirables qui, souvent, perdurent après les traitements et nuisent à la qualité de vie. L’étude vise à évaluer la faisabilité du neurofeedback et ses effets sur le fonctionnement cognitif et la fatigue des survivants du cancer, particulièrement la faisabilité des stratégies de recrutement, du protocole de recherche et des mesures de résultats.

Devis : L’étude pilote de faisabilité est construite selon un devis avec groupe témoin mis sur liste d’attente pendant une période de 10 semaines. Les participantes servaient elles-mêmes de groupe témoin. Elles ont suivi deux séances de neurofeedback par semaine, pendant 10 semaines.

Participants : L’échantillon était composé de survivantes du cancer du sein vivant à Kingston, en Ontario (n=16).

Méthodologie : Les résultats ont été évalués à l’aide d’échelles d’autoévaluation validées, ainsi que par des tests neurobiologiques avant, pendant et après le traitement par neurofeedback.

Résultats : La faisabilité du protocole de neurofeedback a été confirmée : la procédure s’accompagne d’une diminution significative des troubles cognitifs, de la fatigue, des troubles du sommeil et des symptômes psychologiques.

Implications pour les services psychosociaux : Le neurofeedback pourrait se poser en thérapie complémentaire efficace et non invasive pour traiter les troubles cognitifs qui surviennent chez les survivantes du cancer du sein après les traitements.
Objectif : La fatigue et les troubles cognitifs qui se manifestent après un cancer sont des effets indésirables qui, souvent, perdurent après les traitements et nuisent à la qualité de vie. L’étude vise à évaluer la faisabilité du neurofeedback et ses effets sur le fonctionnement cognitif et la fatigue des survivants du cancer, particulièrement la faisabilité des stratégies de recrutement, du protocole de recherche et des mesures de rés...

Fatigue ; Troubles de la cognition ; Cancer

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- 207 p.
Cote : WB890 D438c 2016

Fatigue ; Fatigue - Prévention

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- ii, 99 p.
Cote : WB320 G946

Fatigue ; Réadaptation

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