Objective: To investigate fatigue severity and the relationship of fatigue to other associated factors such as mood status, quality of life, functional status and motor function and to evaluate the effect of rehabilitation on fatigue in patients with brain tumors. Method: We enrolled 25 brain tumor ...
Objective: To investigate fatigue severity and the relationship of fatigue to other associated factors such as mood status, quality of life, functional status and motor function and to evaluate the effect of rehabilitation on fatigue in patients with brain tumors. Method: We enrolled 25 brain tumor resection patients referred to the rehabilitation department of our hospital. To measure fatigue and its associated factors, the following assessment tools were used: the Piper Fatigue Scale (PFS) and the Brief Fatigue Inventory (BFI) for fatigue severity assessment, the Beck Depression Inventory for mood assessment, the European Organization for Research and Treatment of Cancer (EORTC) Quality of Life Questionnaire-Core 30 (QLQ-C30) for their quality of life evaluation, the Karnofsky Performance Status (KPS) and the Modified Barthel Index (MBI) for functional status evaluation, and the Motricity Index (MI) for motor function assessment. We checked serum hemoglobin, C-reactive protein, the white blood cell (WBC) count, albumin, creatine kinase and anthropometric variables including weight, height, and body mass index. All recruited patients underwent the evaluations before and four weeks after rehabilitation. Results: Twenty-one patients (84.0 %) answered that they had felt fatigue during the previous week. Patients with recurrent tumors showed a significantly higher PFS scores than those with first-ever onset brain tumor. We found that fatigue had a significant correlation with KPS, MBI, EORTC QLQ-C3 physical functioning and insomnia scales. In addition, insomnia was one of the major causes of fatigue. After rehabilitation, the KPS, MBI and MI scores, and serum WBC count were considerably improved while there was no significant differences on the PFS and BFI scores. Conclusion: These findings suggest that fatigue, which is a common complaint among the brain tumor patients, may eventually decrease their functioning and sleep disturbance can be an important cause of fatigue. In addition, improved functional outcomes, motor power, and inflammatory state were seen in the patients after rehabilitation.
Objective: To investigate fatigue severity and the relationship of fatigue to other associated factors such as mood status, quality of life, functional status and motor function and to evaluate the effect of rehabilitation on fatigue in patients with brain tumors. Method: We enrolled 25 brain tumor resection patients referred to the rehabilitation department of our hospital. To measure fatigue and its associated factors, the following assessment tools were used: the Piper Fatigue Scale (PFS) and the Brief Fatigue Inventory (BFI) for fatigue severity assessment, the Beck Depression Inventory for mood assessment, the European Organization for Research and Treatment of Cancer (EORTC) Quality of Life Questionnaire-Core 30 (QLQ-C30) for their quality of life evaluation, the Karnofsky Performance Status (KPS) and the Modified Barthel Index (MBI) for functional status evaluation, and the Motricity Index (MI) for motor function assessment. We checked serum hemoglobin, C-reactive protein, the white blood cell (WBC) count, albumin, creatine kinase and anthropometric variables including weight, height, and body mass index. All recruited patients underwent the evaluations before and four weeks after rehabilitation. Results: Twenty-one patients (84.0 %) answered that they had felt fatigue during the previous week. Patients with recurrent tumors showed a significantly higher PFS scores than those with first-ever onset brain tumor. We found that fatigue had a significant correlation with KPS, MBI, EORTC QLQ-C3 physical functioning and insomnia scales. In addition, insomnia was one of the major causes of fatigue. After rehabilitation, the KPS, MBI and MI scores, and serum WBC count were considerably improved while there was no significant differences on the PFS and BFI scores. Conclusion: These findings suggest that fatigue, which is a common complaint among the brain tumor patients, may eventually decrease their functioning and sleep disturbance can be an important cause of fatigue. In addition, improved functional outcomes, motor power, and inflammatory state were seen in the patients after rehabilitation.
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