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The Journal of Neurological and Neurosurgical Nursing

Stress and Fatigue in Caregivers of Post-stroke Patients
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Stress and Fatigue in Caregivers of Post-stroke Patients

Authors

  • Magdalena Wiśniewska Arion Med Hospital in Gorzewo, Poland
  • Magdalena Ciechanowska The Mazovian University in Płock, Poland
  • Andrzej Bartosiński The Mazovian University in Płock, Poland

DOI:

https://doi.org/10.15225/PNN.2025.14.3.3

Keywords

fatigue, stress, stroke

Abstract

Introduction. A stroke patient often requires assistance in performing daily activities and is unable to function independently. Washing, dressing, and eating independently become difficult. The patient’s family must support the patient in this new situation and come to terms with their existing limitations. Caregivers for stroke patients face various challenges that impact their physical and mental health, as well as their social lives.

Aim. The aim of the study was to analyze the occurrence of stress and fatigue in caregivers of stroke patients.

Material and Methods. The study was conducted on a group of 156 individuals caring for stroke patients. The research used a diagnostic survey method using measurement and questionnaire techniques. Fatigue Assessment Scale (FAS) was used to assess the quality and level of fatigue. The standard Perceived Stress Scale (PSS-10) was used to assess the perceived level of stress, and the Coping Orientation to Problems Experienced (COPE) was used to assess the way of coping with stress. The obtained results were subjected to statistical analysis, assuming a statistically significant value of p≤0.05.

Results. The analysis of our own research showed that the selected analyzed variables did not have a statistically significant effect (p>0.50) on the level of stress experienced by people caring for patients after cerebral stroke. A statistically significant effect (p≤0.05) of the variables on the selected strategies of coping with stress was observed. Among these strategies were: use of instrumental social support; use of emotional social support; positive reinterpretation and growth; restrain; acceptance; denial; and alcohol or substance use. The level of fatigue was significantly related to: age (p=0.010), education (p=0.032) and socio-economic conditions of the respondents (p=0.020).

Conclusions. Caregivers for stroke survivors experience high levels of stress and physical and mental exhaustion. At the same time, they exhibit low levels of stress management. (JNNN 2025;14(3):118–124)

References

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[3] Aziz N.A., Pindus D.M., Mullis R., Walter F.M., Mant J. Understanding stroke survivors’ and informal carers’ experiences of and need for primary care and community health services--a systematic review of the qualitative literature: protocol. BMJ Open. 2016;6(1):e009244.

[4] Denham A.M.J., Baker A.L., Spratt N. et al. The unmet needs of informal carers of stroke survivors: a protocol for a systematic review of quantitative and qualitative studies. BMJ Open. 2018;8(1):e019571.

[5] Antczak-Komoterska A., Filipska K., Raszka A. Problems of Families of Patients after Ischemic Stroke. J Neurol Neurosurg Nurs. 2017;6(3):126–129.

[6] Ablewhite J., Nouri F., Whisker A. et al. How do stroke survivors and their caregivers manage post-stroke fatigue? A qualitative study. Clin Rehabil. 2022;36(10):1400–1410.

[7] van der Velde M.Y., Aerden L.A.M., van Oort A., Bodde K., Rambaran Mishre R., Oosterveer D.M. Caregiver strain and fatigue are independent determinants of anxiety among patients early after stroke. Neuropsychol Rehabil. 2023;33(3):428–439.

[8] Aaronson L.S., Teel C.S., Cassmeyer V. et al. Defining and measuring fatigue. Image J Nurs Sch. 1999;31(1):45–50.

[9] Cohen S., Kamarck T., Mermelstein R. PSS-10. Skala Odczuwanego Stresu. W: Juczyński Z., Ogińska-Bulik N. NPSR. Narzędzia pomiaru stresu i radzenia sobie ze stresem. Pracownia Testów Psychologicznych Polskiego Towarzystwa Psychologicznego, Warszawa 2009, https://www.practest.com.pl/sklep/test/PSS-10 [dostęp: 25.03.2025].

[10] Carver C.S., Scheier M.F., Weintraub J.K. COPE. Wielowymiarowy Inwentarz do Pomiaru Radzenia Sobie ze Stresem. W: Juczyński Z., Ogińska-Bulik N. NPSR. Narzędzia pomiaru stresu i radzenia sobie ze stresem. Pracownia Testów Psychologicznych Polskiego Towarzystwa Psychologicznego, Warszawa 2009. https://www.practest.com.pl/sklep/test/COPE [dostęp: 25.03.2025].

[11] Michielsen H.J., de Vries J., van Heck G.L., van de Vijver F.J.R., Sijtsma K. Examination of the dimensionality of Fatigue. The Construction of the Fatigue Assessment Scale (FAS). European Journal of Psychological Assessment. 2004;20(1):39–48.

[12] Morawska J.M., Gutysz-Wojnicka A. Problemy opiekunów chorych po udarze mózgu. Udar Mózgu. 2008;10(2):83–90.

[13] Sohkhlet G., Thakur K., David S.I. et al. Stress in Caregivers of Stroke Patients During Rehabilitation: An Observational Study. Cureus. 2023;15(4):e37410.

[14] Grabowska-Fudala B., Jaracz K. The burden of caregivers of patients after stroke — preliminary results. Udar Mózgu. 2007;9(1):24–31.

[15] Niedorys B., Chrzan-Rodak A., Bartoszek A., Rząca M., Bartoszek A., Ślusarska B. Analiza wybranych uwarunkowań obciążenia opiekunów opieką według cope-index: Skala negatywnego wpływu opieki. Pielęgniarstwo w Opiece Długoterminowej. 2020;5(1).

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[17] Biercewicz M., Główczewska-Siedlecka E., Fidecki W., Wysokiński M., Kędziora-Kornatowska K. The Burden on Caregivers of the Elderly to Care for Patients with Nervous System Diseases. J Neurol Neurosurg Nurs. 2023;12(2):84–91.

The Journal of Neurological and Neurosurgical Nursing

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Published

2025-09-30

How to Cite

1.
WIŚNIEWSKA, Magdalena, CIECHANOWSKA, Magdalena and BARTOSIŃSKI, Andrzej. Stress and Fatigue in Caregivers of Post-stroke Patients. The Journal of Neurological and Neurosurgical Nursing. Online. 30 September 2025. Vol. 14, no. 3, pp. 118-124. [Accessed 10 February 2026]. DOI 10.15225/PNN.2025.14.3.3.
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Vol. 14 No. 3 (2025)

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Copyright (c) 2025 Magdalena Wiśniewska, Magdalena Ciechanowska, Andrzej Bartosiński

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This work is licensed under a Creative Commons Attribution-NoDerivatives 4.0 International License.

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