Prevalence and Predictors of Fatigue among Thai Women after COVID 19 Infection

Chanokporn Jitpanya, Surachai Maninet, Pannita Saengkham

Abstract


Background: 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.

Materials and Methods: 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.

Results: 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).

Conclusions: 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.



Keywords


Anxiety, fatigue, insomnia, long COVID, women and health

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References


Thailand Convention & Exhibition Bureau. Thailand: Situation Update Coronavirus COVID-19; c2024. Available from: https:// www.businesseventsthailand.com/en/situation-update-coronavirus-COVID-19. [Last accessed on 2024 Jan 18].

Fernández-de-Las-Peñas C, Palacios-Ceña D, Gómez-Mayordomo V, Florencio LL, Cuadrado ML, Plaza-Manzano G, Navarro-Santana M. Prevalence of post-COVID-19 symptoms in hospitalized and non-hospitalized COVID-19 survivors: A systematic review and meta-analysis. Eur J Intern Med 2021;92:55-70.

Huang C, Huang L, Wang Y, Li X, Ren L, Gu X, et al. 6-month consequences of COVID-19 in patients discharged from hospital: A cohort study. Lancet 2021;397:220-32.

Mazza MG, Palladini M, Villa G, De Lorenzo R, Querini PR, Benedetti F. Prevalence, trajectory over time, and risk factor of post-COVID-19 fatigue. J Psychiatr Res 2022;155:112-9.

Joli J, Buck P, Zipfel S, Stengel A. Post-COVID-19 fatigue: A systematic review. Front Psychiatry 2022;13:947973. doi: 10.3389/fpsyt. 2022.947973.

Stavem K, Ghanima W, Olsen MK, Gilboe HM, Einvik G. Prevalence and determinants of fatigue after COVID-19 in non-hospitalized subjects: A population-based study. Int J Environ Res Public Health 2021;18:2030. doi: 10.3390/ijerph 18042030.

Bilgin A, Kesik G, Ozdemir L. ‘The body seems to have no life’: The experiences and perceptions of fatigue among patients after COVID-19. J Clin Nurs 2021;1-11.

Özkeskin M, Özden F, Karaman B, Ekmekçi Ö, Yüceyar N. The comparison of fatigue, sleep quality, physical activity, quality of life, and psychological status in multiple sclerosis patients with or without COVID-19. Mult Scler Relat Disord 2021;55:103180. doi: 10.1016/j.msard. 2021.103180.

Alsharawy A, Spoon R, Smith A, Ball S. Gender differences in fear and risk perception during the COVID-19 pandemic. Front Psychol 2021;12:689467. doi: 10.3389/fpsyg. 2021.689467.

Rudroff T, Workman CD, Bryant AD. Potential factors that contribute to post-COVID-19 fatigue in women. Brain Sci 2022;12:556.

Oei TP, Sawang S, Goh YW, Mukhtar F. Using the depression anxiety stress scale 21 (DASS-21) across cultures. Int J Psychol 2013;48:1018-29.

Suwanbamrung C, Pongtalung P, Trang LTT, Phu DH, Nam TT. Levels and risk factors associated with depression, anxiety, and stress among COVID-19 infected adults after hospital discharge in a Southern Province of Thailand. J Public Health Dev 2023;21:72-89.

Keawphang P, Jitpanya C. Relationship between selected factors related to insomnia in adult cancer patients. J Nurs Sci Chula Uni 2006;18:33-46.

Wongkuan D, Jitpanya C, Chimluang J. Factors predicting sleep disturbances in acute myocardial infarction survivors. Master’s thesis, Faculty of Nursing. Chulalongkorn University; 2017.

Sawasdee A, Preechawong S, Jitpanya C. Factors associated with fatigue in post-stroke patients. Master’s thesis, Faculty of Nursing. Bangkok: Chulalongkorn University; 2014.

Notarte KI, Catahay JA, Velasco JV, Pastrana A, Ver AT, Pangilinan FC, et al. Impact of COVID-19 vaccination on the risk of developing long-COVID and on existing long-COVID symptoms: A systematic review. EClinicalMedicine 2022;53:101624. doi: 10.1016/j.eclinm. 2022.101624.

Maamar M, Artime A, Pariente E, Fierro P, Ruiz Y, Gutiérrez S, et al. Post-COVID-19 syndrome, low-grade inflammation and inflammatory markers: A cross-sectional study. Curr Med Res Opin 2022;38:901-9.

Shroff R, Talwar J, Ray M. Prevalence of post COVID-19 syndrome. Int J Community Med Public Health 2022;9:3551-6.

Namwong A, Chaijundee W. A social stigma toward people with COVID-19 or people who may have COVID-19 and its consequences: A qualitative study. J Nurs Health Res 2022;23:80-95.

Ketunuti V, Chittangwong S. Against the Odds: Stories from women in Thailand during COVID19. Available from: https:// thailand.un.org/en/51835-against-odds-stories-women-thailand-during-covid-19. [Last accessed on 2024 Jan 20].

Morin CM, Bjorvatn B, Chung F, Holzinger B, Partinen M, Penzel T, et al. Insomnia, anxiety, and depression during the COVID-19 pandemic: An international collaborative study. Sleep Med 2021;87:38-45.

Pudlo R, Jaworska I, Szczegielniak A, Niedziela J, Kułaczkowska Z, Nowowiejska-Wiewióra A, et al. Prevalence of insomnia in the early post-COVID-19 recovery period. Int J Environ Res Public Health 2022;19:14224. doi: 10.3390/ ijerph 192114224.

Średniawa A, Drwiła D, Krotos A, Wojtaś D, Kostecka N, Tomasik T. Insomnia and the level of stress among students in Krakow, Poland. Trends Psychiatry Psychother 2019;41:60-8.

Cheshmehzangi A, Chen H, Su Z, Zou T, Xiang YT, Dawodu A. How does the COVID-19 fuel insomnia? Brain Behav Immun Health 2022;21:100426. doi: 10.1016/j.bbih. 2022.100426.


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