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VOLUME 25 , ISSUE 11 ( November, 2021 ) > List of Articles

Original Article

Prevalence of Restless Legs Syndrome and Its Relationship with Fatigue in Critical Care Nurses

Maryam Ameri, Seyedmohammad Mirhosseini, Mohammad Hasan Basirinezhad, Hossein Ebrahimi

Keywords : Critical care, Fatigue, Nurse, Restless legs syndrome, Willis-Ekbom syndrome

Citation Information : Ameri M, Mirhosseini S, Basirinezhad MH, Ebrahimi H. Prevalence of Restless Legs Syndrome and Its Relationship with Fatigue in Critical Care Nurses. Indian J Crit Care Med 2021; 25 (11):1275-1279.

DOI: 10.5005/jp-journals-10071-24010

License: CC BY-NC 4.0

Published Online: 16-11-2021

Copyright Statement:  Copyright © 2021; The Author(s).


Background: The critical care unit is inherently stressful due to its complexity, leading to fatigue and consequences such as restless legs syndrome (RLS). This study aimed to investigate the prevalence of RLS and its relationship with fatigue in critical care nurses. Patients and methods: This cross-sectional study was performed with 200 nurses of critical care units of Shahroud hospitals in 2019 using the census sampling method. Data collection tools included the RLS questionnaire and the Multidimensional Fatigue Inventory. Data analysis was performed using descriptive and inferential statistics (multiple linear regression analysis). Results: The results showed that 72% of the subjects had moderate to high RLS, and their mean fatigue was 55.31 ± 10.53. By increasing one point in the score of RLS and 1 year of critical care nursing experience, the fatigue score increases by 0.3 and 0.71. Conclusions: Considering the relationship between fatigue and RLS in critical care nurses, supportive interventions seem necessary to reduce the effects of these two components.

  1. Amin AA, Vankar JR, Nimbalkar SM, Phatak AG. Perceived stress and professional quality of life in neonatal intensive care unit nurses in Gujarat, India. Indian J Pediatr 2015;82(11):1001–1005. DOI: 10.1007/s12098-015-1794-3.
  2. Craigie M, Slatyer S, Hegney D, Osseiran-Moisson R, Gentry E, Davis S, et al. A pilot evaluation of a mindful self-care and resiliency (MSCR) intervention for nurses. Mindfulness. 2016; 7(3):764–774. DOI: 10.1007/s12671-016-0516-x.
  3. Yarmohammadi H, Poursadeghiyan M, Rahmani N, Yarmohammadi S, Omidiandost A, Eskandari S. Work-related fatigue and the effective factors in the Iranian nurses. Arch Hyg Sci 2018;7(1):32–38. DOI: 10.29252/ArchHygSci.7.1.32.
  4. Tirvienė G, Spirgienė L, Šimatonienė V. Fatigue among intensive care unit nurses. Nurs Edu Res Pract 2020;10(1):4–9.
  5. Sultanian A, Motamedzade Torghabe M, Garkaz A, Mahdavi N. Persian version of Swedish Occupational Fatigue Inventory (P-SOFI): validity and reliability. Iran Occup Health 2014;11(1):34–43.
  6. LeGal P, Rhéaume A, Mullen J. The long-term effects of psychological demands on chronic fatigue. J Nurs Manag 2019;27(8):1673–1681. DOI: 10.1111/jonm.12857.
  7. Bazazan A, Dianat I, Rastgoo L, Zandi H. Relationships between dimensions of fatigue and psychological distress among public hospital nurses. Health Promot Perspect 2018;8(3):195. DOI: 10.15171/hpp.2018.26.
  8. Kamble PA, Jadhav AS, Yadav T, Chotai K. Effect of Mulligan's traction straight leg raise in nurses with restless leg syndrome. Int J Health Sci Res 2019;9(9) :296–300.
  9. Mousavi M, Soleimani MA, Akrami R, Tadayonfar M. The effect of progressive muscle relaxation on the severity of restless leg syndrome in patients under treatment with hemodialysis. J Hayat 2016;22(3):279–290:296–300.
  10. Lee J. A review of restless legs syndrome in patients on hemodialysis. Kidney 2009;18(1):9. DOI: 10.1007/s00596-008-0055-0.
  11. Massey T, Robertson N. Restless legs syndrome: causes and consequences. J Neurol 2020;267(2):575–577. DOI: 10.1007/s00415-019-09682-6.
  12. Alemohammad ZB, Taghavi SME, Sharifian A. Sleep quality and restless legs syndrome among healthcare workers: shift workers and non-shift workers. J Sleep Sci 2016;1(2):74–79.
  13. Waage S, Pallesen S, Moen BE, Bjorvatn B. Restless legs syndrome/Willis–Ekbom Disease is Prevalent in working nurses, but seems not to be associated with shift work schedules. Front Neurol 2018;9:21. DOI: 10.3389/fneur.2018.00021.
  14. Group IRLSS. Validation of the International Restless Legs Syndrome Study Group rating scale for restless legs syndrome. Sleep Med 2003;4(2):121–132. DOI: 10.1016/s1389-9457(02)00258-7.
  15. Farajzadeh M, Hosseini M, Ghanei Gheshlagh R, Ghosi S, Nazari M, Nahid K. Investigating the association between Restless Leg Syndrome and depression in elderly. Iran J Rehabil Res 2016;2(3):18–26.
  16. Smets E, Garssen B, Bonke Bd, De Haes J. The Multidimensional Fatigue Inventory (MFI) psychometric qualities of an instrument to assess fatigue. J Psychosom Res 1995;39(3):315–325. DOI: 10.1016/0022-3999(94)00125-o.
  17. Armutlu K, Keser İ, Korkmaz N, Akbıyık Dİ, Sümbüloğlu V, Güney Z, et al. Psychometric study of Turkish version of Fatigue Impact Scale in multiple sclerosis patients. J Neurol Sci 2007;255(1–2):64–68. DOI: 10.1016/j.jns.2007.01.073.
  18. Lundh Hagelin C, Wengström Y, Runesdotter S, Johan Fürst C. The psychometric properties of the Swedish Multidimensional Fatigue Inventory MFI-20 in four different populations. Acta Oncol 2007;46(1):97–104. DOI: 10.1080/02841860601009430.
  19. Lin J-MS, Brimmer DJ, Maloney EM, Nyarko E, BeLue R, Reeves WC. Further validation of the Multidimensional Fatigue Inventory in a US adult population sample. Popul Health Metr 2009;7(1):1–13. DOI: 10.1186/1478-7954-7-18.
  20. Nouri Azari Z, Aghamohammadi M, Abazari M. Factors affecting fatigue in patients with type ii diabetes mellitus referring to ardabil diabetes clinic. J Health Care 2019;20(4):280–291. DOI: 10.29252/jhc.20.4.280.
  21. Uekata S, Kato C, Nagaura Y, Eto H, Kondo H. The impact of rotating work schedules, chronotype, and restless legs syndrome/Willis-Ekbom disease on sleep quality among female hospital nurses and midwives: A cross-sectional survey. Int J Nurs Stud 2019;95:103–112. DOI: 10.1016/j.ijnurstu.2019.04.013.
  22. Bazazan A, Dianat I, Mombeini Z, Aynehchi A, Jafarabadi MA. Fatigue as a mediator of the relationship between quality of life and mental health problems in hospital nurses. Accid Anal Prev 2019;126:31–36. DOI: 10.1016/j.aap.2018.01.042.
  23. Deravin L, Francis K, Nielsen S, Anderson J. Nursing stress and satisfaction outcomes resulting from implementing a team nursing model of care in a rural setting. J Hosp Adm 2017;6(1):60–66. DOI: 10.5430/jha.v6n1p60.
  24. Yuan SC, Chou MC, Chen CJ, Lin YJ, Chen MC, Liu HH, et al. Influences of shift work on fatigue among nurses. J Nurs Manag 2011;19(3):339–345. DOI: 10.1111/j.1365-2834.2010.01173.x.
  25. Parhizi S, Steege LM, Pasupathy KS. Mining the relationships between psychosocial factors and fatigue dimensions among registered nurses. Int J Ind Ergon 2013;43(1):82–90. DOI: OI:10.1016/j.ergon.2012.11.010.
  26. Raftopoulos V, Charalambous A, Talias M. The factors associated with the burnout syndrome and fatigue in Cypriot nurses: a census report. BMC Public Health 2012;12(1):1–13. DOI: 10.1186/1471-2458-12-457.
  27. Sharifian A, Firoozeh M, Pouryaghoub G, Shahryari M, Rahimi M, Hesamian M, et al. Restless legs syndrome in shift workers: a cross sectional study on male assembly workers. J Circadian Rhythms 2009;7(1):1–7. DOI: 10.1186/1740-3391-7-12.
  28. Saleh ZN, Loghmani L, Rasouli M, Nasiri M, Borhani F. Moral distress and compassion fatigue in nurses of neonatal intensive care unit. Electron J Gen Med 2019;16(2):4. DOI: 10.29333/ejgm/93473.
  29. Leschziner GD. Restless legs syndrome. Sleep disorders in psychiatric patients. BMJ 2018;175–188. DOI: 10.1007/978-3-642-54836-9_10.
  30. Cirillo DJ, Wallace RB. Restless legs syndrome and functional limitations among American elders in the Health and Retirement Study. BMC Geriatr 2012;12(1):1–12. DOI: 10.1186/1471-2318-12-39.
  31. Zhang C, Li Y, Malhotra A, Ning Y, Gao X. Restless legs syndrome status as a predictor for lower physical function. Neurology 2014;82(14):1212–1218. DOI: 10.1212/WNL.0000000000000284.
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