文章摘要
高星乐,陈力宇,孙乐球,李笑蓉,吴赛珍.脑梗死后遗症期疲劳及其影响因素的调查[J].中国临床保健杂志,2016,(1):40-43.
脑梗死后遗症期疲劳及其影响因素的调查
Investigation of fatigue after stroke of cerebral infarction sequela period and its influencing factors
投稿时间:2015-02-10  
DOI:10.3969/J.issn.1672-6790.2016.01.013
中文关键词: 脑梗死  疲劳  流行病学因素
英文关键词: Brain infarction  Fatigue  Epidemiologic factors〖FL
基金项目:温州市卫生局课题(2014B44)
作者单位E-mail
高星乐 温州医科大学附属乐清医院神经内科,乐清 325600 1370660771@163.com 
陈力宇 温州医科大学附属乐清医院神经内科,乐清 325600 1370660771@163.com 
孙乐球 温州医科大学附属乐清医院神经内科,乐清 325600 1370660771@163.com 
李笑蓉 温州医科大学附属乐清医院神经内科,乐清 325600 1370660771@163.com 
吴赛珍 温州医科大学附属乐清医院神经内科,乐清 325600 1370660771@163.com 
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中文摘要:
      目的 调查脑梗死后遗症期患者疲劳的发生率及其相关影响因素,为脑梗死后遗症期患者疲劳的控制和预防提供参考依据。 方法 采用自制量表、疲劳严重度量表(FSS)、家庭关怀度指数(APGAR)、匹兹堡睡眠质量指数(PSQI)结合脑梗死部位对200名脑梗死后遗症期患者进行调查分析,并通过单因素χ2检验和多元Logistic回归分析研究脑卒中后疲劳的相关影响因素。 结果 200名脑梗死后遗症期疲劳的发生率为48%,单因素分析显示,年龄、不正常婚姻(丧偶、离婚、分居)、脑力劳动者、睡眠质量指数、卒中部位、家庭功能障碍与脑卒中后疲劳有关(均P<0.05)。多因素回归分析显示,脑梗死后遗症期患者疲劳发生与年龄较大(OR=2.612,95%CI=2.047~3.333)、婚姻状态(OR=1.754,95%CI=1.259~2.445)、脑力劳动者(OR=0.810,95%CI=0.698~0.939)、睡眠质量指数(OR=1.149,95%CI=1.262~2.515)、家庭功能障碍(OR=1.717,95%CI=1.396~2.111)、脑卒中的部位(OR=1.075,95%CI=1.693~2.310)有关。结论 脑梗死后遗症期患者疲劳的发生率高,与年龄、婚姻状态、脑力劳动者、睡眠质量指数、家庭功能障碍、卒中部位等有关
英文摘要:
      ObjectiveTo investigate the incidence of fatigue after stroke (PSF) of cerebral infarction sequela period and its related influencing factors,and provided a reference for the control and prevention of fatigue. Methods Self-made scale ,Fatigue Severity Scale (FSS),Family care index together(APGAR)and Pittsburgh Sleep Quality Index (PSQI) combined with cerebral infarction were investigated and analyzed for 200 patients with cerebral infarction sequela period.The related influence factors of fatigue after stroke were analyzed by single factor chi-square test and multivariate Logistic regression analysis.Results The incidence of cerebral infarction sequela period of fatigue was 48%.Single factor analysis showed that age,abnormal marriage (death of a spouse,divorce,separation),knowledge workers,the sleep quality index,parts of the stroke,and family dysfunction were related to poststroke fatigue (both P<0.05).Multiple factors regression analysis showed that patients with cerebral infarction sequela period fatigue associated with older age(OR=2.612,95%CI=2.047-3.333),marital status(OR=1.754,95%CI=1.259-2.445),knowledge workers(OR=0.810,95%CI=0.698-0.939),the sleep quality index(OR=1.149,95%CI=1.262-2.515),family dysfunction(OR=1.717,95%CI=1.396-2.111),and the parts of the stroke(OR=1.075,95%CI=1.693-2.310).ConclusionThe incidence of fatigue during cerebral infarction sequelae stage is high,which is related to age,marital status,knowledge workers,sleep quality index,family dysfunction,stroke and so on.
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