河南省农村地区首发缺血性脑卒中患者疲劳现状及影响因素研究

doi:10.3761/j.issn.1672-9234.2023.04.019

摘要/Abstract

摘要：

目的了解河南省农村地区首发缺血性脑卒中患者疲劳现状，并分析其影响因素。方法 2021年6月— 7月，采用便利抽样法选取河南省豫北地区50个行政村的407例首发缺血性脑卒中患者为研究对象，采用一般情况调查表、疲劳严重程度量表、焦虑自评量表、抑郁自评量表、疾病不确定感成人量表进行调查。结果 407例农村地区首发缺血性脑卒中患者疲劳得分为（4.30±1.61）分，卒中后疲劳的发生率为63.4%；疲劳与焦虑、抑郁和疾病不确定感呈正相关（r=0.435、0.405、0.294，均P<0.05）；多元线性回归分析结果显示，城镇职工医保（以城乡居民医保为参照）、合并慢性病、焦虑、抑郁、疾病不确定感是农村缺血性脑卒中患者疲劳的影响因素（P<0.05），共同解释脑卒中患者疲劳30.0%的变异。结论河南省农村首发缺血性脑卒中患者疲劳状况较严重，应重点关注该人群的疲劳状况，并根据影响因素，制订相应的干预措施，以期缓解患者的疲劳症状。

关键词: 卒中, 疲劳, 焦虑, 抑郁, 影响因素分析, 疾病不确定感

Abstract:

Objective To investigate the status and influencing factors of post-stroke fatigue among rural patients with first-episode ischemic stroke in Henan Province. Methods The demographic information questionnaire，the Fatigue Severity Scale（FSS），the Self-Rating Anxiety Scale（SAS），the Self-Rating Depression Scale（SDS），and the Uncertainty in Illness Scale for Adults （MUIS-A） were used to investigate 407 rural patients with first-episode ischemic stroke in 50 administrative villages in North Henan. Results The fatigue score of patients in rural areas was （4.30±1.61）. Fatigue was positively correlated with anxiety，depression，and uncertainty in illness（r=0.435， 0.405，0.294，respectively，P<0.05）. The results of multiple linear regression analysis showed that medical insurance for urban workers（with reference to the medical insurance for urban and rural residents），whether there is a chronic disease，anxiety，depression and uncertainty in illness were the influencing factors of fatigue in rural patients with ischemic stroke（P<0.05），which can explain 30.0% of the total variance. Conclusion The fatigue of patients with first-episode ischemic stroke in rural areas of Henan Province is relatively serious，and the fatigue status of this population should draw adequate attentions. Corresponding interventional measures should be developed according to the influencing factors to alleviate the fatigue symptoms of the patients.

Key words: Stroke, Fatigue, Anxiety, Depression, Root Cause Analysis, Uncertainty in illness

徐珂, 张会敏, 孙羽燕, 马君妍, 张肖艳, 潘勤, 周庆阳, 赵利娟, 方晓霞. 河南省农村地区首发缺血性脑卒中患者疲劳现状及影响因素研究[J]. 中华护理教育, 2023, 20(4): 490-494.

XU Ke, ZHANG Huimin, SUN Yuyan, MA Junyan, ZHANG Xiaoyan, PAN Qin, ZHOU Qingyang, ZHAO Lijuan, FANG Xiaoxia. The status and influencing factors of post-stroke fatigue among rural patients with first-episode ischemic stroke in Henan Province[J]. Chinese Journal of Nursing Education, 2023, 20(4): 490-494.

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