心理社会因素对脑卒中后疲劳的影响
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Study on psychosocial factors of post-stroke fatigue in stroke patients
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    摘要:

    目的 探讨脑卒中后疲劳的发生率及其心理社会相关的影响因素,为其预防及治疗奠定 理论基础。方法 使用一般情况调查表、疲劳严重程度量表(FSS)、抑郁自评量表(SDS)、简易精神状态 量表(MMSE)、简易应对方式问卷(SCSQ)、家庭关怀度指数测评表(APGAR)及社会支持评定量表(SSRS) 对408 例脑卒中患者进行调查分析。结果 408 例脑卒中患者疲劳的发生率为64.5%,单因素分析显 示,卒中后疲劳与年龄、婚姻状态、文化程度、家庭功能、抑郁、认知功能、应对方式、社会支持有关(均 P < 0.05)。多因素回归分析显示,家庭功能(OR=3.205,P=0.027)、抑郁(OR=0.200,P=0.001)、消极应对 (OR=0.106,P=0.006)、客观支持(OR=2.312,P=0.003)是卒中后疲劳的预测因素。结论 脑卒中后疲劳的 发生率高,良好的家庭功能与较多的客观支持可作为卒中后疲劳的保护因素,抑郁和消极应对为卒中 后疲劳的危险因素。

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    Objective To explore the incidence of post-stroke fatigue and the related psychosocial factors, so as to lay a theoretical foundation for its prevention and treatment. Methods A total of 408 patients with stroke were investigated and analyzed by using the General Questionnaire, Fatigue Severity Scale (FSS), Self-rating Depression Scale( SDS), Mini-Mental State Examination( MMSE), Simplified Coping Style Questionnaire( SCSQ), Family Care Index Together( APGAR) and Social Support Revalued Scale( SSRS). Results The incidence of post-stroke fatigue among the 408 stroke patients was 64.5%. Single factor analysis showed that age, marital status, education, family function, depression, cognitive function, coping style and social support were related to post-stroke fatigue( P < 0.05). Multiple factors regression analysis showed that family function( OR=3.205,P=0.027), depression(OR=0.200,P=0.001), negative coping( OR=0.106,P=0.006) and objective support( OR=2.312,P=0.003) were predictors of post-stroke fatigue with statistical significance. Conclusions The incidence of post-stroke fatigue is high, good family function and more objective support can be used as protective factors for post-stroke fatigue. Depression and negative coping were risk factors for poststroke fatigue

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孙菲 张俊 田树峰 杨晨 杜芊华.心理社会因素对脑卒中后疲劳的影响[J].神经疾病与精神卫生,2018,18(12):
DOI :10.3969/j. issn.1009-6574.2018.12.007.

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  • 在线发布日期: 2019-03-20