【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。更多还原

【Abstract】 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.更多还原