恢复期脑卒中患者自我调节疲劳现状及影响因素分析

Self-regulatory fatigue and its influencing factors in convalescent stroke patients

目的 了解恢复期脑卒中患者自我调节疲劳情况并分析其影响因素,为制定针对性干预措施提供参考。方法 采用一般资料调查表、自我调节疲劳量表、脑卒中症状体验量表、社会支持量表和医学应对方式量表对330例恢复期脑卒中患者进行调查。结果 恢复期脑卒中患者自我调节疲劳得分为(51.88±4.84)分。多元线性逐步回归分析显示,发病时长、慢病种数、自理能力、疾病了解情况、症状负担、社会支持、回避应对方式是恢复期脑卒中患者自我调节疲劳的主要影响因素(均P<0.05),共解释自我调节疲劳78.6%的变异。结论 恢复期脑卒中患者自我调节疲劳水平偏高。医护人员应定期评估患者的自我调节疲劳水平,并根据影响因素制定针对性干预对策,以减轻患者自我调节疲劳。

Objective To understand the status of self-regulatory fatigue and analyze its influencing factors in convalescent stroke patients,so to provide a reference for developing tailored interventions.Methods A total of 330 convalescent stroke patients were investigated by utilizing a general information sheet,the Self-regulatory Fatigue Scale(SRF-S),the Stroke Patients′ Symptom Experience Scale(stroke-SES),the Social Support Rate Scale(SSRS),and the Medical Coping Modes Questionnaire(MCMQ).Results The participants′ SRF-S score was 51.88±4.84.The stepwise multivariate linear regression analysis showed that,the time from onset to investigation,number of chronic diseases,self-care ability,disease awareness,symptom burden,social support,and avoidance coping mode were major influencing factors of self-regulatory fatigue in convalescent stroke patients(all P<0.05),which explained 78.6% of its total variance.Conclusion The level of self-regulatory fatigue in convalescent stroke patients is high.Medical staff should assess convalescent stroke patients′ self-regulatory fatigue periodically,and develop tailored intervention measures according to the identified influencing factors,so as to reduce patients′ self-regulatory fatigue.