某市医院门诊心律失常患者疲劳状况及其影响因素调查分析

Fatigue Levels of Patients with Cardiac Arrhythmias and Influencing Factors in a City

目的分析某市医院门诊心率失常患者疲劳状况以及其影响因素。方法对我院心内科门诊在2014年10月-2016年8月收治的95例心律失常患者的临床资料进行回顾性分析。采用疲劳量表(FS-14)对患者疲劳程度进行评价,采用疲劳程度量表(FSS)对患者进行疲劳程度评价,并分析患者影响心率失常患者发生疲劳状况的危险因素。结果在本组患者中心律失常伴疲劳的患者有52例(54.74%),按照疲劳评分结果将本组患者分成疲劳组与非疲劳组,其中疲劳患者的评分结果为(5.78±0.97)分,而心律失常未伴疲劳的患者评分为0分,差异有统计学意义(P<0.05);疲劳组患者焦虑、抑郁以及睡眠情况均劣于非疲劳组患者(P<0.05);疲劳组患者身体疲劳评分、脑力疲劳评分、FS-14评分均高于非疲劳组患者(P<0.05);经过Spearman相关系数分析显示:年龄、运动障碍、焦虑、抑郁、睡眠质量以及并发基础性疾病是引发心率失常患者疲劳状况的危险因素;经多因素Logistic分析显示,年龄、焦虑、抑郁以及睡眠质量情况是引发心率失常患者出现疲劳症状的独立危险因素。结论心率失常患者会出现疲劳情况;疲劳的产生可能是引发心率失常的危险因素,而产生疲劳的独立危险因素与年龄、焦虑、抑郁以及睡眠质量有关。

Objective To find out about levels of fatigue and influencing factors in patients with cardiac arrhythmias treated in a hospital in a city.Methods A total of 95 cases of cardiac arrhythmias treated in our hospital between October 2014 and August 2016 were selected and their clinical data was retrospectively analyzed.FS-14 and FSS were used to evaluate the fatigue levels of patients,and risk factors that influenced the occurrence of fatigue were analyzed.Results There were 52 cases（ 54. 74%）of cardiac arrhythmias combined with fatigue in this group and they were divided into the fatigue group and non fatigue group.The score of fatigue patients and that of cardiac arrhythmias patients without fatigue was（ 5. 78±0. 97） and 0 respectively,so the difference was of statistical significance（ P〈0.05）. Anxiety,depression and sleep quality of the fatigue group were worse than those of the non fatigue group（ P〈0.05）,but physical fatigue scores,mental fatigue scores and FS-14 were higher than those of the non fatigue group（ P〈0.05）. Spearman analysis showed that age,dyskinesia,anxiety,depression,sleep quality,and concurrent underlying diseases were risk factors for fatigue of patients with cardiac arrhythmias. Logistic analysis showed that age,anxiety,depression andsleep quality were independent risk factors that caused fatigue among patients with cardiac arrhythmias. Conclusion Patients with cardiac arrhythmias are prone to fatigue,the occurrence of which may be the risk factor for cardiac arrhythmias. Risk factors of fatigue may be related to age,anxiety,depression and sleep quality.