心律失常患者疲劳状况调查及危险因素分析

Investigation of fatigue status and risk factors in patients with arrhythmia

目的研究心律失常患者疲劳状况及危险因素。方法回顾性分析2018年2月至2020年6月于三门峡市中心医院接受诊治的800例心律失常患者的临床资料。对所有患者进行疲劳严重程度量表(FSS)评价,并按照评价结果将其分成疲劳组(412例)与非疲劳组(388例)。分别比较两组基线资料(年龄、性别、受教育年限、运动障碍、心律失常类型),心理状态[汉密尔顿焦虑量表(HAMA)与汉密尔顿抑郁量表(HAMD)评分]以及睡眠质量[匹兹堡睡眠质量指数(PSQI)]的差异,并作Logistic回归分析。结果疲劳组年龄与运动障碍人数占比高于非疲劳组(均P<0.05),而两组性别、受教育年限以及心律失常类型比较不明显(均P>0.05)。疲劳组HAMA、HAMD、PQSI评分均高于非疲劳组(均P<0.05)。经Logistic回归分析可得:年龄与HAMA、HAMD、PQSI评分均是心律失常患者疲劳的独立危险因素(均P<0.05)。结论心律失常患者疲劳发生率较高,年龄、焦虑、抑郁、睡眠障碍是心律失常患者产生疲劳的独立危险因素。临床工作中应针对上述相关因素予以相应措施干预,进一步达到降低心律失常患者疲乏发生率的目的。

Objective To study the fatigue status and risk factors of patients with arrhythmia.Methods The clinical data of 800 patients with arrhythmia who received diagnosis and treatment in Sanmenxia Central Hospital from February 2018 to June 2020 were retrospectively analyzed.All the patients were evaluated by fatigue severity scale(FSS),and were divided into fatigue group(412 cases)and non-fatigue group(388 cases)according to the evaluation results.The differences of baseline data(age,gender,years of education,movement disorders,arrhythmia type),psychological status[HAMA and HAMD scores]and sleep quality[Pittsburgh Sleep Quality Index(PSQI)]between the two groups were compared,and Logistic regression analysis was performed.Results The proportion of age and movement disorder in the fatigue group was higher than that in the non-fatigue group(all P<0.05).There were no significant differences in sex,years of education and arrhythmia type between the two groups(all P>0.05).The scores of HAMA,HAMD and PQSI in the fatigue group were higher than those in the non-fatigue group(all P<0.05).Logistic regression analysis showed that age,HAMA,HAMD and PQSI score were independent risk factors for fatigue in patients with arrhythmia(all P<0.05).Conclusion The incidence of fatigue in patients with arrhythmia is high.Age,anxiety,depression and sleep disturbance are independent risk factors for fatigue in patients with arrhythmia.In clinical work,corresponding measures should be taken to intervene the above related factors so as to further reduce the incidence of fatigue in patients with arrhythmia.