Fatigue trajectory characteristics in patients with acute mountain sickness and influencing factors:a longitudinal study
Objective To explore the characteristic of fatigue trajectories in acute mountain sickness patients and influencing factors.Methods A convenient sampling method was implemented to recruit acute mountain sickness patients hospitalized in Qinghai University Affiliated Hospital,and the demographic data of patients were collected.The fatigue degree of the patients was assessed at 24h,3 days,5 days,7 days of exposure to high altitude by the Fatigue Self-Assessment Scale.The latent class growth model was used to identify the potential trajectory category.Multivariable logistic regression analysis was used to analyze the influencing factors for fatigue trajectory.Results Totally,143 patients were enrolled in this study,and three types of fatigue trajectories were identified in these patients.They were included in the sustained fatigue group(42.7%),fatigue remission group(25.9%),and fatigue aggravation group(31.4%).Compared to those of the fatigue aggravation group,anxiety and insomnia were the risk factors for sustained fatigue group,while physical exercise,anxiety,insomnia and sleepiness were the risk factors for fatigue remission group(all P<0.05).Conclusion The degree of fatigue in patients with acute mountain sickness varies with the fatigue trajectories,and medical staff should implement targeted interventions based on the different trajectory characteristics of fatigue.
acute mountain sicknessfatiguelatent class analysistrajectory
万方数据
维普
