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老年脑卒中患者自我调节疲劳现状及影响因素分析

Analysis of situation and influencing factors of self-regulating fatigue in elderly stroke patients

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目的 探索老年脑卒中患者自我调节疲劳现状及其影响因素.方法 采用便利抽样的方法,选取2021年10月-2022年10月本院神经内科符合标准的357例老年脑卒中患者为研究对象,采用一般资料调查表、自我调节疲劳量表(SPF-S)、心理弹性量表(CD-RISC)和社会支持评定量表(SSRS)进行调查.结果 本研究357例老年脑卒中患者的自我调节疲劳得分为(53.58±14.07)分,各维度条目均分中认知控制得分最高;心理弹性、社会支持与老年脑卒中患者自我调节疲劳得分及各维度呈负相关(-0.613~-0.732,P<0.01);多元回归分析结果中:年龄、婚配情况、病程时长、心理弹性和社会支持等进入回归方程,可解释总变异量的58.6%(P<0.05).结论 老年脑卒中患者自我调节疲劳程度有待改善,年龄、婚配情况、病程时长是其自我调节疲劳的影响因素;医护人员可通过提高老年脑卒中患者的心理弹性及社会支持水平,降低其自我调节疲劳感.
Objective To explore the status and influencing factors of self-regulating fatigue in senile stroke pa-tients.Methods A total of 357 elderly stroke patients who met the criteria in neurology department of our hospital were selected as research objects by using convenience sampling method.The general data questionnaire,Self-Regu-lated Fatigue Scale(SPF-S),Connor and Davidson Resilience Scale(CD-RISC),and Social Support Rating Scale(SSRS)were used to survey.Results The score of self-regulating fatigue in 357 elderly stroke patients in this study was(53.58士14.07)points,and the score of cognitive control was the highest in the average score of each dimen-sion.Psychosocial resilience and social support were negatively correlated with the scores and dimensions of self-reg-ulating fatigue in elderly stroke patients from-0.613 to-0.732(P<0.01).The results of the multiple regression analysis showed that age,mating status,duration of disease,psychological resilience,and social support were includ-ed in the regression equation,which could explain 58.6%of the total variation(P<0.05).Conclusion The degree of self-regulated fatigue in elderly stroke patients should be improved,and age,mating status,and duration of disease are the influencing factors of self-regulated fatigue.Medical staff can improve the psychological resilience and social support level of elderly stroke patients to reduce their self-regulated fatigue.

strokeelderlyself-regulating fatiguepsychosocial resiliencesocial supportinfluencing factor

徐时仙、周雯雯、王丽萍、黄传英

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南京医科大学附属脑科医院,江苏南京 210029

脑卒中 老年人 自我调节疲劳 心理弹性 社会支持 影响因素

2024

护士进修杂志
贵州省医药卫生学会办公室

护士进修杂志

CSTPCD
影响因子:2.59
ISSN:1002-6975
年,卷(期):2024.39(3)
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