Post-stroke fatigue and its correlation with family functioning in patients who have experienced a first episode of stroke.

IF 4.1 2区医学 Q2 GERIATRICS & GERONTOLOGY

Frontiers in Aging Neuroscience Pub Date : 2024-10-21 eCollection Date: 2024-01-01 DOI:10.3389/fnagi.2024.1440163

Ruhuang Zhu, Haiping Huang, Yueting Yu, Shaorui Bao, Na Lin, Meichun Shu

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Abstract

Objective: This study aimed to analyse the relevant factors that may affect post-stroke fatigue (PSF) in patients with stroke and further explore the correlation between family functioning and PSF.

Methods: Patients who had experienced a first episode of stroke and were admitted to the Department of Neurology of the First Affiliated Hospital of Wenzhou Medical University were rigorously screened. The general data and family functioning of the patients on admission were collected, and their family adaptation, partnership, growth, affection and resolve scores and their PSF on the 5th day of admission were collected using the fatigue severity scale (FSS). Multiple linear regression analysis was then utilized to explore the factors affecting PSF in patients with stroke.

Results: A total of 220 questionnaires were distributed, and 220 were returned, with 212 valid questionnaires and a valid return rate of 96.4%. These 212 patients had a family functioning score of 6.58 ± 2.00 and an FSS score of 36.62 ± 10.96. Spearman's correlation analysis showed negative correlations between the FSS scores and the adaptation, partnership, growth, affection, resolve and family functioning scores (r = -0.380, -0.505, -0.470, -0.303, -0.281 and -0.712, respectively; p < 0.001). Furthermore, multiple linear regression analysis showed that family functioning (β' = -0.516), marital status (β' = -0.244), household income (β' = -0.185), literacy (β' = -0.181) and activities of daily living (β' = -0.084) were influential factors for PSF in patients with stroke (p < 0.05).

Conclusion: There is a significant negative correlation between family functioning and PSF, suggesting that better family functioning may help mitigate the severity of post-stroke fatigue. Healthcare providers should identify interventions to help patients and families address fatigue, boost disease recovery, promote patients' physical and mental health and improve their quality of life.

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首次中风患者的中风后疲劳及其与家庭功能的相关性。

研究目的本研究旨在分析可能影响脑卒中患者卒中后疲劳（PSF）的相关因素，并进一步探讨家庭功能与 PSF 的相关性：方法：对温州医科大学附属第一医院神经内科收治的首次脑卒中患者进行严格筛查。收集患者入院时的一般资料和家庭功能，使用疲劳严重程度量表（FSS）收集患者入院第 5 天的家庭适应、伙伴关系、成长、亲情和决心评分以及 PSF。然后利用多元线性回归分析探讨影响脑卒中患者 PSF 的因素：共发放问卷 220 份，回收 220 份，其中有效问卷 212 份，有效回收率为 96.4%。这 212 名患者的家庭功能评分为（6.58±2.00）分，FSS 评分为（36.62±10.96）分。斯皮尔曼相关分析显示，FSS 评分与适应、伙伴关系、成长、亲情、决心和家庭功能评分之间存在负相关（r = -0.380、-0.505、-0.470、-0.303、-0.281 和 -0.712，p < 0.001）。此外，多元线性回归分析显示，家庭功能（β' = -0.516）、婚姻状况（β' = -0.244）、家庭收入（β' = -0.185）、文化程度（β' = -0.181）和日常生活活动（β' = -0.084）是脑卒中患者 PSF 的影响因素（P < 0.05）：结论：家庭功能与 PSF 之间存在明显的负相关，表明改善家庭功能有助于减轻卒中后疲劳的严重程度。医疗服务提供者应确定干预措施，帮助患者和家属解决疲劳问题，促进疾病康复，促进患者身心健康，提高生活质量。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Frontiers in Aging Neuroscience GERIATRICS & GERONTOLOGY-NEUROSCIENCES

CiteScore

6.30

自引率

8.30%

发文量

1426

期刊介绍： Frontiers in Aging Neuroscience is a leading journal in its field, publishing rigorously peer-reviewed research that advances our understanding of the mechanisms of Central Nervous System aging and age-related neural diseases. Specialty Chief Editor Thomas Wisniewski at the New York University School of Medicine is supported by an outstanding Editorial Board of international researchers. This multidisciplinary open-access journal is at the forefront of disseminating and communicating scientific knowledge and impactful discoveries to researchers, academics, clinicians and the public worldwide.