康复环境中年轻获得性脑损伤患者的疲劳:疲劳严重程度的分类和解释

IF 1.1 4区医学 Q4 CLINICAL NEUROLOGY

Developmental Neurorehabilitation Pub Date : 2022-11-01 Epub Date: 2022-07-26 DOI:10.1080/17518423.2022.2099994

Florian Allonsius, Frederike van Markus-Doornbosch, Arend de Kloet, Suzanne Lambregts, Thea Vliet Vlieland, Menno van der Holst

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引用次数: 2

摘要

目的:获得性脑损伤(ABI)患者的疲劳是常见的。然而，为了更好地针对疲劳，缺乏明确的方法来分类/解释个体患者的疲劳严重程度。本研究旨在确定/分类患有ABI的儿童、青少年和年轻人的疲劳严重程度。方法:本横断面研究纳入门诊康复的年轻患者及其父母。为了确定疲劳程度，使用了PedsQL™多维疲劳量表(MFS，评分0-100分，评分越低=疲劳程度越高，患者/家长报告)。根据参考人群的得分，形成了四个类别:“1 =没有/很少疲劳”到“4 =严重疲劳”。结果:所有评分均低于参考人群，青少年组和青壮年组的比较具有统计学意义(p)。结论:疲劳测量和疲劳严重程度分类在临床实践中是有希望的，可以帮助更好地针对疲劳。

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Fatigue in young patients with acquired brain injury in the rehabilitation setting: Categorizing and interpreting fatigue severity levels.

Purpose: Fatigue in patients with acquired brain injury (ABI) is common. However, to better target fatigue, clear ways to categorize/interpret fatigue-severity in individual patients are lacking. This study aims to determine/categorize fatigue severity among children, adolescents, and young adults with ABI.

Methods: This cross-sectional study included young patients admitted to outpatient rehabilitation and their parents. To determine fatigue, the PedsQL™Multidimensional-Fatigue-Scale was used (MFS, scores 0-100, lower scores = higher fatigue, patient-/parent-reported). Based on scores from a reference population, four categories were formed: "1 = no/little fatigued" to "4 = severely-more fatigued."

Results: All scores were lower than those from the reference population, with comparisons in the adolescent and young adult groups reaching statistical significance (p < .05). The proportions of patients in category 4 were: 9%/50%/58% among children/adolescents/young adults, showing that many patients were "severely-more fatigued"-than the reference population.

Conclusions: Measuring fatigue and categorizing fatigue severity looks promising for clinical practice and could help to better target fatigue.

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来源期刊

Developmental Neurorehabilitation CLINICAL NEUROLOGY-PEDIATRICS

CiteScore

3.10

自引率

0.00%

发文量

审稿时长

6-12 weeks

期刊介绍： Developmental Neurorehabilitation aims to enhance recovery, rehabilitation and education of people with brain injury, neurological disorders, and other developmental, physical and intellectual disabilities. Although there is an emphasis on childhood, developmental disability can be considered from a lifespan perspective. This perspective acknowledges that development occurs throughout a person’s life and thus a range of impairments or diseases can cause a disability that can affect development at any stage of life.