社区脑卒中患者疲劳与社会支持状况的相关性研究  

Study on the relationship between social supports and post-stroke fatigue in community stroke patients

作　　者：陈先辉[1] 孙国平[1] 徐芸[1] 孙静钗 景孟娟 黄鸿[1] 王家骥[4] 王培席[1,4] 周小彦[4] 罗建业[1] 杨秀芳[1] 黄霞[1] 

机构地区：[1]广东深圳市坪山新区人民医院,深圳518118 [2]武汉大学公共卫生学院,武汉430071 [3]河南大学护理学院,开封475004 [4]广州医科大学公共卫生学院,广州511436

出　　处：《中国实用神经疾病杂志》2016年第5期1-2,共2页Chinese Journal of Practical Nervous Diseases

基　　金：广东省医学科学技术研究基金(A2014671)

摘　　要：目的探讨社区脑卒中患者卒中后疲劳与其社会支持状况的关系。方法采用疲劳严重度量表(FSS)、社会支持评定量表(SSRS)对深圳市坪山新区的164例社区脑卒中患者进行调查。结果 164例中72例脑卒中患者伴有卒中后疲劳(占43.9%);卒中后疲劳患者比非疲劳患者的社会支持得分低,差异有统计学意义(P<0.05);患者的疲劳状况与社会支持的各维度得分呈显著负相关;签约家庭医生的脑卒中患者疲劳发生率较未签约者低(P<0.01),且其主观支持、客观支持及社会支持总水平较未签约者高(P<0.01)。结论社区脑卒中患者卒中后疲劳与社会支持状况密切相关,家庭医生制服务能够提高患者的社会支持水平,进而降低卒中疲劳的发生率。Objective To explore the relationship between social supports and post-stroke fatigue among community stroke patients. Methods A total of 164 community stroke patients in Pingshan New Area of Shenzhen City were investigated by Fatigue Severity Scale （FSS） and Social Support Rating Sale （SSRS） . Results Of the 164 cases, there were 72 cases diag- nosed post-stroke fatigue （accounting for 43.9%）; Patients with post-stroke fatigue had lower scores of SSRS than non-fa- tigue patients with statistically significant difference; The scores of FSS were significantly negative related with each d^mension of SSSR; Patients who signed with the family physician had lower rate of post-stroke fatigue （P〈0.01）, and the total levels of subjective support, objective support and social support were higher in signed patients than those in non-signed patients （P 〈0. 01）. Conclusion Post-stroke fatigue may be closely related to social supports; Family physician services can improve the levels of social supports in order to reduce the incidence of post-stroke fatigue.

关 键 词：脑卒中 卒中后疲劳 社会支持 社区 家庭医生服务 

分 类 号：R743.3[医药卫生—神经病学与精神病学]