动脉瘤性蛛网膜下腔出血患者疲乏程度与社会支持的相关性及其影响因素  

Correlation between degree of fatigue and social support in patients with aneurysmal subarachnoid hemorrhage and its influencing factors

作　　者：刘艳[1] 杨梦兰 王伟杰[1] LIU Yan;YANG Menglan;WANG Weijie(Department of Neurosurgery,Huai’an First Hospital Affiliated to Nanjing Medical University,Huai’an Jiangsu 223300,China)

机构地区：[1]南京医科大学附属淮安第一医院神经外科,江苏淮安223300

出　　处：《临床与病理杂志》2022年第10期2379-2384,共6页Journal of Clinical and Pathological Research

摘　　要：目的:分析动脉瘤性蛛网膜下腔出血患者疲乏程度与社会支持的相关性及其影响因素。方法:回顾性分析2020年12月至2021年12月南京医科大学附属淮安第一医院收治的95例动脉瘤性蛛网膜下腔出血患者的临床资料,采用疲劳严重度量表(Fatigue Severity Scale,FSS)、社会支持评定量表(Social Support Rating Scale,SSRS)评价其疲乏程度、社会支持水平,分析患者疲乏程度与社会支持水平的相关性,并对患者疲乏程度进行单因素及多因素分析。结果:95例动脉瘤性蛛网膜下腔出血患者疲乏程度总分为4.22±0.69。经单因素分析可见,患者的疲乏程度评分在不同年龄、婚姻状况、学历、Hunt-Hess分级、并发症等方面比较,差异均有统计学意义(均P<0.05)。95例动脉瘤性蛛网膜下腔出血患者的主观支持、客观支持和对支持的利用度均低于国内常模,差异均有统计学意义(均P<0.05)。多因素分析可见,年龄、婚姻状况、Hunt-Hess分级、社会支持水平是影响患者疲乏程度的独立危险因素(均P<0.05);患者疲乏程度与社会支持水平呈明显负相关(P<0.05)。结论:动脉瘤性蛛网膜下腔出血患者疲乏程度与社会支持水平呈负相关,且年龄、婚姻状况、Hunt-Hess分级、社会支持水平是影响患者疲乏程度的独立危险因素,应尽早采取针对性措施,缓解患者疲乏程度,提升其社会支持水平。Objective: To analyze the correlation between degree of fatigue and social support and its influencing factors in patients with aneurysmal subarachnoid hemorrhage. Methods: The clinical data of 95 patients with aneurysmal subarachnoid hemorrhage who were treated in Huai’an First Hospital Affiliated to Nanjing Medical University from December 2020 to December 2021 were retrospectively analyzed. Fatigue Severity Scale (FSS) and Social Support Rating Scale(SSRS) were used to evaluate the degree of fatigue and the level of social support. The correlation between the degree of fatigue and the level of social support was analyzed, and the univariate and multivariate analysis of the degree of fatigue of the patients was carried out. Results: The total score of fatigue in 95 patients with aneurysmal subarachnoid hemorrhage was 4.22±0.69. Univariate analysis showed that there were significant differences in different age, marital status, educational background, Hunt-Hess classification, and complication fatigue score(all P<0.05). The subjective support, objective support, and utilization of support in 95 patients with aneurysmal subarachnoid hemorrhage were lower than the domestic norm, and the differences were statistically significant(all P<0.05). Multivariate analysis showed that age, marital status, Hunt-Hess classification, and social support level were independent risk factors affecting the degree of fatigue in patients(all P<0.05);the degree of fatigue in patients was significantly negatively correlated with the level of social support(P<0.05). Conclusion: The degree of fatigue in patients with aneurysmal subarachnoid hemorrhage is negatively correlated with the level of social support, and age, marital status, Hunt-Hess classification, and level of social support are independent risk factors that affect the degree of fatigue in patients. Targeted measures should be taken as soon as possible to relieve fatigue and improve the level of social support.

关 键 词：动脉瘤性蛛网膜下腔出血 疲乏程度 社会支持水平 相关性 影响因素 

分 类 号：R743.35[医药卫生—神经病学与精神病学]