社区脑卒中患者疲劳与社会支持状况的相关性研究

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(P0.05);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(P0.01),且其主观支持、客观支持及社会支持总水平较未签约者高(P0.01)。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。

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

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 diagnosed post-stroke fatigue (accounting for 43.9％);Patients with post-stroke fatigue had lower scores of SSRS than non-fatigue patients with statistically significant difference;The scores of FSS were significantly negative related with each dimension 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.