摘要
目的探讨急性高原病患者疲乏轨迹的潜在类别及影响因素。方法采用便利抽样调查法,选取青海大学附属医院收治的急性高原病患者作为调查对象,收集患者一般资料信息。分别在患者高原暴露24 h内、第3天、第5天、第7天,采用疲乏自评量表评估患者疲乏程度,使用潜类别增长模型识别其疲乏的潜在类别,多元Logistic分析影响潜在类别的因素。结果本研究最终纳入143例患者,其疲乏程度可分为3种轨迹,分别为持续疲乏组(42.7%)、疲乏缓解组(25.9%)、疲乏加重组(31.4%)。与疲乏加重组比较,焦虑和失眠是持续疲乏组的影响因素;体力劳动、焦虑、失眠和困倦是疲乏缓解组的影响因素(P<0.05)。结论急性高原病患者疲乏程度呈现不同变化轨迹,临床护理应根据患者疲乏的不同轨迹特征实施针对性干预措施。
Objective To explore the characteristic of fatigue trajectories in acute mountain sickness patients and influencing factors.Methods A convenient sampling method was implemented to recruit acute mountain sickness patients hospitalized in Qinghai University Affiliated Hospital,and the demographic data of patients were collected.The fatigue degree of the patients was assessed at 24h,3 days,5 days,7 days of exposure to high altitude by the Fatigue Self-Assessment Scale.The latent class growth model was used to identify the potential trajectory category.Multivariable logistic regression analysis was used to analyze the influencing factors for fatigue trajectory.Results Totally,143 patients were enrolled in this study,and three types of fatigue trajectories were identified in these patients.They were included in the sustained fatigue group(42.7%),fatigue remission group(25.9%),and fatigue aggravation group(31.4%).Compared to those of the fatigue aggravation group,anxiety and insomnia were the risk factors for sustained fatigue group,while physical exercise,anxiety,insomnia and sleepiness were the risk factors for fatigue remission group(all P<0.05).Conclusion The degree of fatigue in patients with acute mountain sickness varies with the fatigue trajectories,and medical staff should implement targeted interventions based on the different trajectory characteristics of fatigue.
作者
宋生琴
余顺祖
SONG Shengqin;YU Shunzu(Outpatient Service,Qinghai University Affiliated Hospital,Qinghai,Xining 810000,China;不详)
出处
《河北医药》
CAS
2024年第3期455-458,共4页
Hebei Medical Journal
基金
青海省新开基础研究计划项目(编号:2022-ZJ-763)。
关键词
急性高原病
疲乏
潜在类别分析
轨迹
acute mountain sickness
fatigue
latent class analysis
trajectory
