摘要
目的 探讨糖尿病周围神经病变(diabetic peripheral neuropathy,DPN)患者疲劳轨迹的潜在类别,并分析其影响因素。方法 采用便利抽样法,选取2021年6月—2022年6月于江苏省某三级甲等综合医院内分泌科住院的426例糖尿病周围神经病变患者作为调查对象。在患者出院时(T1)收集患者的一般资料及疾病相关资料,并采用中文版多维度疲劳量表、匹兹堡睡眠质量指数量表、社会支持评定量表、疼痛数字评分表和恐动症Tampa评分表对患者进行调查,在患者出院3个月(T2)、6个月(T3)、12个月(T4)继续采用中文版多维度疲劳量表评估患者的疲劳程度。使用增长混合模型识别其疲劳轨迹的潜在类别,并采用Logstic回归分析患者疲劳的影响因素。结果 414例患者完成研究。识别出糖尿病周围神经病变患者疲劳轨迹被分为3种:显著升高组(19.6%)、缓慢升高组(47.8%)、疲劳下降组(32.6%)。Logistic回归分析显示,年龄、睡眠、社会支持、共病个数、体质量指数(body mass index,BMI)、疼痛和运动恐惧是糖尿病周围神经病变患者疲劳轨迹潜在类别的影响因素。结论 糖尿病周围神经病变患者疲劳轨迹存在3种潜在类别,年龄、睡眠障碍、社会支持、共病个数、BMI、疼痛评分、运动恐惧是患者疲劳潜类别的影响因素。
Objective To explore the potential categories of fati let ajectoryinpatientsw and analyze the influencing factors. Methods Convenience sampling method was used to select 426 patients with diabetic peripheral neuropathy who were hospitalized in a tertiary hospital in Jiangsu Province from April 2022 to April 2023. General information and disease related data of the patients were collected,and the Chinese version of Multi-dimensional Fatigue Scale,Pittsburgh Sleep Quality Index Scale,Social support Rating Scale,pain number rating scale and Tampa scale of kinetophobia were used to investigate at discharge (T1). The Chinese version of multi-dimensional fatigue scale was used to investigate 3 months after discharge (T2),6 months after discharge (T3),and 12 months after discharge (T4). A mixed growth model was used to identify the potential categories of fatigue trajectory and logistic regression were employed to analyze the influencing factors of fatigue. Results 414 patients finished the study. Three categories of fatigue trajectory in the patients with diabetic peripheral neuropathy were identified:significantly increasing group (19.6%),slowly increasing group (47.8%),and decreasing group (32.6%). Logistic regression analysis showed that age,sleep,social support,number of comorbidities,body mass index(BMI),pain and fear of exercise were the factors influencing the potential categories of fatigue trajectory in the DPN patients. Conclusions There are three potential categories of fatigue trajectories in DPN patients. Age,sleep disorders,social support,comorbidities,BMI,pain score,and exercise fear were influencing factors of fatigue in patients with DPN.
作者
蔡冬青
戴莉敏
丁慧敏
杨群
Cai Dongqing;Dai Limin;Ding Huimin;Yang Qun(Zhenjiang People’s Hospital,Jiangsu University,Zhenjiang,Jiangsu Province,212002,China)
出处
《现代临床护理》
2024年第5期24-32,共9页
Modern Clinical Nursing
基金
镇江市社会发展指导性科技计划项目,项目编号为FZ2022092
镇江市社会发展指导性科技计划项目,项目编号为FZ2022096。
关键词
糖尿病周围神经病变
疲劳轨迹
潜在类别
diabetic peripheral neuropathy
fatigue trajectory
potential categories
