Santos Tavares Silva I, Sunnerhagen K S, Willén C, Ottenvall Hammar I
Department of Health and Rehabilitation, Institute of Neuroscience and Physiology, The Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden.
Department of Occupational Therapy and Physiotherapy, The Sahlgrenska University Hospital, Gothenburg, Sweden.
BMC Neurol. 2016 Nov 18;16(1):230. doi: 10.1186/s12883-016-0753-6.
Fatigue is reported as one of the most disabling symptoms and is common among persons living with late effects of polio. Although fatigue has been studied in the context of people living with late effects of polio, there is a lack of knowledge concerning the association of fatigue and variables of importance for participation in daily life. Therefore, the aim of this study was to explore possible factors associated with fatigue among persons with late effects of polio in Sweden.
This retrospective registry study consisted of 89 persons with late effects of polio living in Sweden. Fatigue was measured with the Multidimensional Fatigue Inventory (MFI-20) scale, Swedish version. Pearson's correlation coefficient was used to analyse the correlation between the factors and fatigue, and a multiple linear regression was carried out to explore factors for fatigue.
Fatigue statistically significantly correlated with age (r = 0.234, p < 0.05) and the use of mobility assistive devices (r = 0.255, p < 0.05). The multiple linear regression model showed that the factors age (β = 0.304, p < 0.019) and mobility assistive devices (β = 0.262, p < 0.017) were associated with fatigue among persons living with late effects of polio, and the model partly explained 14% of the variation of fatigue.
Fatigue could partly be explained by the extent of using mobility assistive devices and age. Healthcare professionals should provide and demonstrate the importance of assistive devices to ensure management of fatigue in persons living with late effects of polio.
疲劳被认为是最使人丧失能力的症状之一，在患有小儿麻痹后遗症的人群中很常见。尽管已经在小儿麻痹后遗症患者的背景下对疲劳进行了研究，但对于疲劳与参与日常生活的重要变量之间的关联仍缺乏了解。因此，本研究的目的是探讨瑞典小儿麻痹后遗症患者中与疲劳相关的可能因素。
这项回顾性登记研究包括89名居住在瑞典的小儿麻痹后遗症患者。使用瑞典语版的多维疲劳量表（MFI-20）测量疲劳程度。采用Pearson相关系数分析各因素与疲劳之间的相关性，并进行多元线性回归以探讨疲劳的影响因素。
疲劳与年龄（r = 0.234，p < 0.05）和使用移动辅助设备（r = 0.255，p < 0.05）在统计学上显著相关。多元线性回归模型显示，年龄（β = 0.304，p < 0.019）和移动辅助设备（β = 0.262，p < 0.017）是小儿麻痹后遗症患者疲劳的影响因素，该模型部分解释了疲劳变异的14%。
疲劳部分可以通过移动辅助设备的使用程度和年龄来解释。医疗保健专业人员应提供并说明辅助设备的重要性，以确保对小儿麻痹后遗症患者的疲劳进行管理。
