Department of Health Professionals, Manchester Metropolitan University, Manchester, UK.
Department of Psychology, Staffordshire University, Stoke-on-Trent, UK.
Health Soc Care Community. 2022 Sep;30(5):e2590-e2603. doi: 10.1111/hsc.13703. Epub 2022 Jan 11.
Guillain-Barré syndrome (GBS) has several enduring effects that can lead to further harm and/or lower quality of life. These effects include falling and body pain, neither of which have been fully explored. This study aims to examine the risk factors associated with falling and potential causes of body pain in a post-GBS population. A cross-sectional survey of 216 participants was conducted using an electronic questionnaire that included. Self-report measures for: overall health, balance, anxiety and depression levels, body pain and demographics related to GBS experience and falls. A large proportion of individuals post-GBS experience ongoing problems beyond those expected with ageing. Comparative tests indicated that people reporting falls in the previous 12 months had: poorer levels of mobility, poorer F-scores, higher levels of body pain, poorer balance, poorer anxiety and depression scores and higher levels of fatigue. Gender did not appear to contribute to falls. Injuries following falls were associated with a lack of physiotherapy postdischarge and time since GBS. In a regression analysis of the identified and expected key variables, age and body pain statistically predicted falls. In over a quarter of cases reported here, respondents did not receive community physiotherapy following hospital discharge. In the midst and aftermath of COVID-19, provision of rehabilitation needs to be recalibrated, not just for COVID patients, but the wider community with ongoing needs. Issues around well-being and quality of life in the post-GBS community also need further consideration.
格林-巴利综合征（GBS）有一些持久的影响，可能导致进一步的伤害和/或降低生活质量。这些影响包括跌倒和身体疼痛，这两者都尚未得到充分的研究。本研究旨在探讨与跌倒相关的风险因素以及 post-GBS 人群中身体疼痛的潜在原因。通过电子问卷对 216 名参与者进行了横断面调查，问卷包括：整体健康状况、平衡、焦虑和抑郁水平、身体疼痛以及与 GBS 经历和跌倒相关的人口统计学信息。相当一部分 post-GBS 个体经历的持续问题超出了与年龄相关的预期。比较测试表明，在过去 12 个月内报告跌倒的人：移动能力较差、F 评分较低、身体疼痛程度较高、平衡能力较差、焦虑和抑郁评分较差、疲劳程度较高。性别似乎与跌倒无关。跌倒后的受伤与出院后缺乏物理治疗以及与 GBS 发病时间有关。在对确定的和预期的关键变量进行回归分析时，年龄和身体疼痛在统计学上预测了跌倒。在本报告的超过四分之一的病例中，受访者在出院后没有接受社区物理治疗。在 COVID-19 期间和之后，需要重新调整康复服务的提供，不仅针对 COVID 患者，还针对有持续需求的更广泛的社区。post-GBS 社区的幸福感和生活质量问题也需要进一步考虑。
