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新冠康复者自述疲劳:对日常生活功能的影响及相关因素——一项横断面研究。

Self-reported fatigue in people with post COVID-19: impact on functioning in daily life, and associated factors - a cross-sectional study.

机构信息

Department of Health Sciences, Lund University, Lund, Sweden; Department of Neurology, Rehabilitation Medicine, Memory Disorders and Geriatrics, Skåne University Hospital, Lund, Sweden.

Department of Health Sciences, Lund University, Lund, Sweden; Department of Hand Surgery, Skåne University Hospital, Malmö, Sweden.

出版信息

J Rehabil Med. 2024 Oct 15;56:jrm40811. doi: 10.2340/jrm.v56.40811.

Abstract

OBJECTIVE

To assess (i) the impact of self-reported fatigue on functioning in daily life, and (ii) the association with sociodemographics, physical capacity, and work ability among people with post-COVID-19.

DESIGN

A cross-sectional study.

SUBJECTS

Adults reporting post-COVID-19 symptoms for at least 2 months.

METHODS

Participants were recruited through social media and responded to an online survey between October 2021 and February 2022 regarding sociodemographics, COVID-19 symptoms, comorbidities, physical and mental fatigue, aerobic capacity, and work ability. Descriptive statistics and logistic regression analyses were used.

RESULTS

A total of 614 participants (88% women, mean age 47 years, on average 13 months of symptoms) were included. A majority (≥ 84%) reported both physical fatigue and mental fatigue, according to the Fatigue Severity Scale and Mental Fatigue Scale. The fatigue impacted motivation, physical functioning, work, family, or social life, and increased sensitivity to stress and concentration difficulties. Among the factors, work ability had the strongest association with both physical fatigue and mental fatigue; odds ratio: 0.650 and 0.473, p < 0.001, respectively.

CONCLUSION

This study found that self-reported fatigue is common among people with post-COVID-19, and negatively impacts functioning in daily life. To achieve a sustainable life and work situation, support and targeted rehabilitation interventions may be important.

摘要

目的

评估(i)自我报告的疲劳对新冠后患者日常生活功能的影响,以及(ii)与社会人口统计学、身体能力和工作能力的相关性。

设计

横断面研究。

对象

报告至少有 2 个月新冠后症状的成年人。

方法

参与者通过社交媒体招募,并于 2021 年 10 月至 2022 年 2 月期间在线调查社会人口统计学、新冠症状、合并症、身体和精神疲劳、有氧能力和工作能力。采用描述性统计和逻辑回归分析。

结果

共纳入 614 名参与者(88%为女性,平均年龄 47 岁,平均症状持续时间为 13 个月)。根据疲劳严重程度量表和精神疲劳量表,大多数人(≥84%)报告存在身体疲劳和精神疲劳。疲劳影响了动力、身体功能、工作、家庭或社会生活,并增加了对压力和注意力困难的敏感性。在这些因素中,工作能力与身体疲劳和精神疲劳均具有最强的相关性;比值比:0.650 和 0.473,p<0.001。

结论

本研究发现,自我报告的疲劳在新冠后患者中很常见,并对日常生活功能产生负面影响。为了实现可持续的生活和工作状况,支持和有针对性的康复干预可能很重要。

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