关键词: 卒中, 卒中后疲劳, 创伤后成长, 相关性分析, 影响因素分析

Abstract: Background　Previous studies have found that 30%-72% of stroke patients develop post-stroke fatigue，with poorer neurological outcome，and higher risk of recurrent stroke and mortality.Post-traumatic growth，a positive psychological factor，may enable patients to recover from trauma，but its relationship with post-stroke fatigue has been rarely studied.Objective　To investigate the status of post-stroke fatigue，post-traumatic growth and associated factors，as well as the relationship between post-stroke fatigue and post-traumatic growth in first stroke patients.Methods　By use of convenience sampling and strict inclusion and exclusion criteria used in this study，first stroke inpatients were recruited from Department of Neurology，the First Affiliated Hospital of Wenzhou Medical University from December 2017 to July 2018.The self-developed General Data Questionnaire for Stroke Patients，Post-traumatic Growth Inventory （PTGI） and Fatigue Severity Scale （FSS） were used in a survey to collect the general data and analyze the status of post-traumatic growth and post-stroke fatigue，respectively.Multiple linear regression was used to analyze the factors affecting post-traumatic growth.Results　The survey obtained a response rate of 94.1%（207/220）.The average scores of PTGI and FSS for the 207 respondents were （55.4±11.0） and （36.4±10.9），respectively.The results of Spearman rank correlation analysis showed that FSS score was negatively correlated with interpersonal relationship，personal strength，life perception，new possibility，mental change and PTGI score （rs=-0.687，-0.404，-0.684，-0.707，-0.306，-0.768，P<0.001）.Multiple linear regression analysis showed that marital status（β'=0.207），education level （β'=0.407），medical payment （reimbursed by the social insurance program） （β'=0.106），living condition （β'=0.072） and FSS score （β'=-0.437） were influencing factors of post-traumatic growth in first stroke patients.Conclusion　Post-traumatic growth level of convalescent patients was affected by post-stroke fatigue in the early stage of first stroke.So health care workers should take intervention measures to alleviate early fatigue to improve post-traumatic growth level and physical and mental health，and quality of life in these patients.

Key words: Stroke, Post-stroke fatigue, Post-traumatic growth, Correlation analysis, Root cause analysis