新型冠状病毒感染恢复期(肺脾气虚证)疲劳影响因素分析

徐山春; 钟滢; 黄宏; 汤军; 任菁菁

doi:10.16766/j.cnki.issn.1674-4152.003607

新型冠状病毒感染恢复期(肺脾气虚证)疲劳影响因素分析

doi: 10.16766/j.cnki.issn.1674-4152.003607

徐山春¹,
钟滢²,
黄宏³,
汤军¹,
任菁菁^4, ,

1.
浙江中医药大学附属第一医院全科医学科，浙江杭州 310006
2.
浙江中医药大学附属第一医院骨伤科
3.
浙江中医药大学基础医学院，浙江杭州 310053
4.
浙江大学医学院附属第一医院全科医学科，浙江杭州 310003

基金项目:

国家自然科学基金项目 72274169

浙江省中医药科技计划项目 2024ZL404

浙江省名老中医专家传承工作室建设计划项目 GZS2021021

详细信息

通讯作者:
任菁菁，E-mail: 3204092@zju.edu.cn

中图分类号: R563.14 R255.5
计量
- 文章访问数: 13
- HTML全文浏览量: 6
- PDF下载量: 2
- 被引次数: 0
出版历程
- 收稿日期: 2024-03-16
- 网络出版日期: 2024-09-05

Analysis of factors influencing fatigue during the recovery period of COVID-19 infection (Lung-Spleen Qi Deficiency Syndrome)

1.
Department of General Practice, the First Affiliated Hospital of Zhejiang Chinese Medical University, Hangzhou, Zhejiang 310006, China

摘要

摘要: 目的探究新型冠状病毒感染恢复期(肺脾气虚证)患者疲劳的相关影响因素。方法选择2024年1—3月在浙江中医药大学附属第一医院就诊的新型冠状病毒感染恢复期(肺脾气虚证)门诊患者为研究对象，由统一培训的调查员在门诊区域发放电子调查问卷，采用SPSS 26.0统计学软件分析数据。结果本研究最终获得有效样本462份，其中疲劳者366例(79.2%)，无疲劳者96例(20.8%)。单因素分析结果显示，新型冠状病毒感染恢复期(肺脾气虚证)疲劳者与无疲劳者文化程度、睡眠时长、每周压力时间、胃口变化、排便情况、新冠感染次数差异均有统计学意义(P < 0.05)。Logistic回归分析显示，睡眠时长、每周压力时间、胃口改变、排便情况、新冠感染次数均是新型冠状病毒感染恢复期(肺脾气虚证)疲劳的独立影响因素(P < 0.05)。结论受睡眠时长、每周压力时间、胃口改变、排便情况、新冠感染次数等因素影响，新型冠状病毒感染恢复期(肺脾气虚证)疲劳发生率较高，针对不同影响因素采取针对性的干预措施可能在一定程度上改善此类患者的疲劳状态。
- 新型冠状病毒感染恢复期 /
- 肺脾气虚证 /
- 疲劳 /
- 影响因素
Abstract: Objective To explore the relevant factors influencing fatigue in patients during the recovery period of COVID-19 infection (lung-spleen qi deficiency syndrome). Methods Patients who visited the First Affiliated Hospital of Zhejiang Chinese Medical University from January to March 2024 for COVID-19 recovery period (lung-spleen qi deficiency syndrome) outpatient care were selected as the study subjects. Trained investigators distributed and collected electronic questionnaires in the outpatient area, and SPSS 26.0 statistical software was used to analyze the data. Results A total of 462 valid samples were obtained in this study, including 366 cases of fatigue (79.2%) and 96 cases without fatigue (20.8%). The results of the univariate analysis showed that fatigue during the recovery period of COVID-19 infection (lung-spleen qi deficiency syndrome) was statistically significant with differences in education level, sleep duration, number of stressful days per week, appetite changes, bowel movements, and number of COVID-19 infections (P < 0.05). Logistic regression analysis indicated that sleep duration, number of stressful days per week, appetite changes, bowel movements, and number of COVID-19 infections were independent influencing factors affecting fatigue during the recovery period of COVID-19 infection (lung-spleen qi deficiency syndrome, P < 0.05). Conclusion Due to factors such as sleep duration, number of stressful days per week, appetite changes, bowel movements, and number of COVID-19 infections, the fatigue rate during the recovery period of COVID-19 infection (lung-spleen qi deficiency syndrome) is relatively high. Targeted interventions based on different influencing factors may improve the fatigue status of patients during the recovery period of COVID-19 infection (lung-spleen qi deficiency syndrome) to a certain extent.
- Recovery period of COVID-19 infection /
- Lung-spleen qi deficiency syndrome /
- Fatigue /
- Influencing factors

HTML全文

表 1 新冠感染恢复期(肺脾气虚证)疲劳影响因素的单因素分析(例)

Table 1. Univariate analysis of factors influencing fatigue during the recovery period of COVID-19 infection (lung-spleen qi deficiency syndrome) (cases)

项目	无疲劳 (n=96)	疲劳 (n=366)	χ²值	P值
性别			0.223	0.637
男性	42	170
女性	54	196
年龄			7.498	0.058
30岁及以下	32	152
31~50岁	42	160
51~70岁	19	52
71岁及以上	3	2
文化程度			9.975	0.019
初中及以下	5	30
高中	14	33
大专或大学本科	60	188
研究生	17	115
睡眠时长			7.252	0.027
低于4 h	1	3
4~6 h	15	107
7~8 h及以上	80	256
每周压力时间			51.461	< 0.001
0~1 d	66	108
2~4 d	25	177
5 d及以上	5	81
胃口变化			17.775	< 0.001
减少	3	68
正常	92	281
增大	1	17
排便情况			17.862	< 0.001
成形	79	216
基本成形偶有便溏	13	117
不成形	4	33
新冠感染次数			9.419	0.009
1次	64	186
2次	29	143
3次及以上	3	37
服用中药			3.515	0.061
是	75	250
否	21	116

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表 2 变量赋值情况

Table 2. Variable assignment

变量	赋值方法
文化程度	初中及以下=1，高中=2，大专或大学本科=3，研究生=4
睡眠时长	低于4 h=1，4~6 h=2，7~8 h及以上=3
每周压力时间	0~1 d=1，2~4 d=2，5 d及以上=3
胃口变化	减少=(1, 0)，正常=(0, 1)，增大=(0, 0)
排便情况	不成形=(1, 0)，基本成形偶有便溏=(0, 1)，成形=(0, 0)
新冠感染次数	1次=1，2次=2，3次及以上=3
是否疲劳	不疲劳=0，疲劳=1

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表 3 新冠感染恢复期(肺脾气虚证)疲劳影响因素的多因素logistic分析

Table 3. Multivariate logistic regression analysis of factors influencing fatigue during the recovery period of COVID-19 infection (lung-spleen qi deficiency syndrome)

变量	B	SE	Waldχ²	P值	OR值	95% CI
文化程度	0.235	0.159	2.170	0.141	1.265	0.925~1.728
睡眠时长	-0.625	0.315	3.950	0.047	0.535	0.289~0.991
每周压力天数	1.110	0.213	27.300	< 0.001	3.036	2.002~4.605
胃口改变			6.153	0.046
胃口减小	0.625	1.240	0.254	0.614	1.868	0.164~21.245
胃口正常	-0.863	1.085	0.632	0.426	0.422	0.050~3.540
排便情况			10.405	0.006
不成形	0.848	0.581	2.129	0.145	2.336	0.747~7.300
基本成形偶有便溏	1.040	0.344	9.130	0.003	2.830	1.441~5.556
新冠感染次数	0.465	0.221	4.420	0.036	1.592	1.032~2.457

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