Potential categories and influencing factors of fatigue trajectory in patients with diabetic peripheral neuropathy
10.3969/j.issn.1671-8283.2024.05.004
- VernacularTitle:糖尿病周围神经病变疲劳轨迹的潜在类别及影响因素研究
- Author:
Dongqing CAI
1
;
Limin DAI
;
Huimin DING
;
Qun YANG
Author Information
1. 江苏大学附属人民医院,江苏镇江,212002
- Keywords:
diabetic peripheral neuropathy;
fatigue trajectory;
potential categories
- From:
Modern Clinical Nursing
2024;23(5):24-32
- CountryChina
- Language:Chinese
-
Abstract:
Objective To explore the potential categories of fatigue trajectory in patients with diabetic peripheral neuropathy and analyze the influencing factors.Methods Convenience sampling method was used to select 426 patients with diabetic peripheral neuropathy who were hospitalized in a tertiary hospital in Jiangsu Province from April 2022 to April 2023.General information and disease related data of the patients were collected,and the Chinese version of Multi-dimensional Fatigue Scale,Pittsburgh Sleep Quality Index Scale,Social support Rating Scale,pain number rating scale and Tampa scale of kinetophobia were used to investigate at discharge(T1).The Chinese version of multi-dimensional fatigue scale was used to investigate 3 months after discharge(T2),6 months after discharge(T3),and 12 months after discharge(T4).A mixed growth model was used to identify the potential categories of fatigue trajectory and logistic regression were employed to analyze the influencing factors of fatigue.Results 414 patients finished the study.Three categories of fatigue trajectory in the patients with diabetic peripheral neuropathy were identified:significantly increasing group(19.6%),slowly increasing group(47.8%),and decreasing group(32.6%).Logistic regression analysis showed that age,sleep,social support,number of comorbidities,body mass index(BMI),pain and fear of exercise were the factors influencing the potential categories of fatigue trajectory in the DPN patients.Conclusions There are three potential categories of fatigue trajectories in DPN patients.Age,sleep disorders,social support,comorbidities,BMI,pain score,and exercise fear were influencing factors of fatigue in patients with DPN.
