首发脑卒中恢复期患者症状群及核心症状的同期网络分析OA

Objective To investigate the incidence and severity of symptoms in patients with first stroke during recovery period,and to construct their symptom clusters and core symptoms.Methods From April to September in 2025,the stroke patients during recovery period were selected as the investigation subjects by convenient sampling method in the Affiliated Hospital of Shaanxi University of Chinese Medicine.The Symptom Experience Scale of Stroke was used to investigate the symptom experience of patients.The symptom clusters were extracted by exploratory factor analysis.R 4.5.1 and R-Studio were used to construct the synchronization network,and the core symptoms were determined by centrality indicators(including strength,closeness and betweenness).Results A total of 298 questionnaires were distributed in this study,and 298 valid questionnaires were recovered,with an effective recovery rate of 100.0%.The incidence of symptoms in patients with first stroke during recovery period was 23.8%-99.3%.The top 5 symptoms were annoyed by not being able to do what you want to do,fatigue,depressed,easy to worry,and limb weakness.Among them,annoyed by not being able to do what you want to do was the symptom with relatively high score of frequency,severity,and distress.The 4 symptom clusters extracted were physical activity symptom cluster,cognitive impairment symptom cluster,lower limb motor symptom cluster and pain symptom cluster,with a cumulative variance contribution rate of 74.974%.The results of synchronization network analysis showed that foot drop and decreased self-care ability were the core symptoms of symptom clusters.Conclusion Physical activity symptom cluster,cognitive impairment symptom cluster,lower limb motor symptom cluster and pain symptom cluster are the 4 major symptom clusters in patients with first stroke during recovery period.Among them,foot drop and decreased self-care ability are the core symptoms of the symptom clusters.It is suggested that medical staff should formulate intervention measures based on symptom clusters and core symptoms,so as to improve the efficiency of symptom management.