实用心脑肺血管病杂志2026，Vol.34Issue(8)：9-13,5.DOI:10.12114/j.issn.1008-5971.2026.00.173
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
Synchronization Network Analysis of Symptom Clusters and Core Symptoms in Patients with First Stroke during Recovery Period
摘要
Abstract
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.关键词
卒中/症状群/核心症状/症状管理/同期网络Key words
Stroke/Symptom clusters/Core symptoms/Symptom management/Synchronization network分类
医药卫生引用本文复制引用
曹丽,浩育盈,宋睿,翟冰莹,张子涵..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[J].实用心脑肺血管病杂志,2026,34(8):9-13,5.基金项目
中华中医药学会研究课题(HLKT-CACM-2022-1-10) （HLKT-CACM-2022-1-10）
国家中医药监测统计研究课题(2025JCTJE41) （2025JCTJE41）
陕西省体育局2025年常规课题(20250550,20250551,20250553) （20250550,20250551,20250553）
陕西中医药大学护理学高水平重点学科项目(2024XKZD16) （2024XKZD16）
陕西中医药大学附属医院护理质量服务改善孵化项目(2025HLZLGS-01) （2025HLZLGS-01）
