Abstract:

Objective To identify the measurement time，assessment tools，changing trends，factors in longitudinal studies on post stroke fatigue. Methods Web of Science，PubMed，CINAHL，Embase，CNKI，CBM，Wanfang，and VIP database were retrieved from inception until December 15，2024. Results A total of 41 papers were included. The measurement time points used with high frequency were 3，6，and 12 months after stroke. 10 assessment tools were retrieved and the fatigue severity scale was most selected. The majority of the studies supported that the incidence of post stroke fatigue showed a decreasing trend within 6 months after stroke，an increasing trend from 6 to 12 months，and a decreasing or steady decreasing trend from 12 months. Post stroke fatigue is influenced by demographic，disease，physiologic，psychological，and coping factors. Conclusion The longitudinal studies on post stroke fatigue focused less than 1 year after stroke，but the recovery period is understudied and specific assessment tools need to be further explored. The trend of post stroke fatigue varies at different stages and exists heterogeneity. Future studies should be optimized to explore influence factors.

Key words: Post Stroke Fatigue, Longitudinal Research, Variation Trend, Scoping Review, Nursing Care

摘要：

目的 对卒中后疲劳纵向研究进行范围综述，明确卒中后疲劳的测量时间、评估工具、变化趋势及影响因素，为今后开展相关科学研究和临床实践提供参考。 方法 遵循范围综述审查方法，系统检索Web of Science、PubMed、CINAHL、Embase、中国知网、中国生物医学文献数据库、万方数据库、维普数据库，检索时限为建库至2024年12月15日。 结果 共纳入41篇文献，高频使用的测量时间点为卒中后3、6、12个月。检索到10个评估工具，最多选用的是疲劳严重程度量表。大多数研究支持卒中后疲劳发生率在脑卒中6个月内呈下降趋势，6~12个月呈上升趋势，12个月以上呈下降趋势。卒中后疲劳受人口学因素、疾病因素、生理因素、心理社会因素及应对行为因素影响。 结论 卒中后疲劳纵向研究在脑卒中1年内比较集中，但恢复期研究不足，特异性评估工具有待进一步探讨。卒中后疲劳变化趋势在不同阶段存在差异，且存在群体异质性。未来研究需进一步探讨卒中后疲劳的影响因素。

关键词: 卒中后疲劳, 纵向研究, 变化趋势, 范围综述, 护理