| ObjectivesThe purpose of this study was to assess and analyze the situation of acceptance of disability and its influential factors in ischemic stroke patients,and explore the relationship between acceptance of disability and degree of depression,medical social support,medical coping style and hope level.In order to improve the level of acceptance of disability and formulate the related interventions for the patients with ischemic stroke,the reference basis for improving the quality of social life after disability is provided.MethodsIn this study,a cross-sectional survey method was used to select 328 patients with ischemic stroke who were hospitalized from July 2016 to June 2017 in the neurology department of two general hospital in a city of Henan Province.It is the general information questionnaire that Adaptation of Disability Scale-Revised(ADS-R),Patient Health Questionnaire-9(PHQ-9),Medical outcomes Study Social Support Survey(MOS-SSS),Medical Coping Modes Questionnaire(MCMQ),and Herth Hope Inder(HHI).EpiData 3.1 was used to establish the database and SPSS 17.0 was applied to conducted the statistical analysis.The data were described by means,standard deviations(SD)and percentage.The acceptance of disability differences in general information were assessed by independent t test and the one-way analysis of variance(ANOVA).Pearson correlational analysis was used to determine the correlations between continuous variables.Multiple regression analysis was used to find out the main factors that influence patients’ acceptance of disability.Results1 The status of ischemic stroke patients’ acceptance of disabilityThe total score of ADS-R was 87.05 ± 14.23,the patients’ acceptance of disability was in the middle level.The mean score of extended dimension(E),subordinate dimension(S),inclusion dimension(C),and transform dimension(T)respectively were 26.83 ± 3.86,14.29 ± 2.32,22.47 ± 5.02,and 23.46 ± 4.70.2 The single factor analysis of ischemic stroke patients’ acceptance of disabilityWith different gender,age,religion,education,income,medicare,course of disease,regular physical activity,drinking status,smoking status,and degree of disability in patients with ischemic stroke,the ADS-R was also different(P<0.05).The study showed that participants were women,aged more than 60 years,had religious beliefs,college and above,the income more than 2000,urban residents or employees medicare,course of disease more than 12 months,regular physical exercise,no alcohol,no smoking,disability in level 2 had higher ADS-R scores.3 The status of depression,medical social support,medical coping modes,and herth hope inder in patients with ischemic strokeThe mean scores of PHQ-9 was 5.61 ± 3.93,and the mean score of emotion was 3.82 ± 3.04,the mean score of somatic symptom was 1.79 ± 1.41,the incidence of depression was 46.0%.The mean scores of MOS-SSS was 59.19 ± 9.13,and the mean score of actual support was 13.32 ± 1.23,the mean score of information and emotion support was 22.42 ± 4.96,the mean score of social interaction cooperation was 13.53 ± 2.34,the mean score of emotional support was 8.93 ± 1.34.The mean scores of MCMQ of face,avoidance,and yield dimension were 20.13 ± 1.65,15.68 ± 2.10 and 12.18 ± 1.27.The scores of dimensions were higher than those of the domestic norm,and the difference had significant difference(P<0.01).The mean scores of HHI was 30.88 ± 5.55,patients’ herth hope was in the middle level.And the mean score of positive attitude toward reality and future,positive action,and the relationship with others were 11.06 ± 2.10,12.13 ± 1.76,10.69 ± 2.00.4 The relationship between acceptance of disability and depression,medical social support,medical coping modes,and herth hope inderThere was a positive correlation between acceptance of disability and depression,the correlation coefficient r=-0.790,P<0.01;there was remarkable positive relevant relations between acceptance of disability and medical social support,the correlation coefficient r=0.736,P<0.01;there was a positive correlation between acceptance of disability and face dimension,or avoidance dimension,the correlation coefficient r=0.294,r=0.425,P<0.01 respectively;there was a negative correlation between acceptance of disability and yield dimension,the correlation coefficient r=-0.115,P<0.05;there was a positive correlation between acceptance of disability and herth hope inder,the correlation coefficient r=0.794,P<0.01.5 The multiple regression analysis of acceptance of disability in patients with ischemic strokeMultiple linear regression analysis showed that gender,age,course of disease,degree of disability,depression,informational and emotional support,social interactional cooperation,yield and hope level were influencing factors of acceptance of disability.ConclusionsThe acceptance of disability was in the middle level in patients with ischemic stroke.At the same time,the gender,age,course of disease and degree of disability were the main influencing factors of acceptance of disability in patients with ischemic stroke.And the acceptance of disability was positively correlated with the information and emotion support,social interaction cooperation and hope level,but negatively correlated with the depression and yield dimension. |
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