Investigation Of Self-perceived Burden And Related Factors Inpatients With Stroke

Objective:The purpose of this study was to investigate the present self-perceived burden of patients with stroke and analysis of general demographic data and disease data influen ce on stroke patients’ self-perceived burden.To investigate the present family support,coping style and self-efficacy of patients with stroke,to explore the correlationship bet ween family support,coping style,self-efficacy and self-perceived burden with stroke and comprehensively analyze the influence of self-perceived burden with stroke,so as to provide reference for clinical nursing intervention.Method:From December 2017 to October 2018,532 hospitalized patients with stroke were recruited by convenience sampling method in Affiliated Hospital of Hebei University,Baoding First Central Hospital and Baoding Taihe Rehabilitation Hospital.Patients wer e investigated by self-designed general information questionnaire,self-perceived burden scale,perceived social support from family scale,stroke self-efficacy questionnaire,si mplified coping style questionnaire,510 questionnaires were returned,with a response r ate of 95.9%.SPSS22.0 statistical software was used to analyze the data,including de scriptive statistics analysis,One-Samples t test,one-way analysis of variance,spearman rank correlation analysis,multiple linear regression analysis.Results:1.General information data of the patients showed that: stroke mostly happened i n the 60 to 79 age group,accounting for 65.3%;Most of them were male,accountin g for 65.3%;Most of them were unemployed,accounting for 53.5%;34.5% of the av erage per capita monthly income was less than 2000 yuan;91.0% of patients’ medical expenses payment were paid by medical insurance;Most of the caregivers were spou ses and children,accounting for 49.2% and 39.0% respectively;Most of the patients with cerebral infarction,accounting for 81.8%;The first onset accounted for 7%.2.The total score of self-perceived burden was(29.48±9.72)points and in mild tomoderate level.73.5% of the patients had different degrees of self-perceived burden,of which 26.5% had no self-perceived burden,33.3% had mild self-perceived burden,29.8% had moderate self-perceived burden and 10.4% had severe self-perceived burden.A mong the average scores of all dimensions,the highest score was economic burden(2.81±1.40),followed by emotional burden(2.68±1.02)and body burden(2.49±1.16).3.The total score of family support was(8.90±2.85)points and in moderate level.The majority of stroke patients had moderate level of family support,accounting for62.2%,followed by 26.7% with high level of family support and 11.2% with low lev el of family support.4.The total score of self-efficacy was(64.50±22.03)points and in middle and lowe r level.The majority of stroke patients had low self-efficacy,accounting for 38.8%,fo llowed by 32.2% with high self-efficacy and 29.0% with moderate self-efficacy.5.Most of stroke patients adopt positive coping style,accounting for 75.2%,and24.8% of them adopt negative coping style.6.The one-way analysis of variance showed that working status,per capita mont hly income,patient’s primary caregiver,caring ability,duration of illness and knowledg e of the state of illness had statistically significant influence on patients’ self-perceived burden score(P<0.05).Working status,per capita monthly income,patient’s primary c aregiver and caring ability were factors influence each dimension score of patients’ sel f-perception burden(P<0.05).Living status,duration of illness and knowledge of the s tate of illness had a statistically significant impact on the emotion burden dimension s core.Living status and duration of illness had statistically significant impact on the bo dy burden dimension score.7.The correlation analysis showed that the total score and dimensions of self per ceived burden were negatively correlated with family support(r=-0.486~-0.269,P<0.001).The total score and dimensions of self perceived burden were negatively correlated with self-efficacy(r=-0.460~-0.311,P<0.001).There was no correlation between the t otal score and dimensions of self perceived burden and positive coping style(P>0.05).The total score and dimensions of self perceived burden were positively correlated with negative coping style(r=0.227~0.388,P<0.001).8.multiple linear regression analysis showed that self-perceived burden can be joi nt explained 45.7% of variation by the per capita monthly income,caring ability,dura tion of illness in general information and family support,self-efficacy,coping style.Conclusion:1.The majority of stroke patients have different degrees of self-perceived burden and the overall level is at a mild to moderate level,which needs to be highly valued by the society.Stroke patients’ family support is generally at a moderate level,and t heir self-efficacy is generally at a low level.They often adopt positive coping styles.2.The self perceived burden of patients with stroke were positively correlated wit h negative coping style.The self perceived burden of patients were negatively correlat ed with family support and self-efficacy.Patients who suffer from lower family suppor t,the lower self-efficacy,the more negative coping style,the stronger the self-perceive d burden.3.The per capita monthly income,caring ability,duration of illness,family suppor t,self-efficacy and coping styles were important factors affecting self-perceived burden of patients with stroke.It is suggested that medical staff should encourage family me mbers to give more family support to patients.By improving patients’ self-efficacy an d alleviating patients’ negative coping styles to reduce patients’ self-perceived burden a nd to improve their quality of life.