A Study On The Relationship Between Stroke Patients’ Emotion Regulation Self-efficacy,Cognitive Regulation And Stigma

Objective:1.To investigate the status quo of stroke patients’ stigma,emotion regulation self-efficacy and cognitive emotion regulation in Grade A General hospital,to analyze the relationship among them.2.The influence of demographic variables,motion regulation self-efficacy and cognitive emotion regulation on stroke patients’ stigma was investigated.3.Semi-structured interviews were conducted to explore the true experience of stigma and changes in emotional states of stroke patients,and to explore the psychological experience and coping strategies of stroke patients,so as to provide evidence for improving the attention of medical workers and family caregivers to stroke patients and reducing stroke patients’ stigma.Methods:The first part is a cross-sectional study;The second part is qualitative research of descriptive phenomenology.The details are as follows:1.Cross-sectional study:Convenient to select 262 inpatients who met the criteria of this study from the neurosurgery and the neurology departments of a class A third-level hospital in Zibo city,Shandong Province for questionnaire survey.The research tools included General Information questionnaire,Stroke Stigma Scale,Emotional Regulation Self-efficacy Scale,Cognitive Emotion Regulation Questionnaire.The data were checked by two people and then input into Excel database.SPSS26.0 was used for data analysis.The data were analyzed by descriptive analysis,t-test,analysis of variance,Pearson correlation analysis and multiple linear regression analysis.2.Descriptive phenomenological qualitative research:Based on the quantitative study results,combined with literature review and study group discussion,11 stroke patients were interviewed in semi-structured depth,and the data were analyzed according to the seven-step Colaizzi phenomenological analysis method under the guidance of phenomenological research methods.Results:1.Scores of various dimensions of stigma in stroke patients:Somatic disorder(2.593±0.587),social communication(2.550±0.994),Experience of discrimination(2.301 ±0.799),Self feeling(2.509±0.805),The patient’s shame score(2.488±0.649).2.Scores of various dimensions of the self-efficacy of emotion regulation:expressing positive affect(4.099±0.730),managing despondency(3.636±0.672),managing angry(3.448±0.657).3.Scores of various dimensions of Cognitive Emotion Regulation:Self blame(2.906±0.662),acceptance(3.431±0.741),meditation(2.557±0.717),positive adjustment(3.344±0.743),focus on the plan(3.579±0.779),positive reappraisal(3.498±0.757),self-comfort(2.398±0.696),disaster(2.137±0.785),censure others(1.873±0.876).the adaptive cognitive emotion regulation(3.250±0.559),Non adaptive cognitive emotion regulation(2.369±0.572).4.Correlation analysis:There is a significant negative correlation between emotional regulation self-efficacy and stigma and all dimensions(P<0.01);There is a significant positive correlation between emotion regulation self-efficacy and adaptive cognitive emotion regulation and its dimensions(P<0.01),There is a significant negative correlation with non adaptive cognitive emotion regulation(P<0.01),disaster and meditation;There is a significant negative correlation between stigma and adaptive cognitive emotion regulation,positive adjustment(P<0.01),attention to planning,acceptance and positive reappraisal;There is a significant positive correlation with non adaptive cognitive emotion regulation and the dimensions of Self blame(P<0.01),meditation,disaster and censure others.5.Adaptive cognitive emotion regulation plays an intermediary role between emotion regulation self-efficacy and stigma,And reached a significant level.6.Three themes and ten subthemes were obtained through qualitative interviews:Theme one,Non-adaptive emotion regulation feeling of stigma:①Remorse,ashamed,sorry;②Disaster;③Depressed;④Self-worth is reduced.Theme two,Adaptive emotion regulation feeling of stigma:①Positive reappraisal;②Positive adjustment;③accept;④support system.Theme three,Source of stigma:①Relatives,friends,yourself;②Medical staff.Conclusions:1.The sense of stigma of stroke patients is common and needs to be further reduced.2.The self-efficacy of emotion regulation is above the middle level,Cognitive emotion regulation mostly adopts adaptive emotion regulation.3.There were differences in the sense of stigma,self-efficacy of emotion regulation and the way of cognitive emotion regulation among stroke patients with different characteristics.4.There was a significant negative correlation between self-efficacy of emotion regulation and stigma.5.Cognitive emotion regulation plays a significant role in predicting the relationship between emotion regulation self-efficacy and stigma.And the adaptive emotion regulation can directly predict the disease stigma,and the adaptive emotion regulation plays a part of mediating role.6.Clinical medical staff should pay attention to the real experience of the stigma of stroke patients,We should excavate the internal positive emotion cognition from the aspects of policy,society,medical institutions,family and individuals in order to improve the stigma of stroke.