Correlation Between Disease Uncertainty,Cognitive Emotion Regulation And Acute Stress Response In Ischemic Stroke Patients

Objective:To understand the current situation of uncertainty of illness,cognitive-emotional regulation,and acute stress response in ischemic stroke patients;to analyze the correlation between disease uncertainty,cognitive-emotional regulation,and acute stress response in ischemic stroke patients;to clarify the factors influencing acute stress response in ischemic stroke patients;to explore the role of disease uncertainty,cognitive-emotional regulation,and acute stress response in ischemic stroke patients;to explore the role of disease uncertainty,cognitive-emotional regulation and acute stress response in ischemic stroke patients,and to provide a reference for alleviating acute stress in ischemic stroke patients,improving their prognosis and constructing individualized stress interventions.Methods:A convenience sampling method was used to select 256 cases of ischemic stroke patients from a tertiary care hospital in Y,J province.The General Information Questionnaire,Adult Inventory of Uncertainty about Disease Cognitive Emotion Regulation Questionnaire,and Stanford Acute Stress Questionnaire were applied to investigate the study.The data were organized and analyzed by SPSS 26.0 with AMOS 24.0 statistical software.Results:(1)The study participants had a total illness uncertainty score of(72.29±15.59),a total adaptive cognitive-emotional regulation score of(60.56±13.03),a total non-adaptive cognitive-emotional regulation score of(45.00±12.75),and a total acute stress response score of(53.62±26.86).(2)Univariate analysis showed that there were differences in gender,age,marital status,work status,per capita monthly income of the family,personality,satisfaction degree of family support,treatment method,degree of neurological deficit and self-care ability of the subjects in acute stress response.(3)The results of correlation analysis showed that the disease uncertainty of the subjects was negatively correlated with adaptive cognitive-emotional regulation(r=-0.344,P<0.01),and positively correlated with non-adaptive cognitive-emotional regulation(r=0.353,P<0.01).The disease uncertainty was positively correlated with acute stress response(r=0.466,P<0.01).Adaptive cognitive-emotional regulation was negatively correlated with acute stress response(r=-0.559,P<0.01).The non-adaptive cognitive-emotional regulation was positively correlated with acute stress response(r=0.550,P<0.01).(4)Multiple linear regression analysis showed that age,work status,family per capita monthly income,personality,satisfaction with family support,degree of neurological impairment,disease uncertainty,and cognitive-emotional regulation were the major factors affecting the acute stress response of the subjects,which together explained 56.1%of the variance(F=24.295,P<0.001).(5)Non-adaptive cognitive-emotional regulation plays a partial intermediary role between disease uncertainty and acute stress response,with the direct effect being 0.617,the indirect effect being 0.271,and the total effect being 0.888.Conclusion:(1)The disease uncertainty of the subjects was at a medium level.The adaptive cognitive-emotional regulation and non-adaptive cognitive-emotional regulation were at a medium level.The acute stress response was at a high level.(2)The disease uncertainty and cognitive-emotional regulation of the subjects were correlated with acute stress response.And non-adaptive cognitive-emotional regulation increased the disease uncertainty and aggravated the acute stress response.(3)Age,work status,family per capita monthly income,personality,satisfaction with family support,degree of neurological deficit,disease uncertainty,and cognitive-emotional regulation were the main influencing factors of acute stress response in the subjects.(4)Non-adaptive cognitive-emotional regulation of the subjects played a partial intermediary role between disease uncertainty and acute stress response.