The Study On The Loss Degree Of Healthy Functions Of Ischemic Stroke Patients And Negative Emotions Of Caregivers And The Relationship Between Them

ObjectiveThis research is to evaluate the status of loss degree of healthy functions of ischemic strokepatients at the acute phase and the status of negative emotions of their caregivers. To analyse theinfluence factors of the patients’ loss degree of healthy functions and the caregivers’ negative emotions,discussing the relationship between patients’ health function and caregivers’ negative emotion. The aim isto provide information and scientific basis for conducting the clinical treatment and rehabilitation andimprove the level of caregivers’psychological health.MethodsChoosing206cases of ischemic stroke patients at the acute phase of treatment (within5~9days)according to the order of hospital in June2011to December2011at a three level of first-class hospital inKaifeng, then choosing their main caregivers, we carry out survey respectively. The patients’ contentsinclude:(1) information on population statistics and disease data of the patients;(2) Sickness Impact Profile(SIP) to evaluate the loss of health function;(3) Perceived Social Support from Family Scale (PSS-Fa) tounderstand the family support. The caregivers’ contents include:(1) information on population statistics;(2)Self-Rating Anxiety Scale (SAS) to evaluate the anxiety condition of caregivers (3) Self-Rating DepressionScale (SDS) to measure the depression condition of caregivers.Using the software of EpiData3.1to establish the database and SPSS11.5to analyse the statistic.Evaluating the of loss degree of healthy functions of ischemic stroke patients and negative emotional statusof caregivers by descriptive analysis, t test, one-way analysis of variance, nonparametric tests. Exploringthe relationships between patients’ healthy functions and caregivers’ negative emotional status, Logisticregression multiple linear regression analysis and multiple linear regression analysis was used to analysethe influence factors. The level of the test was=0.05and P values were two-tail probability.Results1. The loss degree of healthy functions status of patients and single factor analysisPatients have a general health function loss score of (34.58±15.62) points, the physical funtion loss score of44.11±26.90; the social psychological loss score of (25.70±11.90) points, recreation andpasetime get the highest loss score of (68.74±16.17) points. Female get higher score than male in homemanagement, alertness behaviour and body movement (P <0.05); Patients older than70get higher scorethan other age groups in general health function, physical function, social psychology function, alertnessbehaviour, sleep and rest, body movement, walking mobile, communication(P <0.05); Patients not inmarriage get higher score than those in marriage in emotional behavior, home management, general healthfunction, body movement, diet, physical function (P <0.05); Patients with higher income get lower scorethan low income group in social psychology function, home management, alertness behaviour, recreationand pastime (P <0.05); Patients with lacunar infarction get lower score than other parts in body movement,mobility, social relations, physical function, social psychology function, general health function, walkingmobile, communication (P <0.05); Patients with different character, and muscle strength get differentscores in all dimensions of SIP (P <0.05).2. Multiple factor regression analysis of loss degree of healthy function of patientsMultiple factor regression analysis results show that the risk factors of general health lossfunction are smoking, no exercise, lesion location, and its protection factors are muscle strength, familysupport, with OR values8.054,3.553,1.466,0.291,0.312. The risk factors of physical function loss are age,smoking, no exercise, lesion location, and its protection factors are muscle strength, family support, withOR values1.054,6.346,3.118,0.220,0.394. The risk factors of social psychological function loss is lesionlocation, and protection factors are the marital status, character, muscle strength, family support, with ORvalues1.654,0.149,0.322,0.036,0.036.3. Caregivers’ negative emotions and single factor analysisThe scores of anxiety and depression of caregivers are (34.93±6.34)points and (36.37±6.14)points, which are higher than the national norm, and the difference is statistically significant (P <0.001).Caregivers with care days of1~7days get lower score of anxiety and depression than over7days (P <0.05); Caregivers with care times of1~10hours everyday get lower score of anxiety, depression than over10hours (P <0.05); When the patient got stroke, caregivers who were company patients got higher scoreof anxiety and depression than that not attended (P <0.05); Caregivers with different cultural degrees,health condition and characters get different anxiety and depression score (P <0.05). 4. Multiple factor regression analysis of negative emotions of caregiversMultiple linear regression analysis results shows that the main influence factors of caregivers’anxiety are age, marital status, health status, time on caregiving, and general health function, physicalfunction, social psychology function of patients (R~2=0.249), which can predict24.9%of the total variation;The main influence factors of caregivers’ depression are work status, health status, days on caregiving (R~2=0.233), which can predict23.3%of the total variation.5. The relationship between patients’ loss degree of healthy functions and caregivers’ negativeemotionsEvery dimension of the loss degree of healthy function of patients and the status of negativeemotions of caregivers are positively related (P﹤0.05); Multiple linear regression analysis showed thatgeneral health function, physical function, social psychology function of patients are the main factors ofanxiety status of caregivers.Conclusion1. All dimensions of the healthy functions of ischemic stroke patients get some loss. The meaninfluence factors include marital status, character, smoking, no exercise, lesion location, muscle strength,family support, and family support have a protective effect. Nurses should make corresponding nursingstrategy according to individual characteristics, promoting the clinical treatment and rehabilitation, andimprove the patients’ quality of life.2. Caregivers of ischemic stroke patient have anxious and depressive emotion, which should begiven enough attention by nurses. Nurses should take effective intervention measures to reduce thegeneration and development of negative emotions of caregivers according to the individual characteristics.