Effect Of Psychological Factors On Quality Of Life In Patients With Apoplexy

Introduction:In recent years,with the development of social economy,the improvement of living standards and the change of lifestyle,the incidence of stroke is getting higher and higher,and showing a trend of gradual rejuvenation.According to statistics,in the world,stroke frequently-occurring diseases and developing countries,the disease group is usually more than 60 years of age of the elderly,in the cause of human death ranked fourth,but in China has ranked first.The incidence and prevalence of stroke in China were 219 / 100000 and 71.9 / 100000,respectively.the disability rate and recurrence rate were 80% and 40% respectively.50% of stroke survivors left paralysis,aphasia and other sequelae,seriously affected the quality of life of stroke patients,resulting in great psychological pressure,to society and families brought a heavy burden,and even post-stroke depression.Therefore,how to improve the quality of life of patients with cerebral apoplexy and reduce depressive symptoms is an important issue to be studied urgently.As the medical model changes from a biomedical model to a bio-psycho-social medical model,Medicine has changed from the traditional purpose of treating diseases to the ultimate goal of promoting human progress and social development,improving human living conditions and improving people's quality of life.The transformation of the medical model and the deepening of people's understanding of the nature of life,The study of quality of life and depressive symptoms has gradually become an international research hotspot.The evaluation of quality of life and depressive symptoms can objectively and comprehensively evaluate the health status and therapeutic effect of health and patient groups.Objects and Methods:In this study,a questionnaire survey was conducted among 710 stroke patients in 22 communities in 6 cities of Liaoning Province.The psychological status of the subjects was analyzed and evaluated from seven aspects: quality of life,depression,anxiety,hope,optimism,resilience and self-efficacy.A total of 850 questionnaires were sent out,710 questionnaires were effectively recovered,and the effective recovery rate was 88.75%.The statistical processing used in this study includes descriptive analysis,t-test,analysis of variance,correlation analysis,hierarchical regression analysis and model exploration.Epidata software was used for data double input,and SPSS 17.0 software was used for data collation and statistical analysis.Results:The results showed that the reliability of stroke impact scale,self-rating depression scale,self-rating anxiety scale,hope scale,optimism scale,resilience scale and self-efficacy scale was better.Age,marital status,education level,income level and working hours have an impact on the quality of life,depression and anxiety of stroke patients.The younger the age and the higher the level of education,the lower the scores of quality of life,depression and anxiety.The higher the quality of life of married or cohabitants,the lower the tendency to depression and anxiety.Quality of life was negatively correlated with depression and anxiety,and positively correlated with hope,optimism,resilience and self-efficacy of psychological capital.The results showed that the more serious the depression tendency and the more obvious the anxiety symptoms,the lower the sense of hope,optimism,resilience and self-efficacy,and the lower the quality of life of stroke patients.Depression tendency and anxiety tendency had direct predictive effect on the eight dimensions of stroke impact scale: strength,memory and thinking,emotion,communication,ability of daily life,ability of action,hand function and social participation.It also has a direct predictive effect on patients' hope,optimism,resilience and self-efficacy.Depression tendency and anxiety tendency have a direct predictive effect on the quality of life of stroke patients,and hope and toughness play a complete intermediary role in the relationship between depression tendency and anxiety tendency on the strength dimension of quality of life.Hope and self-efficacy play a part of mediating role in the relationship between depression tendency and anxiety tendency on the relationship between memory and thinking dimension of quality of life.Hope and resilience play a complete intermediary role in the relationship between depression tendency and the emotional dimension of quality of life,and play a partial intermediary role in the relationship between depression tendency and the emotional dimension of quality of life.Hope and resilience play a part of intermediary role in the relationship between depression tendency and anxiety tendency on the communication dimension of quality of life.Hope plays a part of intermediary role in the relationship between depression tendency and anxiety tendency on the dimension of quality of life's ability of daily life.Hope and self-efficacy play a part of intermediary role in the relationship between depression tendency and anxiety tendency on the action ability dimension of quality of life.Hope plays a partial intermediary role in the relationship between depression tendency and anxiety tendency to the hand ability dimension of quality of life,and hope and resilience play a partial intermediary role in the relationship between depression tendency and social participation dimension of quality of life.Hope and resilience play a complete intermediary role in the relationship between anxiety tendency and the social participation dimension of quality of life.Conclusions:1.there were significant differences in the effect of demographic variables on the quality of life of stroke patients.2.the depression and anxiety tendency of stroke patients have a direct predictive effect on the quality of life and psychological capital(hope,optimism,resilience,self-efficacy)of stroke patients.3.hope and resilience play a complete intermediary role in the relationship between depression tendency and anxiety tendency on the strength dimension of quality of life;Hope and self-efficacy play a part of intermediary role in the relationship between depression tendency and anxiety tendency on the relationship between memory and thinking dimension of quality of life.4.hope and resilience play a complete intermediary role in the relationship between depression tendency and the emotional dimension of quality of life,and play a partial intermediary role in the relationship between depression tendency and the emotional dimension of quality of life.Hope and resilience play a part of intermediary role in the relationship between depression tendency and anxiety tendency on the communication dimension of quality of life.5.hope plays a part of intermediary role in the relationship between depression tendency and anxiety tendency on the dimension of quality of life's ability of daily life;Hope and self-efficacy play a part of intermediary role in the relationship between depression tendency and anxiety tendency on the action ability dimension of quality of life.Hope plays a part of intermediary role in the relationship between depression tendency and anxiety tendency on the hand ability dimension of quality of life.6.hope and resilience play a part of intermediary role in the relationship between depression tendency and social participation dimension of quality of life,and hope and resilience play a complete intermediary role in the relationship between anxiety tendency and social participation dimension of quality of life.