
Investigation of stigma in patients with stroke and its influencing factors
WAN Qionghong, ZHAO Huifen, YANG Hongyan
Journal of Neurology and Neurorehabilitation ›› 2019, Vol. 15 ›› Issue (2) : 95-101.
Investigation of stigma in patients with stroke and its influencing factors
WAN Qionghong, ZHAO Huifen, YANG Hongyan
Objective: To investigate the status of stigma and its influencing factors in patients with stroke.
Methods: A total of 408 patients with stroke who met the case selection criteria from November 2018 to February 2019 were enrolled in this study by convenient sampling. These 408 patients were evaluated by using self-designed demographic data questionnaire, stigma scale for chronic illness (SSCI), Hamilton depression scale (HAMD) (24 items) and social support rating scale (SSRS).
Results: The average score of stigma in 408 patients with stroke was 21.80+7.95, which was at a moderate level; the internal stigma score was 15.14+6.67 and the external stigma score was 6.65+3.38. Univariate analysis showed that occupation (P = 0.003), marital status (P = 0.001) and stroke type (P = 0.025) were significantly correlated with the level of stigma. The level of stigma was positively correlated with depression score (r = 0.247, P < 0.001), and negatively correlated with age (r = -0.140, P = 0.005), subjective support score (r = -0.241, P < 0.001) and support utilization score (r = -0.286, P = 0.012). Multiple linear regression analysis showed that age, depression score, subjective support score and support utilization score were significantly correlated with the stigma level of patients with stroke (P < 0.05).
Conclusion: The stigma of patients with stroke belongs to moderate level. The age, depression score, subjective support score and support utilization score are all influencing factors. By strengthening individual psychological intervention, establishing a good social support system and implementing effective rehabilitation training as soon as possible, it is of positive significance to reduce the level of stigma and improve the quality of life of patients with stroke.
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