Study On Self Perceived Burden、Medical Coping Style And Disability Acceptance Of Patients With Ischemic Stroke

Objective:To explore the relationship among self-perceived burden,medical coping style and acceptance of disability of patients with ischemic stroke and its influencing factors,so as to reduce the self-perceived burden of patients with ischemic stroke,adopt correct me dical coping style,improve the acceptance of disability of patients,and improve the qualit y of life of patients.Methods:Convenient sampling method was used to select 270 hospitalized patients with i schemic stroke who met the inclusion criteria in two tertiary hospitals in Inner Mongolia from December 2019 to July 2020.General demographic questionnaire,Modified Rankin Scale(MRS),Self-Perceived Burden Scale(SPBS),Medical Coping Style Scale(MCMQ)and Acceptance of Disability Scale(ADS-R)were used as research tools.SPSS26.0 stati stical software was used to analyze the collected data,P<0.05 when the difference was st atistically significant.Results:(1)The total score of self-perceived burden of patients with ischemic stroke was(32.60±5.02),which was in a moderate level.There were significant differences in self-per ceived burden among patients with different gender,age,marital status,duration of illness,degree of disability and other general demographic characteristics(P<0.05,P<0.01).(2)The total average score of face dimension was(18.56±1.31),which was low-er than the domestic norm,the total average score of avoidance dimension was(16.84±3.15),the total average score of yield dimension was(13.76±1.34),which were higher than the domestic norm,and the differences were statistically significant(P<0.001).Different g ender,age,nationality,marital status,family history,time of illness,medical payment and other general demographic characteristics,there were significant differences in medical copi ng styles,with statistical significance(P<0.05,P<0.01,P<0.001).(3)The total average score of acceptance of disability of patients with ischemic str oke was(85.80±10.42),and the standardized score was 67.03%.Patients with different ge nder,age,marital status,educational level,family per monthly income,family history,du ration of illness,degree of disability and other general demographic characteristics,the acc eptance of disability was different,with statistical significance(P<0.05,P<0.01,P<0.001).(4)The acceptance of disability of patients with ischemic stroke was negatively cor related with self perceived burden(r=-0.635,P<0.01),positively correlated with face dime nsion(r=0.532,P<0.01)and negatively correlated with avoidance dimension(r=-0.683,P<0.01).(5)Multiple linear regression analysis showed that family per monthly income,deg ree of disability,self-perceived burden,medical coping style in the face dimension and av oidance dimension were included in the regression equation,which could explain 67.8%of the variation of acceptance of disability(F=52.486,P<0.001).Conclusion:(1)The self-perceived burden and acceptance of disability of patients with ischemic stroke were in a moderate level.When patients face stress events,they are more likely to adopt avoidance and surrender coping styles.(2)The higher the self-perceived burden of ischemic stroke patients,the lower their a cceptance of disability.In the medical coping style,patients who adopt more positive face-to-face style have higher level of disability acceptance,while patients who adopt negative avoidance style have lower level of acceptance of disability.(3)The main influencing factors of acceptance of disability of patients with ischemic stroke were family per monthly income,degree of disability,self-perceived burden,copin g style of face and avoidance.