Current status and influencing factors of alexithymia among elderly stroke patients
10.3760/cma.j.cn115682-20200309-01539
- VernacularTitle:老年脑卒中患者述情障碍现状及影响因素分析
- Author:
Qiuhuan JIANG
1
;
Hongmei ZHANG
;
Meng WANG
;
Jinjin CHEN
;
Xianmin HOU
;
Tengteng KANG
Author Information
1. 郑州大学人民医院 河南省人民医院护理部 河南大学临床医学院，郑州 450003
- Keywords:
Aged;
Stroke;
Affective symptoms;
Influencing factors
- From:
Chinese Journal of Modern Nursing
2020;26(21):2899-2903
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To explore the current status and influencing factors of alexithymia among elderly stroke patients.Methods:From August 2017 to April 2018, we investigated 200 elderly stroke inpatients in Neurology Department at a ClassⅢ Grade A hospital in Henan with the self-designed General Information Questionnaire, Toronto Alexithymia Scale 20 (TAS-20) , Social Support Rate Score (SSRS) and Hamilton Depression Scale (HAMD) .Results:Among those stroke patients, the score of alexithymia was (67.42±9.13) and the incidence rate was 51%, which was mainly manifested in extroverted thinking and recognition emotional disorders. Multiple stepwise regression analysis showed that the main influencing factors of alexithymia in elderly stroke patients were the age, hemiplegia, aphasia, social support and depression, which could explain 50.6% of the variation in alexithymia.Conclusions:Alexithymia of elderly stroke patients needs to be improved. While providing nursing care for elderly stroke patients, clinical nursing workers and family members of patients should pay attention to patients' emotional expression, thinking style and depression, especially for patients with advanced age, hemiplegia, aphasia, loss of self-care ability and so on. On the other hand, social support can also be used to improve patients' alexithymia so as to reduce complications, improve clinical outcomes and their quality of life.
