Correlations between disability acceptance,coping style and depression level in hemiplegic patients after stroke
10.3969/j.issn.1009-0754.2024.01.005
- VernacularTitle:脑卒中后偏瘫患者伤残接受度与应对方式及抑郁水平的相关性分析
- Author:
Lixia QIAO
1
;
Jianfa ZHAO
;
Haoyang CHEN
;
Yuye ZHU
;
Ping CHEN
;
Shengdong CHEN
Author Information
1. 213003 江苏 常州,联勤保障部队第九〇四医院常州医疗区神经内科
- Keywords:
Hemiplegia after stroke;
Disability acceptance;
Coping style;
Depression level
- From:
Journal of Navy Medicine
2024;45(1):17-20
- CountryChina
- Language:Chinese
-
Abstract:
Objective To investigate the correlations between acceptance of disability,coping style and depression level in patients with hemiplegia after stroke.Methods A total of 96 patients with hemiplegia after stroke were selected from No.904 Hospital of Joint Logistic Support Force of PLA from May 2019 to June 2022.Acceptance of disability scale-revised(ADS-R),medical coping modes questionnaire(MCMQ)and self-rating depression scale(SDS)were used to investigate disability acceptance,coping style and depression degree in these patients,respectively.Pearson correlation analysis was used to analyze their correlations.Results There were significant differences in ADS-R scores among patients with different numbers of organs with dysfunction,numbness of limbs,ages,and occupations(P<0.05).There were 29 patients with low acceptance of disability,52 patients with moderate acceptance,and 15 patients with high acceptance.The scores of yielding coping,avoidance coping,and SDS in patients with high acceptance of disability were significantly lower than those in patients with low and moderate acceptance of disability(P<0.05),and the scores of yielding coping,avoidance coping,and SDS in patients with moderate acceptance of disability were significantly lower than those in patients with low acceptance(P<0.05).The patients with high acceptance of disability had significantly higher scores of face coping than those with low acceptance and moderate acceptance(P<0.05),and the patients with moderate acceptance had significantly higher scores of face coping than those with low acceptance(P<0.05).Pearson correlation analysis showed that ADS-R score was negatively correlated with yielding coping score,avoidance coping score,and SDS score(P<0.05),while ADS-R score was positively correlated with face coping score(P<0.05).Yielding coping score and avoidance coping score were positively correlated with SDS score(P<0.05),and face coping score was negatively correlated with SDS score(P<0.05).Conclusion The higher the ADS-R score of hemiplegia patients after stroke,the lower the yielding coping score,avoidance coping score and SDS score,and the higher the face coping score.Clinical intervention should be taken to increase ADS-R score and improve patients'coping style and depression degree.
