Current status of alexithymia in middle-aged and young patients with stroke:an analysis of influencing factors and nursing strategies
10.3969/j.issn.1671-8283.2025.06.001
- VernacularTitle:中青年脑卒中患者述情障碍现状、影响因素及护理策略
- Author:
Yanying HU
1
;
Yunyun WU
1
;
Ping WANG
1
Author Information
1. 浙江大学医学院附属第一医院神经外科,浙江 杭州,310000
- Publication Type:Journal Article
- Keywords:
middle-aged and young people;
stroke;
alexithymia;
nursing;
cross-sectional study
- From:
Modern Clinical Nursing
2025;24(6):1-7
- CountryChina
- Language:Chinese
-
Abstract:
Objective To explore current status of alexithymia in middle-aged and young patients with stroke,and to analyse the influencing factors and summarise the nursing strategies therefore to provide references for nursing interventions.Methods A convenience sampling method was used to select 220 patients who had stroke and admitted to the wards of Neurology and Neurosurgery in our hospital between February and April 2024.The patients were surveyed using a general information questionnaire,the stroke symptom experience scale,the stroke-specific quality of life scale(SSQOL),and the Toronto alexithymia scale-20(TAS-20).Pearson correlation analysis was used to evaluate the relationship between alexithymia,stroke symptom experience and quality of life in middle-aged and young patients with stroke.Multiple linear regression analysis was used to identify the influencing factors of alexithymia.Results A total of 205 middle-aged and young patients with stroke completed the study.The mean score of the TAS-20 was 74.67±19.68,with average subscale scores for difficulty in identifying feelings of 3.45±0.73,difficulty in describing feelings of 3.49±0.74 and externally-oriented thinking of 3.22±0.69.The prevalence of alexithymia was 74.63%.Alexithymia was found positively correlated with stroke symptom experience and negatively correlated with quality of life(all P<0.05).The education,family income and stroke symptom experience were the protective factors for alexithymia,while quality of life was a risk factor(all P<0.05).These factors collectively explained 61.50%of the variance in alexithymia.Conclusion Middle-aged and young patients with stroke have a high level of alexithymia.Patients with higher education,family monthly income≥2,000 yuan,lower quality of life and higher symptom burden are more likely to develop an alexithymia.Nursing staff should seek appropriate methods to guide patients in expressing their emotions in order to prevent the alexithymia.
