Influence Factors and Intervention Strategies of Self-perceived Burden in Young and Middle-Aged Patients with Acute Cerebral Infarction
Objective To analyze the influencing factors of self-perceived burden in young and middle-aged patients with acute cerebral infarction(ACI),and to provide reference for clinical intervention strategies.Methods A total of 186 middle-aged and young ACI patients admitted to Nanyang Central Hospital from March 2021 to March 2023 were selected as the study objects,and the self-perceived burden scale(SPBS)was used to assess the self-perceived burden.Clinical data were collected and SPBS scores of different clinical data characteristics were analyzed.The factors influencing SPBS score were analyzed by multiple linear regression.Pearson method was used to analyze correlations of SPBS score and family adaption,partnership,growth,affection resolve index(APGAR),social support rating scale(SSRS),stigma scale for chronic illness(SSCI),World Health Organization quality of life-BREF(WHOQOL-BREF),fear of progression questionnaire-short form(FoPQ-SF),and medical coping modes questionnaire(MCMQ).The mediation model was used to analyze the mediating effect of stigma on self-perceived burden and medical coping style.Results The SPBS score of 186 young and middle-aged ACI patients was(36.24±5.63).Main caregiver,social support,self-care ability,health status of caregivers,per capita monthly income of family,fear level of disease progression,family caring degree,chronic disease stigma,medical coping style and quality of life were the influencing factors of self-perceived burden(P＜0.05).SPBS score was negatively correlated with Apgar,SSRs,WHOQOL-BREF and face dimension,and positively correlated with SSCI,FoPQ-SF,avoidance dimension and yield dimension(P＜0.05).Conclusion Primary caregivers,social support,self-care ability,caregivers'health status,family per capita monthly income,fear of disease progression,family care,chronic disease stigma,medical coping style,and quality of life are the influencing factors of self-perceived burden.Clinicians should take effective measures to improve self-perceived burden,targeted intervention measures and health education.
acute cerebral infarctionyoung and middle-agedmultiple linear regressionself-feeling burdeninfluencing factor
万方数据
维普
