Exploration of Optimal Cutoff for Fear of Disease Progression Risk Factors in Patients with Stroke Disability
Objective This study aims to investigate the current status of fear of disease progression among stroke-disabled patients,identify the risk factors contributing to psychological dysfunction associated with this fear,and determine the optimal critical values of psychological dysfunction that impact fear of disease progression.The findings will provide a foundation for developing intervention programs tailored to address fear of disease progression in stroke patients.Methods A total of 333 stroke-disabled patients from the Department of Neurosurgery and Rehabilitation Medicine at Huaihe Hospital of Henan University were selected by convenience sampling.The general information,fear of disease progression,multidimensional fatigue,psychological resilience,and self-perceived burden of patients were cross-sectional investigated.Results The average score for fear of disease progression among stroke-disabled patients was(32.55±8.48)points,with 170 patients(51.05％)experiencing psychological dysfunction.Logistic regression analysis indicated that factors such as medical expenses,education level,marital status,multidimensional fatigue,psychological resilience,and self-perceived burden significantly influence fear of disease progression in this population.Mediation effect analysis revealed that fatigue serves as a partial mediator in the relationship between fear of disease progression and psychological dysfunction.Furthermore,the optimal critical value analysis identified that a moderate multidimensional fatigue score 52.50 points,a self-perceived burden score 36.00 points,and a mental toughness score 50.50 points represent the critical thresholds for inducing fear of disease progression and psychological dysfunction in stroke patients.Conclusion Attention should be focused on the current status and influencing factors related to fear of disease progression in stroke patients.It is essential to enhance the follow-up of disease progression and to evaluate high-risk factors in stroke patients with disabilities.Additionally,timely management of risk factors that are close to the optimal critical value is crucial to mitigate the potential risks associated with fear of disease progression,thereby improving the quality of life and long-term survival rates of stroke patients.
strokefear of progressionfatigueinfluencing factorthe investigation and study
万方数据
维普
