Investigation on Medical Coping Modes of First Stroke Patients and Its Influencing Factors

Abstract

Objective: To study the medical coping modes of first stroke patients and its influencing factors.

Methods: Using convenience sampling method, we selected 150 first stroke patients who received treatment in the department of cerebral surgery of a specialized hospital from March to May, 2015. We employed general information questionnaire survey, medical coping modes questionnaire (MCMQ), acceptance of disability scale-revised (ADS-R), modified Rankin scale (MRS), functional activities questionnaire (FAQ), self-rating depression scale (SDS) and perceived social support scale (PSSS) to conduct investigation on the patients. Multivariate linear regression analysis was conducted to analyze the influencing factors for the medical coping mode of patients.

Results: The scores of life satisfaction degree before admission, FAQ, SDS, PSSS, support within family and support outside family were (3.4±1.1), (19.6±4.9), (43.0±7.8), (54.4±8.4), (25.1±2.2) and (29.3±7.9) respectively. The scores of facing dimension and yielding dimension were lower than norms (P＜0.01); the score of avoiding dimension was not significantly different from the norm (P＞0.05). Gender, degree of education, monthly income, smoking, drinking, stroke type, coronary disease, history of diabetes and medical expenses were included in the univariate analysis of influencing factors for the medical coping mode of first stroke patients, and the analysis showed that degree of education had significant influence (P＜0.05) on the facing dimension and other influencing factors had no influence (P＞0.05) on the medical coping mode of first stroke patients. The facing dimension of first stroke patient was negatively correlated (P＜0.05) with the satisfaction degree of life prior to admission and FAQ score and was positively correlated (P＜0.05) with the scores of ADS-R, PSSS, support within family and support outside family; avoiding dimension was positively correlated (P＜0.05) with FAQ score and SDS score and was negatively correlated (P＜0.05) with the scores of PSSS and support outside family. Multivariate linear regression analysis showed that the satisfaction degree toward life before admission and the scores of ADS-R, support within family and support outside family were influencing factors for the facing dimension of medical coping mode of patients (P＜0.05); the scores of SDS and support within family were influencing factors for the yielding dimension of medical coping style of patients (P＜0.05); satisfaction degree toward life before admission, SDS score and score of support outside family were influencing factors for the avoiding dimension of medical coping mode of patients (P＜0.05).

Conclusion: First stroke patients are prone to take the coping mode of avoiding when facing stressful event, and the major influencing factors are SDS score, the score of support outside family and satisfaction degree toward life before admission. Therefore, effective measures should be taken in response to different influencing factors in the future clinical practice, in order to improve the medical coping mode of patients, relieve psychological stress and facilitate rehabilitation.