Fan Wenfeng, Ma Ke Ke, Yang Cai Xia, Guo Yuan Li
Nursing and Health School, Zhengzhou University, Zhengzhou, China.
Neurology of the First Affiliated Hospital of Zhengzhou University, Zhengzhou, China.
Front Psychiatry. 2023 Jul 27;14:1219805. doi: 10.3389/fpsyt.2023.1219805. eCollection 2023.
Stroke patients may experience reduced socialization and feelings of isolation due to post-stroke sequelae such as impaired motor function and cognitive deficits. Factors associated with loneliness need to be explored to develop targeted interventions. However, little is known about the impact of self-perceived burden and illness stigma on loneliness in this population.The aim of this study was to explore the mediating effect of stigma on self-perceived burden and loneliness in stroke patients.
The cluster random sampling method was adopted to select 1028 stroke patients from the neurology department of third-grade A hospitals and second-grade A hospitals in 5 cities of Henan Province from May 2022 to August 2022. A general data questionnaire, self-perceived burden scale, stroke stigma scale, and loneliness scale were used to investigate. The structural equation model was used to analyze the mediating effect of stigma between self-perceived burden and stigma.
The loneliness of stroke patients was positively correlated with self-perceived burden and stigma. The results of the mediation analysis showed that stigma played a complete mediating role between self-perceived burden and loneliness.
The results of the study revealed the relationship between self-perceived burden, stigma, and loneliness in stroke patients. Stigma mediated the relationship between self-perceived burden and loneliness in this population.Stigma should be emphasized as an important modifiable psychological factor that affects loneliness of stroke patients.
中风患者可能会因中风后遗症（如运动功能受损和认知缺陷）而出现社交活动减少和孤独感。需要探索与孤独感相关的因素，以制定有针对性的干预措施。然而，对于自我感知负担和疾病耻辱感对该人群孤独感的影响知之甚少。本研究的目的是探讨耻辱感在中风患者自我感知负担和孤独感之间的中介作用。
采用整群随机抽样方法，于2022年5月至2022年8月从河南省5个城市的三级甲等医院和二级甲等医院神经内科选取1028例中风患者。使用一般资料问卷、自我感知负担量表、中风耻辱感量表和孤独感量表进行调查。采用结构方程模型分析耻辱感在自我感知负担和耻辱感之间的中介作用。
中风患者的孤独感与自我感知负担和耻辱感呈正相关。中介分析结果显示，耻辱感在自我感知负担和孤独感之间起完全中介作用。
研究结果揭示了中风患者自我感知负担、耻辱感和孤独感之间的关系。耻辱感在该人群自我感知负担和孤独感之间起中介作用。应强调耻辱感是影响中风患者孤独感的一个重要的可改变心理因素。
