Kariasa I Made, Aungsuroch Yupin, Nurachmah Elly, Nova Prima Agustia, Putu Thrisna Dewi Ni Luh, Juanamasta I Gede, Poolsok Rapin
Faculty of Nursing, Universitas Indonesia, Kota Depok, West Java, Indonesia.
Faculty of Nursing, Chulalongkorn University Bangkok, Pathumwan, Bangkok, Thailand.
SAGE Open Nurs. 2024 Sep 2;10:23779608241278639. doi: 10.1177/23779608241278639. eCollection 2024 Jan-Dec.
Poststroke internal stigmatization in patients is often overlooked, yet it makes significant contribution to their recovery and quality of life. After stroke, the survivors often have negative perception toward themselves triggered by the internal stigma. Consequently, it affects the rehabilitation outcomes and increases the risk of long-term complications. Therefore, deeper analysis related to the factors influencing the internal stigma was crucial in order to develop an appropriate and innovative strategy to overcome this issue and optimize the recovery in stroke survivors.
This study aimed to identify predominant factors influencing the internal stigma in stroke survivors in Indonesia.
This study used descriptive analytical design and applied stratified nonprobability consecutive sampling involving 439 poststroke respondents from nine hospitals in Bali throughout 2023. This study used various instruments, namely stroke stigma scale (SSS), perceived family support, stroke self-efficacy scale (SSEQ), stroke awareness questionnaire, self-acceptance scale, knowledge of stroke and the respondents' demographic data. The analysis was conducted using Pearson product-moment correlation and multiple regression.
The results from multiple regression analysis showed that self-acceptance (β = .374, = .000), self-awareness (β = .132, = .000), self-efficacy (β = .154, = .000), family support (β = .090, = .015), age (β = .083, = .000), and stroke symptoms (β = -.347, = .000) could explain the internal stigma for 62.8% ( = 124.266, = .000).
Self-acceptance became the most predominant factor towards internal stigma in the stroke survivors because it showed the ability in accepting changes after stroke, which eventually helped them to overcome the challenge and free themselves from internal stigma that interrupted the process of recovery and adaptation to poststroke physical and psychosocial changes.
中风患者的病后内在污名化常常被忽视，然而它对患者的康复及生活质量有着重大影响。中风后，幸存者常常因内在污名而对自己产生负面认知。因此，这会影响康复效果并增加长期并发症的风险。所以，深入分析影响内在污名的因素对于制定合适且创新的策略以克服这一问题并优化中风幸存者的康复至关重要。
本研究旨在确定影响印度尼西亚中风幸存者内在污名的主要因素。
本研究采用描述性分析设计，并应用分层非概率连续抽样，在2023年期间从巴厘岛的九家医院选取了439名中风后受访者。本研究使用了多种工具，即中风污名量表（SSS）、感知到的家庭支持、中风自我效能量表（SSEQ）、中风认知问卷、自我接纳量表、中风知识以及受访者的人口统计学数据。分析采用Pearson积差相关和多元回归。
多元回归分析结果显示，自我接纳（β = 0.374，p = 0.000）、自我认知（β = 0.132，p = 0.000）、自我效能（β = 0.154，p = 0.000）、家庭支持（β = 0.090，p = 0.015）、年龄（β = 0.083，p = 0.000）和中风症状（β = -0.347，p = 0.000）可解释62.8%的内在污名（F = 124.266，p = 0.000）。
自我接纳成为中风幸存者内在污名的最主要因素，因为它展现了接受中风后变化的能力，最终帮助他们克服挑战并摆脱阻碍康复进程以及适应中风后身体和心理社会变化的内在污名。
