Qingdao Binhai University, Qingdao, China.
Sci Rep. 2024 Nov 6;14(1):26953. doi: 10.1038/s41598-024-75131-8.
To analyze the factors affecting stigma and quality of life in hemiplegic stroke patients following suicide attempts in nursing homes and to provide a theoretical basis for developing interventions in clinical care. General demographic information, the Stigma Scale for Chronic Illness (SSCI), and the Quality of Life Scale (SF-36) were used to investigate 259 patients with hemiplegia after stroke following nursing home suicide from January to April 2024. Univariate statistical analyses were performed to assess the impact of potential determinants on quality of life. Multiple regression models and stratified analyses with smoothed curve fitting were used for further evaluation. Multiple regression modeling showed that the factors influencing the quality of life in hemiplegic stroke patients following suicide attempts in nursing homes were stigma, Age, marital status, education, type of occupation, monthly household income, and duration of illness. The level of quality of life before unadjusted variables was strongly associated with high school and college education (β = 11.9, 95% CI: 8.2-15.6; P < 0.001), (β = 13.1, 95% CI: 9.2 -16.9; P < 0.001). After adjusting for confounders such as marital status (Married, Unmarried), Age (< 30, 30-40, 40-50, > 50) (β = 8.1, 95% CI: 4 .6-11.6; P < 0.0001). (β = 9.5, 95% CI: 6.0-13.1;P < 0.0001), the results were not significantly different. Curve fitting revealed threshold nonlinear associations between intrinsic and extrinsic stigma and quality of life, with quality of life decreasing as stigma increased. Conclusion Stigma is negatively correlated with the level of quality of life in hemiplegic stroke patients following suicide attempts in nursing homes. Different demographic profiles moderated patients' quality of life levels, and effective psychological intervention strategies should be used to improve patients' quality of life.
分析养老院中偏瘫卒中后自杀未遂患者的污名化和生活质量的影响因素，为临床护理干预提供理论依据。采用一般人口学资料、慢性病污名量表（SSCI）和生活质量量表（SF-36）对 2024 年 1 月至 4 月 259 例养老院偏瘫卒中后自杀患者进行调查。采用单因素统计分析评估潜在因素对生活质量的影响。采用多元回归模型和分层分析及平滑曲线拟合进行进一步评估。多元回归模型显示，影响养老院中偏瘫卒中后自杀未遂患者生活质量的因素有污名、年龄、婚姻状况、教育程度、职业类型、家庭月收入和患病时间。未经变量调整的生活质量水平与高中和大学教育水平呈强相关（β=11.9，95%CI：8.2-15.6；P<0.001），（β=13.1，95%CI：9.2-16.9；P<0.001）。在调整婚姻状况（已婚、未婚）、年龄（<30 岁、30-40 岁、40-50 岁、>50 岁）（β=8.1，95%CI：4.6-11.6；P<0.0001）（β=9.5，95%CI：6.0-13.1；P<0.0001）等混杂因素后，结果无显著差异。曲线拟合显示内在和外在污名与生活质量之间存在阈值非线性关系，随着污名程度的增加，生活质量呈下降趋势。结论养老院中偏瘫卒中后自杀未遂患者的污名与生活质量呈负相关。不同的人口统计学特征调节了患者的生活质量水平，应采用有效的心理干预策略来提高患者的生活质量。
