Dong Jinping, Ding Xueying, Wen Yating, Sun Shujie, Wu Jingliang, Wang Jianhua, Fan Yang, Hu Guojing, Xin Zhang, Li Jiayin, Sun Xiaoyan
Medical College, Weifang University of Science and Technology, Weifang, China.
Neurosurgery Department of Weifang People's Hospital, Weifang, China.
Front Public Health. 2025 Jan 17;13:1474345. doi: 10.3389/fpubh.2025.1474345. eCollection 2025.
To investigate the mediating effect of social isolation on the relationship between stigma and work ability in young and middle-aged stroke patients.
From May 2022 to May 2024, a survey was conducted on young and middle-aged stroke patients visiting the neurology department of a tertiary hospital in Weifang. The survey utilized the General Information Questionnaire, the Rankin Scale, the General Isolation Scale, the Stigma Scale for Stroke Patients, and the Work Ability Scale.
The scores for work ability, social isolation, and stigma among young and middle-aged stroke patients were 44.23 ± 12.72, 46.27 ± 5.17, and 43.37 ± 4.48, respectively. There was a positive correlation between stigma and social isolation scores ( = 0.550, < 0.01), and a negative correlation between stigma and work ability scores ( = -0.371, < 0.01). Social isolation was negatively correlated with work ability ( = -0.418, < 0.01). Multiple linear stepwise regression analysis indicated that stroke type, duration of illness, mRS score, stigma, and social isolation are significant factors affecting work ability in young and middle-aged stroke patients. Social isolation significantly mediated the relationship between stigma and work ability, accounting for 21.66% of the total effect.
Stigma and social isolation can directly predict the level of work ability in young and middle-aged stroke patients. Additionally, stigma can indirectly influence work ability through social isolation.
探讨社会隔离在中青年脑卒中患者耻辱感与工作能力关系中的中介作用。
2022年5月至2024年5月，对到潍坊市某三级医院神经内科就诊的中青年脑卒中患者进行调查。调查采用一般情况问卷、Rankin量表、一般隔离量表、脑卒中患者耻辱感量表和工作能力量表。
中青年脑卒中患者的工作能力、社会隔离和耻辱感得分分别为44.23±12.72、46.27±5.17和43.37±4.48。耻辱感得分与社会隔离得分呈正相关（r = 0.550，P < 0.01），耻辱感得分与工作能力得分呈负相关（r = -0.371，P < 0.01）。社会隔离与工作能力呈负相关（r = -0.418，P < 0.01）。多元线性逐步回归分析表明，脑卒中类型、病程、mRS评分、耻辱感和社会隔离是影响中青年脑卒中患者工作能力的重要因素。社会隔离在耻辱感与工作能力的关系中起显著中介作用，占总效应的21.66%。
耻辱感和社会隔离可直接预测中青年脑卒中患者的工作能力水平。此外，耻辱感可通过社会隔离间接影响工作能力。
