Analysis on risk factors of after-stroke disability and patients' acceptance

Abstract

Objective To discuss risk factors of after-stroke disability, and to analyze the patients' acceptance of this disability and influencing factors. Methods By random sampling, 650 cases of cerebral apoplexy patients, treated in Daqing Oilfield General Hospital from February 2014 to August 2016, were selected, with their general data and scores of disability degree collected by a self-designed questionnaire. The acceptance of disability scale (AODS) was used for scaling the patients' acceptance of this disease. Risk factors for after-stroke disability and influencing factors of the patients' acceptance of the disability were analyzed by single factor analysis and multiple stepwise regression analysis. Results There was no statistical difference of incidence of disability among patients with different gender, family history, or whether with hyperlipidemia (χ2=0.729, 1.900, 0.007; P>0.05) ; there were statistical difference of incidence of disability among patients with different ages, educational degree, whether with diabetes, or whether with high blood pressure (χ2=7.350, 10.321, 8.365, 7.694; P<0.01) . Age, diabetes and educational degree were independent risk factors of after-stroke disability. In this study, total AODS scores of the 104 patients with disability were (76.65±14.32) points, with a moderate accept percentage 85.6%. There was statistical difference of AODS scores of patients with different ages, educational degree, whether with diabetes or whether with high blood pressure (t/F=4.153, 4.478, 7.893, 8.015; P<0.05) . Age, educational degree, whether with high blood pressure or whether with diabetes were factors influencing AODS of disabled patients after stroke. Conclusions Age, diabetes, educational degree are independent risk factors of disability after stroke, according to which, targeted positive prevention should be taken. Patients with different circumstances should be intervened psychologically according to their AODS scores, which helps to improve their acceptance of disability after stroke. Key words: Stroke; Risk factors; Disability; Acceptance of disability