Effect of caregiver reaction on coping styles in cerebral infarction patients with the treatment of rehabilitation

Abstract

Objective To explore the effect of caregiver reaction on coping styles in cerebral infarction patients with the treatment of rehabilitation. Methods A total of 352 patients with cerebral infarction and their caregiver were valued by the Chinese version caregiver reaction assessment scale and Chinese version medical coping questionnaire. Pearson correlation analysis and multiple linear regression analysis were used to explore the effect of caregiver reaction on coping styles in patients with cerebral infarction. Results The scores of health problems, time arrangements disturbed, economic problems and lack of family support and self-esteem were respectively (2.80±0.61), (3.51±0.82), (3.19±0.63), (2.61±0.51) and (4.08±0.90). For the coping styles, the scores of confrontation, surrender and avoidance were respectively (17.85±1.64), (9.61±1.34) and (17.10±1.74). Pearson correlation analysis showed that the score of confrontation was significantly negatively correlated with health problems, time arrangements disturbed, economic problems and lack of family support (P<0.05), but significantly positive correlated with self-esteem (P<0.05); and the scores of surrender and avoidance were significantly positive correlated with health problems, time arrangements disturbed, economic problems and lack of family support (P<0.05), but it negatively correlated with self-esteem (P<0.05). There were significant difference of the score of confrontation, surrender, avoidance in the patients with different sex, age, educational level, marital status, family income, payment method, course of disease, NIHSS, frequency of attack and the the main caregivers with different sex, age and relationships with patients (P<0.05). Multiple linear regression analysis showed that family income, course of disease, NIHSS and caregiver reaction were the influence factors of coping styles in patients with cerebral infarction (P<0.05). Conclusions The caregiver reaction is an important influence factor of coping styles in patients with cerebral infarction. Key words: Cerebral infarction; Rehabilitation; Caregiver reaction; Disease coping styles