Status quo of self-disclosure in patients with stroke and its influencing factors

Abstract

Objective To explore the status quo of self-disclosure in patients with stroke and analyze its influencing factors. Methods In this cross-sectional study, totally 248 patients with stroke admitted in Neurological Wards of a ClassⅢ Grade A hospital in Zhengzhou between February and August 2019 were selected as subjects by convenient sampling, and investigated with the demographic questionnaire, Distress Disclosure Index (DDI) , Stigma Scale for Chronic Illness (SSCI) , Self-rating Depression Scale (SDS) and Perceived Social Support Scale (PSSS) . Results The SSCI score of the stroke patients was (35.56±6.26) , including 17.74% (44/248) at low levels, 74.60% (185/248) at medium levels, and 7.66% (19/248) at high levels. The total SSCI score of the stroke patients was (55.95±10.80) ; the SDS score was (56.98±9.31) ; and the PSSS score was (54.10±10.83) . Multiple linear regression analysis revealed that educational level, monthly household income per capita, stigma of chronic diseases, depression and social support were the influencing factors of self-disclosure in patients with stroke (P<0.05) , which could account for 36.6% of the total variation of self-disclosure. Conclusions The self-disclosure of stroke patients stands at a medium level and needs to be improved. Medical workers should take effective interventions to improve the self-disclosure of stroke patients and promote their physical and mental health. Key words: Cross-sectional study; Stroke; Depression; Self-disclosure; Stigma; Social support