The mediating role of anxiety in feelings of stigma and quality of life of post-epidemic hemiplegic patients with cerebral hemorrhage

Abstract

ObjectiveTo analyze factors influencing the sense of shame, anxiety and quality of life of hemiplegic patients after cerebral hemorrhage and to verify the intermediary role of anxiety in the post-epidemic period. Methods240 hemiplegic patients with cerebral hemorrhage were enrolled from a third class a hospital in Hubei Province and interrogated by questionnaire and convenience sampling method. ResultsSome ICH patients demonstrated problems related to sense of shame, anxiety, and poor quality of life. Sense of shame was positively related to anxiety and shame and anxiety were negatively related to the quality of life. Multivariate regression analysis indicated that age, educational level, occupational status, per capita monthly income, medical payment method, disease duration, sense of shame and anxiety influenced quality of life and together explained 55.8% of the variability. Anxiety mediated prediction of illness and shame on quality of life and the mediating effect accounted for 55.6% of the total effect. ConclusionThe current study examined correlations between anxiety, stigma and quality of life while testing the hypothesis that anxiety mediated the quality of life. Anxiety was related to quality of life. As such, treatment of anxiety may present an opportunity to improve quality of life after ICH.