| 其他摘要 | As a world-wide challenge, the stroke is one of the top priority research for improving the public health. Among several negative effect of stroke, post-stroke anxiety is one of the most important topics since it continuously aggravates the condition of patient.The post-stroke anxiety, as a common and continuous emotional disorder, has extremely negative effects on the prognosis and the living ability of patients, as well it costs a large amount of medical resources.However, it is commonly ignored by clinic although its high morbidity. There also is rare research focused on the effects of post-stroke anxiety.In this research, the post-stroke anxiety were investigated based on the epidemiology. Furthermore, the regulating effects of psychological and social aspects on post-stroke anxiety were determined.Both interviewing method and questionnaire survey were utilized to medically assess 166 continuous cases in total. All the cases were the patients who firstly suffered ischemic stroke.The Hamilton Anxiety Rating Scale (HARS) was used to individually assess the anxiety for each case.Note that the timeline for two assessments of each patient were took within two weeks after the stroke and then investigated at one month later.Meanwhile, these cases were compared with the health samples. Each comparative case, who matched the objective case with multiple factors, including gender, age, education level and living area, was similarly medical assessed and questionnaire surveyed, as well the HARS for rating the severity of anxiety. Moreover,both Pearson correlation coefficient and hierarchical regression analysis were utilized to build a statistical model in this research.Based on the results determined in this research, it is found that the morbidity of post-stroke anxiety at acute stage and restoration stage is much higher than comparative cases.There was a significant correlation between the HARS of post-stroke anxiety at acute stage and the severity of stroke, neuroticism, positive coping style, cognitive reappraisal emotion regulation strategies, social support utilization, and economic level.Further, the regulating effects on post-stroke anxiety have been obtained from four factors, including neuroticism, positive coping style, cognitive reappraisal emotion regulating strategies and social supporting, as well these four factor also have regulating effects on decreasing the severity of stroke.However, none influence from the severity of stroke on post-stroke anxiety has been observed.Moreover,it is determined that the cognitive reappraisal emotion regulating strategies has prediction function on the anxiety at restoration stage.Overall, it can be seen that the morbidity of anxiety for patients suffered stroke is significantly higher than health people, as well such morbidity lasts high value in a relative long period.It is highly recommended to improve recognition, screening and intervening of post-stroke anxiety, which can effectively promote the recovery and the prognosis.Furthermore, four factors which have regulating effects on post-stroke anxiety are obtained, including neuroticism, positive coping style, cognitive reappraisal emotion regulating strategies and social supporting, as well the cognitive reappraisal emotion regulating strategies has predictive effects on the anxiety at restoration stage.It suggests that these psychological and social factors should be considered into the psychological treatment program in future since they are easier to be achieved by patients.The positive coping style and the cognitive reappraisal emotion regulating strategies are highlighted based on results, as well the social supporting should be used to benefit the patients with better mental feelings. . Once achieves the emotion regulating, the patients perform more positive in physical rehabilitations with better participations. Thus, better treatments can be achieved to improve both psychological and physical conditions of patients. Not only suffers less from illness, but also costs less from social resources. |
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