AbstractTo analyze the factors affecting stigma and quality of life in hemiplegic stroke patients following suicide attempts in nursing homes and to provide a theoretical basis for developing interventions in clinical care. General demographic information, the Stigma Scale for Chronic Illness (SSCI), and the Quality of Life Scale (SF-36) were used to investigate 259 patients with hemiplegia after stroke following nursing home suicide from January to April 2024.

摘要分析影响偏瘫卒中患者自杀未遂后耻辱感和生活质量的因素，为临床护理干预提供理论依据。2024年1月至4月，使用一般人口统计学信息，慢性病耻辱感量表（SSCI）和生活质量量表（SF-36）对259例疗养院自杀后中风偏瘫患者进行了调查。

Univariate statistical analyses were performed to assess the impact of potential determinants on quality of life. Multiple regression models and stratified analyses with smoothed curve fitting were used for further evaluation. Multiple regression modeling showed that the factors influencing the quality of life in hemiplegic stroke patients following suicide attempts in nursing homes were stigma, Age, marital status, education, type of occupation, monthly household income, and duration of illness.

进行单变量统计分析以评估潜在决定因素对生活质量的影响。使用多元回归模型和平滑曲线拟合的分层分析进行进一步评估。多元回归模型显示，影响疗养院自杀未遂偏瘫患者生活质量的因素是耻辱感，年龄，婚姻状况，教育程度，职业类型，家庭月收入和疾病持续时间。

The level of quality of life before unadjusted variables was strongly associated with high school and college education (β = 11.9, 95% CI: 8.2–15.6; P < 0.001), (β = 13.1, 95% CI: 9.2 -16.9; P < 0.001). After adjusting for confounders such as marital status (Married, Unmarried), Age (< 30, 30–40, 40–50, > 50) (β = 8.1, 95% CI: 4 .6–11.6; P < 0.0001).

未经调整的变量之前的生活质量水平与高中和大学教育密切相关（β=11.9，95%CI:8.2-15.6；P＜0.001），（β＝13.1，95%可信区间：9.2～16.9；P<0.001）。在调整了诸如婚姻状况（已婚，未婚），年龄（<30,30-40,40-50，＞50）等混杂因素后（β=8.1,95%CI:4.6-11.6；P<0.0001）。

(β = 9.5, 95% CI: 6.0–13.1;P < 0.0001), the results were not significantly different. Curve fitting revealed threshold nonlinear associations between intrinsic and extrinsic stigma and quality of life, with quality of life decreasing as stigma increased. Conclusion Stigma is negatively correlated with the level of quality of life in hemiplegic stroke patients following suicide attempts in nursing homes.

；P<0.0001），结果无显着差异。曲线拟合揭示了内在和外在污名与生活质量之间的阈值非线性关联，随着污名的增加，生活质量下降。结论在疗养院自杀未遂的偏瘫脑卒中患者中，耻辱感与生活质量水平呈负相关。

Different demographic profiles moderated patients’ quality of life lev.

不同的人口统计学特征调节了患者的生活质量水平。

IntroductionStroke is an acute cerebrovascular disease, mainly due to sudden rupture or blockage of blood vessels in the brain, resulting in blood being unable to enter the brain and causing damage to the brain tissue1. Stroke is mainly divided into two major categories: ischemic stroke and hemorrhagic stroke, which is characterized by a long duration of the disease, poor recovery, and a high rate of disability2, second only to cardiovascular disease.

引言中风是一种急性脑血管疾病，主要是由于大脑血管突然破裂或阻塞，导致血液无法进入大脑并对脑组织造成损害1。中风主要分为两大类：缺血性中风和出血性中风，其特征是疾病持续时间长，恢复差，致残率高2，仅次于心血管疾病。

Ischemic stroke is caused by the interruption of blood flow to the brain, which leads to ischemic and hypoxic injury of brain tissues in the corresponding blood-supplying region. It is the most common type of stroke, accounting for about 70% of all strokes. According to the data from the World Health Organization, stroke is the second-highest disease in the world in terms of fatality and disability, and the data of the 2020 China Stroke Report show that stroke is the third cause of death in China and the primary reason for the adjustment of the life of the disabled in China.

。它是最常见的中风类型，约占所有中风的70%。根据世界卫生组织的数据，就死亡率和残疾而言，中风是世界上第二大疾病，2020年中国中风报告的数据显示，中风是中国第三大死因，也是调整中国残疾人生活的主要原因。

Leading cause. Studies have shown3 that most stroke patients have poor mental health, unstable emotions, and mild or severe psychological disorders. During the 15 years from 2005 to 2019, the incidence rate of ischemic stroke in China increased from 117/100,000 to 145/100,000, and the incidence rate of hemorrhagic stroke decreased from 93/100,000 to 45/100,0004.

主要原因。研究表明，大多数中风患者心理健康状况不佳，情绪不稳定，轻度或重度心理障碍。在2005年至2019年的15年中，中国缺血性卒中的发病率从117/100000上升到145/100000，出血性卒中的发病率从93/100000下降到45/1000004。

The prevalence rate of stroke as a whole is on an upward trend, while the time trend of hemorrhagic stroke prevalence was relatively stable, decreasing from 253/100,000 in 2005 to 215/100,000 in 2019. The Daily rate for ischemic stroke decreased from 1268/100,000 to 1148/100,000, and the Daily rate for hemorrhagic stroke showed a significant downward trend, decreasing from 2068/100,000 to 1142/.

卒中患病率总体呈上升趋势，而出血性卒中患病率的时间趋势相对稳定，从2005年的253/100000下降到2019年的215/100000。缺血性卒中的日发病率从1268/100000降至1148/100000，出血性卒中的日发病率呈显着下降趋势，从2068/100000降至1142/。

Data availability

数据可用性

The data that support the findings of this study are available on request from the corresponding author, Hui Tan, upon reasonable request.

支持本研究结果的数据可应通讯作者Hui Tan的合理要求提供。

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Reprints and permissionsAbout this articleCite this articleTan, H. A cross-sectional study of the impact of stigma on quality of life in hemiplegic stroke patients following suicide attempts in nursing homes.

转载和许可本文引用了这篇文章Tan，H。一项关于疗养院自杀未遂后偏瘫中风患者耻辱感对生活质量影响的横断面研究。

Sci Rep 14, 26953 (2024). https://doi.org/10.1038/s41598-024-75131-8Download citationReceived: 18 June 2024Accepted: 01 October 2024Published: 06 November 2024DOI: https://doi.org/10.1038/s41598-024-75131-8Share this articleAnyone you share the following link with will be able to read this content:Get shareable linkSorry, a shareable link is not currently available for this article.Copy to clipboard.

科学报告1426953（2024）。https://doi.org/10.1038/s41598-024-75131-8Download引文收到日期：2024年6月18日接受日期：2024年10月1日发布日期：2024年11月6日OI：https://doi.org/10.1038/s41598-024-75131-8Share本文与您共享以下链接的任何人都可以阅读此内容：获取可共享链接对不起，本文目前没有可共享的链接。复制到剪贴板。

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KeywordsStigmaQuality of lifeHemiplegic patientsStrokeCross-sectional

关键词STIGMA生活质量偏瘫患者中风横断面

Subjects

主题

Cognitive ageingCognitive neuroscienceEmotionFeeding behaviourLearning and memoryMotivationNeurologyNeuroscienceNeurotrophic factorsPhysiologyPsychology

认知衰老认知神经科学情绪喂养行为学习和记忆动机神经科学神经营养因子生理心理学