Mdiating effect of coping style on disease acceptance and quality of life in patients with acute stroke:a cross-sectional study

Abstract

Background Stroke is the third leading cause of death and disability in the world, which often leads to physical dysfunction of patients and seriously affects their quality of life. Promoting patients to accept disease and actively respond to discomfort caused by disease can improve their quality of life. However, the role of coping styles in the relationship between disease acceptance and quality of life of stroke patients is still unclear. Methods Data were collected from 375 stroke patients, and the patient's population, disease status, disease acceptance, coping style and quality of life were obtained through questionnaire survey. Person correlation analysis was used to determine whether disease acceptance and coping style were related to quality of life, and stratified multiple regression method and PROCESS program in SPSS were used to analyze the mediating effect of coping style. Results The quality of life of stroke patients was positively correlated with disease acceptance (r = 0.638, P < 0.01), positively correlated with positive coping (r = 0.519, P < 0.01), negatively correlated with negative coping (r=-0.383, P < 0.01), positively correlated with disease acceptance (r = 0.597, P < 0.01), and negatively correlated with negative coping (r=-0.406, P < 0.01), The intermediary effect accounted for 33.4%. Conclusion Disease acceptance can directly predict the quality of life of stroke patients. Coping style plays a part of intermediary role between disease acceptance and quality of life. Promoting patients to accept disease is one of the effective ways to improve the quality of life of patients.