title: Factors influencing acceptance of disability among stroke patients in Tianjin, China:A cross-sectional study.
abstract: BACKGROUND
  Stroke has become the leading cause of acquired disability worldwide. Psychological maladjustment and related reactions for stroke disability has subsequently revealed a negative impact on stroke rehabilitation process. Acceptance of disability (AOD) is widely confirmed as a critical factor for psychosocial regulation and disability acceptance.
  
  
  OBJECTIVE
  This study aims to investigate acceptance of disability and its influencing factors among stroke patients in China.
  
  
  METHODS
  A total of 220 hospitalized stroke patients were investigated using questionnaire on demographics and disease characters, Adaptation Of Disability Scale-Revised, and other psychological instruments: Medical Coping Modes Questionnaire (MCMQ), Functional Activities Questionnaire (FAQ), Self-Rating Depression Scale (SDS), and Perceived Social Support Scale (PSSS).
  
  
  RESULTS
  The mean score of AOD is 74.15 (range 32∼128), which reflected a moderate level of disability acceptance among stroke patients in China. Statistical analysis showed that confrontation, the understanding of stroke, self-rating depression, ability of functional activities and family support were major factors affecting acceptance of disability among disabled stroke patients, which explained 49.6% of the total variance.
  
  
  CONCLUSIONS
  In clinical practice, professionals should identify patients with low levels of disability acceptance and explore effective psychological intervention model on the theoretical foundation of different dimensions in AOD theory and related predictors.
authors.affiliation: School of Nursing, Tianjin Medical University, Tianjin, China.
authors.forename: Qianwen
authors.initials: Q
authors.lastname: Chai
authors.affiliation: School of Nursing, Tianjin Medical University, Tianjin, China.
authors.forename: Zhifang
authors.initials: Z
authors.lastname: Yuan
authors.affiliation: Huanhu Hospital, Tianjin, China.
authors.forename: Yi
authors.initials: Y
authors.lastname: Jin
authors.affiliation: School of Nursing, Tianjin Medical University, Tianjin, China.
authors.forename: Qing
authors.initials: Q
authors.lastname: Zhang
mesh_terms: D000223:Adaptation, Psychological; D000368:Aged; D001294:Attitude to Health; D002681:China / Q000453:epidemiology; D003430:Cross-Sectional Studies; D003863:Depression / Q000175:diagnosis / Q000453:epidemiology / Q000523:psychology; D006233:Persons with Disabilities / Q000523:psychology*; D005260:Female; D006801:Humans; D008297:Male; D001523:Mental Disorders / Q000175:diagnosis / Q000453:epidemiology / Q000523:psychology; D008875:Middle Aged; D012944:Social Support; D020521:Stroke / Q000175:diagnosis / Q000453:epidemiology* / Q000523:psychology*; D011795:Surveys and Questionnaires
keywords: Acceptance of disability; psychophysical rehabilitation; stroke