Frontiers in Medical Science Research, 2022, 4(10); doi: 10.25236/FMSR.2022.041003.
Congcong Bai1, Yanmei Liu2, Yunjie Tong1, Shiyun Tan3, Fan Cheng1, Yuenan Bai4
1Shaanxi University of Traditional Medicine, Xianyang, China
2Shaanxi Provincial Hospital of Chinese Medicine, Xi’an, China
3Shaanxi Second People's Hospital, Xi’an, China
4Shanxi Medical University, Taiyuan, China
Objective: To investigate the current stigma status in patients with facial palsy and analyze the factors influencing it. Methods: The General Information Questionnaire, the Facial Disability Index Rating Scale, the General Self-Efficacy Scale, and the Social Influence Scale were used to investigate 220 patients with facial palsy admitted to the Department of Acupuncture and Moxibustion of Shaanxi Provincial Hospital from December 2021 to April 2022. Results:The stigma score for patients with facial palsy was (58.89±11.45), with a mean entry score of (2.45±0.48), and 95% (209 cases) of patients with facial palsy had moderate or high level of stigma. Gender, per capita monthly income, medical payment method, self-efficacy level, and facial disability index were the factors influencing factors of morbidity stigma in patients with facial palsy. Conclusion:Patients with facial palsy have a high level of morbidity stigma. Health care professionals should provide health education to patients with facial palsy so that they can accept the changes in their facial image, conduct regular communication sessions for patients with facial palsy and encourage patients to actively confide in their feelings, improve the level of self-efficacy of patients with facial palsy, reduce their negative emotions and reduce their sense of stigma.
Facial Palsy, Stigma, Self-Efficacy, Facial Disability Index, Analysis of Influencing Factors
Congcong Bai, Yanmei Liu, Yunjie Tong, Shiyun Tan, Fan Cheng, Yuenan Bai. Analysis of the Current Situation and Factors Influencing the Stigma of Facial Palsy Patients. Frontiers in Medical Science Research (2022) Vol. 4, Issue 10: 11-17. https://doi.org/10.25236/FMSR.2022.041003.
[1] Ming, Zhu jiang, Xin Yue Guo, et al. The research progress of acupuncture and moxibustion in the treatment of peripheral facial paralysis[J].Medical Data Mining ,2021;4(1).
[2] Gao Shuzhong, Yang Jun, editors-in-chief; Zhao Jiping, Fu Wenbin, Chen Zelin, associate editors. Acupuncture and moxibustion therapeutics [M]. Beijing: China Chinese Medicine Publishing House. 2015:51.
[3] Lv Y, Wolf A, Wang X. Experienced stigma and self-stigma in Chinese patients withschizophrenia[J]. Gen Hosp Psychiatry. 2013 Jan-Feb;35(1):83-8.
[4] JiaJianping, SuChuan. Neurology [M]. Beijing: People's Health Publishing House,2018:389-391.
[5] Liang Fanrong, Wang Hua. Acupuncture and moxibustion [M]. Beijing: China Chinese Medicine Publishing House,2016:218.
[6] Pan AW, Chung L, Fife BL, et al. Evaluation of the psychometrics of the Social Impact Scale: a measure of stigmatization [J]. Int J Rehabil Res. 2007 Sep;30(3):235-8.
[7] Zheng Chunyao, Wang Huizhen. Analysis of the current situation and factors influencing the sense of stigma in postoperative breast cancer patients [J]. Journal of Nursing, 2018,25(02):7-9.
[8] Yuan Jingmin, Zheng Meichun, Bu Xiqing, et al. Study on the current situation of stigma and its influencing factors in patients with permanent enterostomy [J]. Chinese Journal of Nursing, 2016, 51(12):1422-1427.
[9] Rui W, Lu H. Study on the current situation and factors influencing stigma in patients with chronic kidney disease [J]. Nursing Research, 2021,35(10):1865-1867.
[10] Wang Cai-Kang, Hu C-F, Liu Y. A study on the reliability and validity of the General Self-Efficacy Scale [J]. Applied Psychology, 2001, 7(1):37-40
[11] Wang Chen-Chen, Fu Qiaomei, Chen Hui. A study on the current situation of prostate cancer patients' stigma and its influencing factors [J]. General Practice Nursing, 2021,19(05):705-708.
[12] Ishii L, Godoy A, Encarnacion CO, et al. Not just another face in the crowd: society's perceptions of facial paralysis [J]. Laryngoscope. 2012 Mar; 122(3):533-8.
[13] Guillamo JS, Defer GL. ParalysieARALYSI faciale. Orientation diagnostique [Facial paralysis]. Rev Prat. 2005 Apr 15;55(7):753-7.
[14] Wang T, Nong F, Yang L, et al. Analysis of the current situation and factors influencing the level of stigma in patient srecovering from neocolonial pneumonia[J]. Shanghai Nursing, 2020,20(10):28-31.
[15] Wei C.Y., Jiang Y., Gao J.C., et al. Investigation of factors influencing stigma in patients with rectal cancer stoma[J]. Qilu Journal of Nursing, 2019,25(20):48-50.
[16] Crerand CE, Rumsey N, Kazak A, et al. Sex differences in perceived stigmatization, body image disturbance, and satisfaction with facial appearance and speech among adolescents with craniofacial conditions [J]. Body Image. 2020 Mar;32:190-198.
[17] Rahtz E, Bhui K, Hutchison I, et al. Are facial injuries really different? An observational cohort study comparing appearance concern and psychological distress in facial trauma and non-facial trauma patients [J]. J Plast Reconstr Aes. 2018 Jan;71(1):62-71.
[18] Yang Fenyan,Zhu Sha. Current status of postoperative stigma and its influencing factors among young cervical cancer patients [J]. World abstract of the latest medical information, 2019, 19(22):119-120.
[19] Bai Lianhua,Li Xiaodan. Exploring the current situation of stigma and its influencing factors among patients with cervical cancer [J]. General Practice Nursing, 2019,17(14):1768-1771.
[20] Chen L, Yue P, Lamb KV, et al. Stigma in HBV-infected pregnant women in disclosed situations: Current status, influencing factors, and impacts on the quality of life [J]. Appl Nurs Res. 2020 Dec;56:151347.
[21] Diiorio C, McCarty F, Depadil L, et al. Adherence to antiretroviral medication regimens: a test of a psychosocial model [J]. AIDS Behav. 2009 Feb; 13(1):10-22.
[22] Bruins TE, van Veen MM, Mooibroek-Leeuwerke T, et al. Association of Socioeconomic, Personality, and Mental Health Factors With Health-Related Quality of Life in Patients With Facial Palsy[J]. JAMA Otolaryngol .2020 Apr 1; 146(4):331-337.
[23] Huang IC, Lee JL, Ketheeswaran P, et al. Does personality affect health-related quality of life? A systematic review [J]. PLoS One. 2017 Mar 29; 12(3):e0173806.
[24] Dobel C, Miltner WH, Witte OW, et al. Emotionale Auswirkungen einer Fazialisparese Emotional impact of facial palsy [J]. Laryngorhinootologie. 2013 Jan; 92(1):9-23.
[25] Nellis JC, Ishii M, Byrne PJ, et al. Association Among Facial Paralysis, Depression, and Quality of Life in Facial Plastic Surgery Patients[J]. JAMA Facial Plast Su. 2017 May 1;19(3):190-196.
[26] Capitanio, JP. Personality and disease[J]. Brain Behav Im-mun, 2008,22(5):647-50.
[27] Morris DM, Taub E. Constraint-induced movement therapy. In:O’Sullivan SB, Schmitz TJ, Hrsg. Improving Functional Outcome in Physical Rehabilitation[J]. Philadelphia: F.A. Davis, 2012.