Current Status and Influencing Factors of Social Alienation Among Young and Middle-Aged Stroke Patients in Dali

Objective: To explore the current status of social alienation and its influencing factors among young and middle-aged stroke patients in Dali. Methods: A convenience sampling method was used to survey 385 young and middle-aged stroke patients in a tertiary hospital in Dali from December 2024 to July 2025. Questionnaires including general demographic information, the General Alienation Scale, the Athens insomnia scale, and others were administered. Results: The social alienation score of young and middle-aged stroke patients in Dali was (35.67 ± 3.46). Univariate analysis showed that general demographic factors [education level, monthly household income, whether it was the first onset, presence of sequelae, disease duration, activities of daily living (ADL, Barthel Index)], social support, stigma, self-perceived burden, anxiety and depression, and sleep status were influencing factors of social alienation (P < 0.05). Regression analysis indicated that social support, anxiety and depression, disease duration, stigma, presence of sequelae, and self-care ability were significant influencing factors of social alienation (P < 0.01), explaining 65.3% of the total variance. Conclusion: The level of social alienation among young and middle-aged stroke patients in Dali is relatively low. Special attention should be paid to patients with a disease duration of < 7 days, those with sequelae, moderate-to-severe dependence in self-care, low social support, high stigma, and high levels of anxiety and depression, to effectively reduce their social alienation.