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The Risk Factors of Self-Management Behavior among Chinese Stroke Patients

Huang Shuqi1, Li Siqin2, Wu Xiaoyan3

  • 1West China School of Nursing, Sichuan University, Chengdu 610041, China.

International Journal of Clinical Practice
|March 21, 2023
PubMed

Insights

Stroke survivors exhibit moderate self-management skills. Factors like insurance, health education, and efficacy significantly influence recovery, highlighting the need for patient empowerment and support.

Area of Science:

  • Neurology
  • Rehabilitation Medicine
  • Public Health

Background:

  • Stroke significantly contributes to global disability-adjusted life years, necessitating robust long-term care strategies.
  • Self-management is increasingly recognized as a crucial component of stroke rehabilitation and recovery.

Purpose of the Study:

  • To evaluate the level of self-management behavior among Chinese ischemic stroke patients.
  • To identify factors associated with self-management behavior in stroke survivors.

Main Methods:

  • A cohort of 354 ischemic stroke patients was studied.
  • Data collected included demographics, disease characteristics, self-efficacy (SSEQ), cognition (BIPQ), and self-management (SSMS).
  • Statistical analyses included chi-square, t-tests, and logistic regression to determine influencing factors.

Main Results:

  • The average self-management score was 151.07 ± 18.53, indicating a moderate level.
  • Key factors associated with better self-management included medical insurance, higher self-management efficacy, pre-discharge health education, older age, higher education level, and lower mRS scores.

Conclusions:

  • Chinese stroke patients demonstrate moderate self-management behavior.
  • Interventions should focus on enhancing self-efficacy, providing comprehensive discharge education, and addressing socioeconomic factors like medical insurance.
  • Multidisciplinary support and societal awareness are vital for improving stroke patient outcomes.
Abstract

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