Factors Associated with Self-Management Behaviors among Individuals with Recurrent Stroke in Wenzhou, China
Main Article Content
Abstract
OBJECTIVES: The study aimed to describe self-management behaviors and determine the relationships between stroke prevention knowledge, illness representation, hope and self-management behaviors among recurrent stroke persons.
MATERIALS AND METHODS: The study used a correlational cross-sectional design among 100 randomly selected persons who were admitted at eight neurology out-patient departments of one hospital in Wenzhou, China. Each participant completed a demographic questionnaire and four reliable and validated questionnaires: the Chinese Version of the Stroke Self-management Scale, the Stroke Prevention Knowledge Questionnaire, the Brief Illness Perceptions Questionnaire, and the Herth Hope Index. Data were analyzed by using descriptive statistics and Pearson correlation.
RESULTS: The results of this study showed that the level of self-management behaviors among participants was moderate (106.32 ± 15.15). Stroke prevention knowledge, illness representation, and hope showed a significant and positive correlation with self-management behaviors (r = 0.627, p < 0.001, r = 0.273, p < 0.001, r = 0.518, p < 0.001) respectively.
CONCLUSION: The findings provide evidence for nurses and nursing researchers to develop intervention programs aimed at promoting stroke prevention knowledge, illness representation, and hope among recurrent stroke patients, thereby improving their self-management behaviors.
Article Details

This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.
This is an open access article distributed under the terms of the Creative Commons Attribution Licence, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
References
Feigin VL, Brainin M, Norrving B, et al. World Stroke Organization (WSO): Global Stroke Fact Sheet 2022. Int J Stroke 2022;17(1):18-29. doi: 10.1177/17474930211065917.
Zhang J, Zhu P, Liu B, et al. Time to recurrence after first-ever ischaemic stroke within 3 years and its risk factors in Chinese population: a prospective cohort study. BMJ Open 2019; 9(12):e032087. doi: 10.1136/bmjopen-2019-032087.
Kim J, Thayabaranathan T, Donnan GA, et al. Global Stroke Statistics 2019. Int J Stroke 2020 ; 15(8):819-838. doi: 10.1177/1747493020909545.
Hao Z, Chen Y, Wright N, et al. Natural history of silent lacunar infarction: 10-year follow-up of a community-based prospective study of 0.5 million Chinese adults. Lancet Reg Health West Pac 2021; 7:100309. doi: 10.1016/j.lanw- pc.2021.100309.