Illness Representation and Recurrence Prevention Behaviors in Elderly with Stroke

Main Article Content

Onauma Kongkaew
Kanittha Naka
Charuwan Kritpracha


        The purpose of this descriptive correlational design was to examine the relationship between illness representation and behaviors to prevention stroke recurrence in elderly with stroke. The sample of study consisted of 105 elderly with stroke purposively recruited from community hospitals, Suratthani province. The illness representation and behaviors to prevent stroke recurrence were assessed by Illness Representation Questionnaires and Recurrent Prevention Behaviors in Elderly with Stroke Questionnaire. Content validity of the questionnaires was checked by three experts. The test-retest reliability of the Identity, Cause, the Illness Representation components, and the Recurrence Prevention Behaviors in Elderly with Stroke Questionnaire were .90, .83, .86, and .86, respectively. Data were analyzed by descriptive statistics and Pearson’s Product Moment Correlation.
          The results were as follows: the score of perceived illness representation with stroke was at the moderate level (M = 3.58, SD = .28). The total score of behaviors to prevent stroke recurrence was at the high level (M = 3.16, SD = .39). The score of perceived illness representation was moderately positively related to the score of behaviors to prevent stroke recurrence (r = .33, p < .001).
          The results of this study could be used as important foundation information to plan appropriate nursing intervention. Illness representation based nursing intervention will be useful to promote behaviors in recurrence prevention elderly with stroke.


Download data is not yet available.

Article Details

How to Cite
Kongkaew, O. ., Naka, K. ., & Kritpracha, C. . (2020). Illness Representation and Recurrence Prevention Behaviors in Elderly with Stroke. Songklanagarind Journal of Nursing, 40(1), 115–128. Retrieved from
Research Articles


World Stroke Organization. 2017. Campaign advocacy brochures. [internet]. [cited 2016 Oct 10]. Available from: http://www.worldstroke

World Health Organization. 2015. World stroke campaign. [internet]. [cited 2016 Oct 15]. Available from: Retreived from

Bureau of Non Communicable Diseases. Non communicable diseases report 2016 [internet]. [cited 2016 Dec 21] Available from:

Foundation of Thai Gerontology Research and development Institute. Situation the Thai elderly 2014. [internet]. [cited 2016 Dec 21] Available from: http://

World Health Organization. The WHO SREP wise approach to stroke surveillance. [internet]. Switzerland: [cited 2016 Apr 1]. Available from: http://www. _surveillance /en /step_stroke_ mannual_v1.2.pdf.

Allen N. B, Holford T. R, Bracken M. B, et al. Geographic variation in one-year recurrent ischemic stroke rates for elderly Medicare beneficiaries in the USA. J Neuroepidemiology. (2010); 34(2): 123-29. doi: 10.1159/000274804.

Chaysinanankul N, Channarong N. High risk stroke patients. In: Chunharas Ch, Phasutharchat N, Chutinet O, Channarong N, editor. Basic and clinical neuroscience 4 th ed. Bangkok: Classic scan; 2012. Thai.

Tiamkao S. Recurrent ischemic stroke in Srinagarind hospital. North-Eastern Thai J Neurosci. 2011; 6(3): 31-8. Thai.

Leoo T, Lindgren A, Petersson J, et al. Risk factors and treatment at recurrent stroke onset: results from the Recurrent Stroke Quality and Epidemiology (RESQUE) study. J Cerebrovasc Dis. 2008; 25(3): 254-60. doi: 10.1159/000113864.

Wiriyakijipaiboon J, Jitpanya C. Relationship among knowledge, perceived benefit, depression, social support and secondary stroke prevention in stroke survivors. JOPN. 2016; 8(2): 34-44. Thai.

He-Ma S. Predicting factors of blood pressure control among cerebrovascular disease patients. [thesis]. [Chon Buri]: Burapha University; 2010.100 p.

Suangpho P, Srisaenpang P, Saengsuwan J. Self-care behaviors of older persons with recurrent stroke. North-Eastern Thai J Neurosci. 2014; 30(2): 9-25. Thai.

Leventhal H, Brissette I, Leventhal EA. The common-sense model of self-regulation of health and illness [internet]. [cited 2016 May 5]. Available from: Sense_


Leventhal H, Phillips LA, Burns E. TheCommon-Sense Model of self-regulation (CSM): A dynamic framework for understanding illness self-management. J Behav Med. 2016; 39(6): 935-46. doi: 10.1007 /s 10865-016-9782-2.

Sangsongrit N, Pinyopasakun W, Kusuma NaAyuthaya S, et al. Predictors of medication adherence in ischemic stroke patients. J Nurs. 2014; 41(2): 61-71. Thai.

Wongauchit D. Illness perception of elderly stroke patients sahatsakhan hospital kalasin province. [thesis]. [Chon Buri]: Burapha University; 2011.65 p.

Kamsareeruk J. Selected factors related to prehospital time in patients with acute ischemic stroke. [thesis]. [Bangkok]; Chulalongkorn University; 2013. 120 p.

Potisopha W, Utriyaprasit A, Sinthu S. Relationships among response to symptoms and hospital arrival time of acute stroke patients. J Nurs Sci. 2015; 38(1): 9-20. Thai.

Geffner D, Soriano C, Pérez D, et al. Delay in seeking treatment by patients with stroke: Who decides, where they go, and how long it takes. J Clin Neurol Neurosurg. 2012; 114(1): 21-5. doi: 10.1016 /j.clineuro. 2011.08.014.

Kittiboonthawal P, Yingrengreung S, Srithanya S. Perceptions of stroke warning signs among risk patients. Nurs J Ministry Public Health. 2014; 23(3): 132-41. Thai.

Tijayoung S. The factors influencing preventive behaviors amongst risk group stroke patients, [thesis]. [Nakhon Pathom]: Christian University of Thailand; 2014. 123 p.

American Heart Association/American Stroke Association. [Internet]. Guidelines on prevention of recurrent stroke 2011: American family physician. [cited 2016 Apr 1] Available from http://www.aafp .org/ afp/2011/0415/p993.pdf.

Moss-Morris R, Weinman J, Petrie K, et al. The revised illness perception questionnaire (IPQ-R). J Psychol health. 2002; 17(1): 1-16. doi: 10.1080/08870440290001494.

Coutts S B, Wein T H, Lindsay M P, et al. Canadian stroke best practice recommendations: Secondary prevention of stroke guidelines, update 2014. Int J Stroke. 2014; 10(3): 282-91. doi: 10.1111/ijs.12551.

Hankey G J. Secondary stroke prevention. J Lancet Neurol. (2014); 13(2): 178-94. doi:10.1016/S1474-4422.

Lambert M. AHA/ASA guidelines on prevention of recurrent stroke. J Am Fam Physician. 2011; 83(8): 993-1001.

Faculty of management basic brain test. Thai mini-mental state examination. Bangkok: Department of Medical Services; 2002. Thai.

Klungthumnium K, Wirojratana V, Jitramontree N, et al. The relationships between illness representations, emotional representation and selfcare behaviors in older persons with uncontrolled type 2 diabetes. JRTAN. 2016; 17(2): 135-44. Thai.

Srisatidnarakul B. The methodology in nursing research. 5 th ed. Bangkok: Uandi inter media; 2010. Thai.

Jitapunkul S, Kamolratanakul P, Ebrahim S. The meaning of activities of daily living in a Thai elderly population: Development of a new index. J Age Ageing. 1994; 23(2): 97-101.

Dearborn J. L, McCullough L. D. Perception of risk and knowledge of risk factors in women at high risk for stroke. J Stroke. 2009; 40(4): 1181-86. doi: 10.1161/STROKEAHA.108.543272.

Sangsongrit N, Pinyopasakul W, Kusuma Na Ayuthaya S, et al. Predictors of medication adherence in ischemic stroke patients. J Nurs. 2014; 14(2): 61-71. Thai.

Chambers J A, O’Carroll R E, Hamilton B, et al. Adherence to medication in stroke survivors: a qualitative comparison of low and high adherers. Br J Health Psychol. 2011; 16 (3): 592-609. doi: 10.1348/2044-8287.002000.

Most read articles by the same author(s)

1 2 > >>