The status quo and influence of self-management behaviors in convalescent stroke patients
, and | Aug 14, 2018
About this article
Article Category: Original Article
Published Online: Aug 14, 2018
Page range: 119 - 125
Received: Sep 07, 2017
Accepted: Nov 08, 2017
DOI: https://doi.org/10.2478/fon-2018-0016
Keywords
© 2018 Feng-Guang Guan, Mei Wang, Xiao-Qin Lian, published by Sciendo
This work is licensed under the Creative Commons Attribution-NonCommercial-NoDerivatives 3.0 License.
Single-factor analysis of demographic data of patients in the stroke recovery stage (n=440).
| Characteristics | % | Self-management behavior score (M±SD) | |||
|---|---|---|---|---|---|
| Male | 252 | 57.3 | 149.89±23.92 | 4.531 | 0.034 |
| Female | 188 | 42.7 | 154.71±22.90 | ||
| <40 | 14 | 3.2 | 155.64±25.92 | 3.938 | 0.009 |
| 40–49 | 56 | 12.7 | 142.20±24.82 | ||
| 50–59 | 71 | 16.1 | 151.55±21.61 | ||
| ≥60 | 299 | 68.0 | 153.70±23.34 | ||
| Primary school | 153 | 34.8 | 124.09±15.19 | 439.981 | 0.000 |
| Junior middle school | 107 | 24.3 | 143.60±7.19 | ||
| High school | 103 | 23.4 | 155.65±6.51 | ||
| College degree or above | 77 | 17.5 | 177.40±13.87 | ||
| Not married | 14 | 3.2 | 144.07±24.40 | 0.498 | 0.737 |
| Married | 372 | 84.5 | 152.47±24.01 | ||
| Divorce | 10 | 2.3 | 149.70±22.37 | ||
| Separation | 2 | 0.5 | 149.50±24.75 | ||
| Widowed | 12 | 9.5 | 150.57±19.97 | ||
| <1000 | 42 | 9.5 | 149.95±21.25 | 2.641 | 0.049 |
| 1000–1999 | 74 | 16.8 | 146.82±24.95 | ||
| 2000–2999 | 142 | 32.3 | 150.90±23.78 | ||
| ≥3000 | 182 | 41.4 | 155.36±23.04 | ||
| Public expense | 25 | 5.7 | 146.04±24.79 | 2.650 | 0.072 |
| Medical insurance | 307 | 69.8 | 153.61±23.53 | ||
| At their own expense | 108 | 24.5 | 148.60±23.10 | ||
| Relatives | 334 | 75.9 | 150.93±24.50 | 1.560 | 0.369 |
| Professional workers | 75 | 17.1 | 155.96±20.07 | ||
| Nanny | 9 | 2.0 | 163.22±22.07 | ||
| Other | 5 | 1.1 | 158.60±25.99 | ||
| None | 17 | 3.9 | 146.35±16.62 | ||
| Every day | 246 | 55.9 | 152.00±24.33 | 1.053 | 0.369 |
| 2–6 times a week | 125 | 28.4 | 152.42±21.57 | ||
| 1 time a week | 43 | 9.8 | 154.72±21.60 | ||
| Less than 1 time a week | 26 | 5.9 | 144.62±28.39 |
Scores of self-management dimensions in the stroke recovery stage (n=440).
| Outcome | Scoring range | Minimum | Maximum | Actual score (M±SD) | Scoring index (%) | Descending order |
|---|---|---|---|---|---|---|
| Dietary management | 8–40 | 15 | 40 | 28.63±5.25 | 71.58 | 1 |
| Safe medication management | 5–25 | 5 | 25 | 16.66±4.52 | 66.64 | 2 |
| Social functioning and interpersonal management | 6–30 | 6 | 30 | 19.68±4.86 | 65.60 | 3 |
| Daily life management | 8–40 | 8 | 38 | 25.92±5.45 | 64.80 | 4 |
| Emotion management | 5–25 | 5 | 23 | 16.15±3.80 | 64.40 | 5 |
| Rehabilitation exercise management | 7–35 | 7 | 35 | 22.22±7.25 | 63.49 | 6 |
| Disease management | 11–55 | 11 | 54 | 22.68±8.00 | 41.24 | 7 |
| Total score | 50–250 | 75 | 211 | 151.95±23.58 | – | – |
Influencing factors of self-management in the stroke recovery stage (n=440).
| Variables | Partial regression coefficient | Standard error | Standard regression coefficient | ||
|---|---|---|---|---|---|
| Constant | 91.983 | 3.429 | - | 26.827 | 0.000 |
| Educational level | 16.823 | 0.484 | 0.837 | 34.773 | 0.000 |
| Stroke knowledge level | 0.277 | 0.073 | 0.091 | 3.811 | 0.000 |
| Social support level | 0.449 | 0.148 | 0.072 | 3.026 | 0.003 |
Stroke prevention and treatment knowledge score in the stroke recovery stage (n=440).
| Outcome | Actual score (M±SD) | Scoring index (%) | Classification |
|---|---|---|---|
| Diet | 3.38±0.98 | 84.50 | Good |
| Daily life | 6.67±1.73 | 83.38 | Good |
| Motion | 3.14+1.11 | 78.50 | Medium |
| Blood pressure monitoring | 1.39±0.77 | 69.50 | Medium |
| Signs of stroke | 4.15+2.13 | 69.17 | Medium |
| Medication | 3.45+1.54 | 69.00 | Medium |
| Risk factors | 3.34+1.77 | 66.84 | Medium |
| Stroke management | 1.28+0.83 | 64.00 | Medium |
| Total score | 26.80+7.78 | 74.44 | Medium |
Self-management behavior scores of Mindong, Minxi, Minnan, Minbei, and Minzhong, Fujian province (n=440).
| Item | Minbei (M±SD) | Mindong (M±SD) | Minnan (M±SD) | Minxi (M±SD) | Minzhong (M±SD) | ||
|---|---|---|---|---|---|---|---|
| Self-management score | 156.92±23.26 | 162.12±29.55 | 168.28+27.55 | 149.94+26.25 | 166.59+22.42 | 5.435 | 0.000 |
| Disease management | 21.75±7.45 | 21.79±8.32 | 24.30+9.67 | 19.16+6.42 | 25.23+8.44 | 4.910 | 0.001 |
| Safe medication management | 16.18±4.54 | 15.79±5.08 | 17.26+4.83 | 14.68+5.54 | 17.23+4.06 | 3.018 | 0.018 |
| Dietary management | 27.81±4.40 | 29.26.±6.02 | 29.74+5.49 | 26.82+4.77 | 29.25+4.85 | 3.684 | 0.006 |
| Daily life management | 25.58±5.28 | 25.86±5.98 | 26.39+5.41 | 24.10+5.01 | 25.82+5.60 | 1.492 | 0.204 |
| Emotion management | 16.14±3.51 | 16.28+3.95 | 16.10+3.43 | 16.16 +4.46 | 15.93+4.13 | 0.057 | 0.994 |
| Social functioning and interpersonal management | 20.31±4.84 | 18.19+4.86 | 19.83+4.70 | 20.36+4.73 | 18.93+4.69 | 2.080 | 0.083 |
| Rehabilitation exercise management | 29.15±9.50 | 34.95+8.50 | 34.66+8.87 | 28.66+11.17 | 34.20+8.66 | 7.413 | 0.000 |