Individual and health care provider factors influencing stroke self-management behavior: A cross-sectional study

Yurike Septianingrum, A. Yusuf, Ika Yuni Widyawati, Nunik Purwanti, Nety Mawarda Hatmanti, Shelly Nursofya Lestari, Andis Yuswanto
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Abstract

Background This study aimed to examine individual- and health service provider-related factors that influence the self-management behavior of patients with stroke. Methods This cross-sectional study investigated a cohort of 110 ischemic stroke patients in the neurology outpatient department of Universitas Airlangga Hospital from February 2023 to May 2023. Data were obtained using the following three distinct questionnaires: the general demographic questionnaire, health care provider questionnaire, and modified stroke self-management behavior questionnaire. Results Chi-square test results indicated a significant correlation between age (p = 0.023) and information availability (p = 0.000) with self-management behavior in patients with stroke. However, no significant correlations were observed between gender (p = 1.107), residence (p = 0.859), availability of access (p = 0.093), availability of health facilities (p = 0.065), and collaboration among health workers (p = 0.641) with self-management behavior in patients with stroke. Ordinal logistic regression analysis results indicated that age significantly influenced self-management behavior in patients with stroke (p = 0.034; OR = 2.49). Discussion The presence of reliable information within the hospital setting is expectedly complemented by a strong level of literacy among patients with stroke, thereby facilitating the enhancement of their self-management practices.
影响中风自我管理行为的个人和医疗服务提供者因素:横断面研究
背景 本研究旨在探讨影响中风患者自我管理行为的个人和医疗服务提供者相关因素。方法 本横断面研究调查了 2023 年 2 月至 2023 年 5 月期间在 Universitas Airlangga 医院神经科门诊部就诊的 110 名缺血性中风患者。数据通过以下三种不同的问卷调查获得:一般人口统计学问卷、医疗服务提供者问卷和改良的中风自我管理行为问卷。结果 千方检验结果表明,年龄(p = 0.023)和信息可用性(p = 0.000)与脑卒中患者的自我管理行为有显著相关性。然而,性别(p = 1.107)、居住地(p = 0.859)、可获得性(p = 0.093)、医疗设施(p = 0.065)和医护人员合作(p = 0.641)与脑卒中患者的自我管理行为无明显相关性。顺序逻辑回归分析结果表明,年龄对脑卒中患者的自我管理行为有显著影响(p = 0.034;OR = 2.49)。讨论 在医院环境中提供可靠的信息可望与脑卒中患者较高的文化水平相辅相成,从而促 进其自我管理行为的改善。
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