Path analysis to identify factors associated with health behavior in patients with stroke: Evidence from a cross-sectional and correlational survey

IF 2.5 3区医学 Q3 GERIATRICS & GERONTOLOGY

Geriatric Nursing Pub Date : 2025-02-12 DOI:10.1016/j.gerinurse.2025.01.023

Yi Zhang BSc , Xi Pan MSc , Lei Chen BSc, Lin Yao BSc, Weiying Zhong BSc, Jiaxuan Li BSc, Lan Xu BSc

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引用次数: 0

Abstract

Objective

To explore the relationship between environmental and personal factors and health behavior in patients with stroke through pathway analysis.

Methods

A path analysis was performed to consider the relationships between social support, healthcare payment, residence, self-regulatory fatigue (SRF), and health literacy (HL) and health behavior.

Results

Social support and residence were directly and indirectly associated with health behavior through the SRF and/or HL. Healthcare payment was associated with health behavior through HL. Compared to patients with stroke under 65, those aged 65 and above demonstrated a more significant decline in HL with increasing SRF, and the relationship between healthcare payment and HL was also more notable within this older population.

Conclusion

The associations between environmental and personal factors in patients with stroke and health behavior were complicated, with age group serving as an important moderator. These findings would inform the design and implementation of health behavioral interventions among patients with stroke, particularly encouraging attention to the SRF and medical insurance status of elderly patients.

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路径分析确定与卒中患者健康行为相关的因素：来自横断面和相关调查的证据

目的通过pathway分析，探讨环境、个人因素与脑卒中患者健康行为的关系。方法采用通径分析方法，探讨社会支持、医疗费用、居住地、自我调节疲劳（SRF）、健康素养（HL）与健康行为的关系。结果社会支持和居住地通过SRF和/或HL与健康行为直接或间接相关。医疗保健支付通过HL与健康行为相关。与65岁以下的脑卒中患者相比，65岁及以上的患者随着SRF的增加，HL的下降更为显著，在这一老年人群中，医疗费用与HL的关系也更为显著。结论脑卒中患者的环境因素和个人因素与健康行为的关系较为复杂，年龄是重要的调节因素。这些发现将为卒中患者健康行为干预的设计和实施提供信息，特别是鼓励人们关注老年患者的SRF和医疗保险状况。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Geriatric Nursing 医学-护理

CiteScore

3.80

自引率

7.40%

发文量

257

审稿时长

>12 weeks

期刊介绍： Geriatric Nursing is a comprehensive source for clinical information and management advice relating to the care of older adults. The journal''s peer-reviewed articles report the latest developments in the management of acute and chronic disorders and provide practical advice on care of older adults across the long term continuum. Geriatric Nursing addresses current issues related to drugs, advance directives, staff development and management, legal issues, client and caregiver education, infection control, and other topics. The journal is written specifically for nurses and nurse practitioners who work with older adults in any care setting.