Association between health literacy at discharge and post-discharge step count in stroke survivors: A prospective cohort study

IF 1.2 Q3 NURSING

Journal of Vascular Nursing Pub Date : 2026-03-01 Epub Date: 2026-02-13 DOI:10.1016/j.jvn.2026.01.004

Ryota Ashizawa , Keisuke Ikeda , Hiroya Honda , Yuto Kameyama , Yoshinobu Yoshimoto

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Abstract

Purpose

This study examined whether health literacy of patients hospitalized with acute stroke is associated with physical activity and sedentary behavior three months after discharge.

Methods

A prospective cohort study of 61 patients was conducted. Health literacy was assessed using the HLS-EU-Q16 questionnaire, and physical activity and sedentary behavior were measured three months post-discharge using a triaxial accelerometer. Multiple linear regression analyses examined associations between health literacy and step count, sedentary behavior, light-intensity physical activity, and moderate-to-vigorous physical activity, adjusting for age, sex, stroke severity, walking speed, and modified Rankin Scale score.

Results

Health literacy was significantly associated with post-discharge step count (B = 93.07, p = 0.025) but not with sedentary behavior, light-intensity physical activity, or moderate-to-vigorous physical activity.

Conclusions/Implications

Health literacy at the acute stroke phase was associated with post-discharge step count. These findings emphasize the need for multidisciplinary collaboration, including nurses, to enhance health literacy from the acute care stage.

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卒中幸存者出院时健康素养与出院后步数之间的关系：一项前瞻性队列研究

目的探讨急性脑卒中住院患者健康素养与出院后3个月的身体活动和久坐行为是否相关。方法对61例患者进行前瞻性队列研究。使用HLS-EU-Q16问卷评估健康素养，使用三轴加速度计测量出院后三个月的身体活动和久坐行为。多元线性回归分析检验了健康素养与步数、久坐行为、轻强度体力活动和中高强度体力活动之间的关系，并对年龄、性别、中风严重程度、步行速度和修正兰金量表评分进行了调整。结果健康素养与出院后步数显著相关（B = 93.07, p = 0.025），而与久坐行为、低强度体力活动或中高强度体力活动无关。结论/意义急性脑卒中期健康素养与出院后步数相关。这些发现强调需要多学科合作，包括护士，以提高从急性护理阶段的卫生素养。

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

Journal of Vascular Nursing NURSING-

CiteScore

1.40

自引率

0.00%

发文量

期刊介绍： Journal of Vascular Nursing provides clinical information regarding aortic and peripheral aneurysms, upper and lower extremity arterial disease, acute and chronic venous disease, and more. Original, peer-reviewed articles present descriptions, etiologies, diagnostic procedures, medical and surgical treatment and nursing implications of vascular system disorders.