建立中风患者复发风险认知与健康行为的链式中介模型：横断面研究

IF 2.1 3区医学 Q2 NURSING

Asian Nursing Research Pub Date : 2024-10-01 DOI:10.1016/j.anr.2024.09.009

Yujia Jin , Zhenxiang Zhang , Dominique A. Cadilhac , Yunjing Qiu , Weihong Zhang , Yongxia Mei , Zhiguang Ping , Lanlan Zhang , Beilei Lin

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引用次数: 0

摘要

目的：了解脑卒中患者的复发风险认知，并建立复发风险认知与健康行为的链式中介模型：方法：采用横断面研究和便利抽样法。方法：采用横断面研究和方便抽样的方法，从三家三级医院的神经内科招募脑卒中幸存者。他们的复发风险认知、行为决策、社会支持、自我效能感、复发担忧和健康行为均通过相关工具进行测量。通过单因素分析和回归分析对数据进行分析，并使用 AMOS 21.0 软件探讨变量之间的中介关系：结果：在 419 名参与者中，74.7% 意识到中风复发的风险。结果：在 419 名参与者中，74.7% 意识到中风复发风险，但只有 28.2% 能准确估计自己的复发风险。复发风险认知与行为决策、社会支持、自我效能和健康行为有明显相关性（r = .19 ∼ .50, p < .05）。社会支持和复发风险认知可通过自我效能、行为决策和担忧间接影响健康行为。行为决策是复发风险认知与健康行为之间的主要中介，其路径系数分别为 0.47 和 0.37。复发风险认知与健康行为之间建立了链式中介效应，总效应值为 0.186（P < 0.01）：结论：大多数脑卒中幸存者能意识到复发风险，但不能准确估计其个体风险。在复发风险认知与健康行为的中介模型中，社会支持似乎是重要的外部因素，而自我效能感、行为决策和担忧似乎是关键的内部因素：该研究项目于 2020 年 6 月 29 日注册（CTR200003XXXXX）。

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Developing a Chain Mediation Model of Recurrence Risk Perception and Health Behavior Among Patients With Stroke: A Cross-sectional Study

Purpose

To understand the recurrence risk perception of stroke patients and develop a chain mediation model of recurrence risk perception and health behavior.

Methods

A cross-sectional study and convenience sampling were used. Stroke survivors were recruited from the neurology departments of three tertiary hospitals. Their recurrence risk perception, behavioral decision-making, social support, self-efficacy, recurrence worry, and health behavior were measured by relevant tools. Data was analyzed through one-way analysis and regression analysis, and the AMOS 21.0 software was used to explore the mediating relationships between variables.

Results

Of the 419 participants, 74.7% were aware of stroke recurrence risk. However, only 28.2% could accurately estimate their own recurrence risk. Recurrence risk perception was significantly correlated with behavioral decision-making, social support, self-efficacy, and health behavior (r = .19 ∼ .50, p < .05). Social support and recurrence risk perception could affect health behavior indirectly through self-efficacy, behavioral decision-making, and worry. Behavioral decision-making acted as a main mediator between recurrence risk perception and health behavior, while the path coefficient was .47 and .37, respectively. The chain mediation effect between recurrence risk perception and health behavior was established with a total effect value of .19 (p < .01).

Conclusion

Most stroke survivors could be aware of recurrence risk but failed to accurately estimate their individual risk. In the mediation model of recurrence risk perception and health behavior, social support seemed to be an important external factor, while self-efficacy, behavioral decision-making, and worry seemed to act as key internal factors.

Registration

The research project was registered on 29 June 2020 (CTR2000034244).

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来源期刊

Asian Nursing Research NURSING-

CiteScore

4.20

自引率

4.50%

发文量

审稿时长

45 days

期刊介绍： Asian Nursing Research is the official peer-reviewed research journal of the Korean Society of Nursing Science, and is devoted to publication of a wide range of research that will contribute to the body of nursing science and inform the practice of nursing, nursing education, administration, and history, on health issues relevant to nursing, and on the testing of research findings in practice.