Kim Hana, Han Aro, Lee Hyunjung, Choi Jiwoo, Lee Hyohjung, Cho Mi-Kyoung
Department of Nursing, Hoseo University, Asan 31499, Republic of Korea.
Department of Nursing Science, Research Institute of Nursing Science, School of Medicine, Chungbuk National University, Cheongju 28644, Republic of Korea.
Healthcare (Basel). 2024 Sep 24;12(19):1913. doi: 10.3390/healthcare12191913.
The recent substantial increase in the incidence of stroke cases has resulted in high medical expenses. Stroke necessitates ongoing care, emphasizing the importance of consistent self-management. The occurrence of stroke impacts healthcare costs and has far-reaching effects on social services, encompassing disability, unemployment, and other related concerns beyond individuals and families. This study aimed to assess the impact of mobile health literacy, stroke-related health knowledge, health beliefs, and self-efficacy on self-care behaviors of patients with stroke to plan tailored self-care interventions for this patient population. This descriptive survey included 99 stroke patients from three hospitals, which provided treatment equivalent to or better than general hospitals, in City C and was conducted between 7 July 2023 and 30 May 2024. The data collected from hospitalized stroke patients were analyzed using descriptive statistics, independent -tests, one-way ANOVA, and multiple linear regression. The self-care behavior of patients with stroke who participated in the study was 73.01 ± 12.24 points. Stroke self-efficacy was identified as a significant factor influencing stroke self-care behaviors and eating habits. Mobile health literacy and stroke self-efficacy also influenced medication and self-care behavior, whereas hypertension and stroke self-efficacy affected lifestyle self-care behaviors. Strengthening stroke self-efficacy, improving mobile health literacy, and addressing comorbidities such as hypertension are important for promoting self-care behavior in stroke patients.
近期中风病例发病率的大幅上升导致了高昂的医疗费用。中风需要持续护理，这凸显了持续自我管理的重要性。中风的发生影响医疗成本，并对社会服务产生深远影响，包括残疾、失业以及个人和家庭之外的其他相关问题。本研究旨在评估移动健康素养、中风相关健康知识、健康信念和自我效能对中风患者自我护理行为的影响，以便为该患者群体制定量身定制的自我护理干预措施。这项描述性调查纳入了来自C市三家医院的99名中风患者，这些医院提供的治疗等同于或优于综合医院，研究于2023年7月7日至2024年5月30日进行。对从住院中风患者收集的数据进行描述性统计、独立样本t检验、单因素方差分析和多元线性回归分析。参与研究的中风患者的自我护理行为得分为73.01±12.24分。中风自我效能被确定为影响中风自我护理行为和饮食习惯的一个重要因素。移动健康素养和中风自我效能也影响用药和自我护理行为，而高血压和中风自我效能影响生活方式自我护理行为。增强中风自我效能、提高移动健康素养以及解决高血压等合并症对于促进中风患者的自我护理行为很重要。
