Mediating effect of psychological flexibility between recurrence risk perception and health behavior in stroke patients

Ruili MA; Mengting QIAO; Yating ZHOU; Wenjia SUN; Yanyan LYU; Xu ZHOU; Yi WANG; Xiaoyu WU; Ruili YU

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Mediating effect of psychological flexibility between recurrence risk perception and health behavior in stroke patients

VernacularTitle:心理灵活性在脑卒中患者复发风险感知与健康行为间的中介效应分析
Author: Ruili MA ¹ ; Mengting QIAO ¹ ; Yating ZHOU ¹ ; Wenjia SUN ¹ ; Yanyan LYU ¹ ; Xu ZHOU ¹ ; Yi WANG ¹ ; Xiaoyu WU ¹ ; Ruili YU ¹
Author Information

1. 郑州大学第一附属医院神经内科，郑州　450052
Publication Type:Journal Article
Keywords: Stroke; Psychological flexibility; Recurrence risk perception; Health behavior; Mediating effect
From: Chinese Journal of Modern Nursing 2025;31(34):4725-4729
CountryChina
Language:Chinese
Abstract: Objective:To investigate the mediating effect of psychological flexibility between recurrence risk perception and health behavior in stroke patients.Methods:From July to December 2024, 233 stroke patients at the First Affiliated Hospital of Zhengzhou University were selected using convenience sampling. Electronic questionnaires were used to collect patients' general information, perception of stroke recurrence risk, health behavior, and psychological flexibility.Results:The scores for recurrence risk perception, psychological flexibility, and health behavior of 233 stroke patients were (39.75±4.39), (47.45±4.19), and (54.04±3.78), respectively. Health behavior were positively correlated with recurrence risk perception ( r=0.495, P<0.01), and negatively correlated with psychological flexibility ( r=-0.367, P<0.01). Psychological flexibility partially mediated the relationship between recurrence risk perception and health behavior, with an effect value of 0.080 and an effect proportion of 17.5% (0.080/0.458) . Conclusions:Recurrence risk perception not only directly predicts health behavior in stroke patients but also indirectly influences their health behavior through psychological flexibility. Healthcare providers should enhance recurrence risk perception among stroke patients and incorporate the improvement of psychological flexibility as part of intervention strategies to improve patients' health behavior.