Relationship between recurrence risk perception and health behavior in stroke patients:The chain-medi-ated role of self-efficacy and e-health literacy
10.3969/j.issn.1006-5725.2025.04.021
- VernacularTitle:脑卒中患者复发风险感知和健康行为的关系:自我效能和电子健康素养的链式中介作用
- Author:
Bing YU
1
;
Mengxia CHEN
;
Mengdi WANG
;
Xiaorong HUANG
;
Lingjuan ZHANG
Author Information
1. 海军军医大学第一附属医院临床护理学教研室(上海 200433)
- Publication Type:Journal Article
- Keywords:
stroke;
recurrence risk perception;
health behavior;
E-health literacy;
chain mediation
- From:
The Journal of Practical Medicine
2025;41(4):600-606
- CountryChina
- Language:Chinese
-
Abstract:
Objective To analyze the influencing factors of health behaviors in stroke patients,and explore the chain mediating effects of self-efficacy and e-health literacy between the perception of stroke recurrence risk and health behaviors in stroke patients,providing a reference for strengthening the health behavior and reducing recurrence risk in stroke patients.Methods 249 stroke patients were selected as the research objects from March to September 2024 in a tertiary hospital in Shanghai,China.Patients were surveyed using General Information Questionnaire,Stroke Recurrence Risk Perception Scale,Stroke Health Behavior Scale(HBS-SP),Chronic Disease Self-Efficacy Scale(CDSES),and the e-health Literacy Scale(e-HEALS).Pearson correlation analysis was used to explore the correlations among various variables,and SPSS 26.0 software macro program Process Model 6 was used to conduct chain mediation model test.Results The scores of Recurrence Risk Perception,HBS-SP,CDSES and e-HEALS of stroke patients were(42.88±6.48)scores,(68.32±14.13)scores,(6.87±1.55)scores and(27.76±6.06)scores,and all the variables were positively correlated(P<0.01).The mediating effect model showed that self-efficacy and e-health literacy played a chain mediating role in the recurrence risk perception and health behavior in stroke patients,with an effect size of 0.488,accounting for 37.22%of the total effect.Conclusions The recurrence risk perception and health behavior of stroke patients are both at a moderate level.In the future,we can establish a mobile management platform to provide comprehensive health management for stroke patients.Further exploration of strategies to enhance stroke patients'self-efficacy and channels for online health education could be pursued to improve their health behaviors.
