Dose-response relationship between disease risk perception and objective risk of stroke and nursing strategies
10.3761/j.issn.0254-1769.2025.07.002
- VernacularTitle:脑卒中发病风险感知与客观发病风险的关系及护理对策
- Author:
Chenxi ZHOU
1
;
Beilei LIN
;
Jie ZHANG
;
Hui REN
;
Hui WANG
;
Zhenxiang ZHANG
Author Information
1. 460001 郑州市 郑州大学护理与健康学院
- Publication Type:Journal Article
- Keywords:
Stroke;
Risk Perception;
High Risk Group;
Restricted Cubic Spline;
Nursing Care
- From:
Chinese Journal of Nursing
2025;60(7):779-785
- CountryChina
- Language:Chinese
-
Abstract:
Objective To explore the relationship between disease risk perception and objective risk in stroke risk population,and to provide theoretical basis for prevention and control of stroke.Methods From February to May 2023,560 residents who participated in medical examinations in 2 community health service centers of Zhengzhou and Luohe were selected as respondents.The objective risk of stroke was assessed,and the general data questionnaire and Risk Perception Questionnaire for People at High Risk of Stroke were used for investigation.Logistic regression model and restricted cubic spline model were used to analyze the correlation and the dose-response relationship between disease risk perception and objective stroke risk.Results A total of 542 effective questionnaires were collected.The detection rate of stroke high-risk groups was 48.71％.Logistic regression analysis showed that after adjusting confounding factors,the objective risk of stroke in the general population and in different gender stratification decreased first and then increased with the increase of the level of disease risk perception.The results of the restricted cubic spline showed that the disease risk perception and objective risk of stroke in the total population and gender stratification showed a nonlinear dose-response relationship(P nonlinear＜0.05),and the curve showed a"U"type change.The disease risk perception score of 90.0～110.0 was the protective factor of objective risk of stroke.Conclusion The objective risk of stroke decreases first and then increases with the increase of the perceived risk.Medical staff should maintain individual disease risk perception within the appropriate level,and pay attention to the difference in disease risk perception of different gender groups to implement targeted risk communication strategies,so as to promote the development of healthy behaviors and reduce the incidence of stroke.
