Association between chronic illness resources and health behaviors in hypertensive stroke patients at 6 months after discharge: a cross-sectional study

Abstract

Background: The adoption of appropriate health behaviors can prevent the recurrence of stroke. Previous research found a downward trend in hypertensive stroke patients' health behaviors from 3 to 6 months after discharge. The provision of appropriate support by chronic illness resources has been shown to predict patients' engagement in appropriate health behaviors in other chronic illness populations. This study sought to explore the association between chronic illness resources and health behaviors in hypertensive stroke patients in order to provide a foundation for the secondary prevention of stroke.Methods: Using convenience sampling method, we enrolled 133 hypertensive stroke patients at 6 months after discharge in Guangzhou, China. All the patients completed a demographic and disease-specific questionnaire, the Health Behavior Scale for Stroke Patients (HBS-SP) and the Chronic Illness Resources Survey (CIRS). A multiple stepwise regression analysis was conducted to test the association of chronic illness resources with health behaviors. Results:The total scores of the HBS-SP and CIRS were (2.89±0.38) and (2.94±0.66), respectively. The correlation coefficient for chronic illness resources and health behaviors was 0.517 (P<0.001). The positive association between chronic illness resources and health behaviors remained statistically significant after controlling for gender, education level, and the Barthel Index (unstandardized coefficient: 0.317, P<0.001). Conclusions:The chronic illness resources has positive association with health behaviors in hypertensive stroke patients at 6 months after discharge. A good support provided by chronic illness resources may contribute to promote positive health behaviors, and thus prevent the recurrence of stroke.

Ecological model of health behaviour of hypertensive stroke patients at the end of recovery period

“…In this study, chronic illness resource was found to have the most significant direct effect on health behaviour. This finding corresponds with previous study (Wen et al, 2022). Zhong et al (2016) found that the use of chronic illness resources of patients with diabetes was positively correlated with the self‐management including diet, exercise, medicine, glucose monitoring, foot care and dealing with hyperglycaemia and hypoglycaemia.…”

“…The Chronic Illness Resources Survey (CIRS) is compatible with a social-ecologic perspective to assess distal sources of support, including workplace, community, media, public policy, and neighbourhood factors (Glasgow et al, 2000). In addition, a cross-sectional study (Wen et al, 2022) showed that the chronic illness resource has a positive association with health behaviour in hypertensive stroke patients. Therefore, institutional, community and public policy factors were unified as environmental factors in this study and measured by CIRS.…”

“…Current evidence suggests that the health behaviour of stroke patients are respectively affected by the factors of gender, education level, knowledge, health belief, depression, family function and chronic illness resource (Jiang, Shen, et al, 2014; Jing et al, 2018; Lennon et al, 2021; Wen et al, 2022; Yuan et al, 2015). However, it is not clear how these factors together influence health behaviour of hypertensive stroke patients and the interaction between the influencing factors.…”

The effectiveness of self‐management programme based on multilevel social resources utilization in diabetes mellitus patients: A randomized controlled study

“…The social–ecological pyramid model illustrates the interrelationships between individual/interpersonal factors and multilevel social resources, such as family/friends, physician/health‐care team, peer, community/neighbourhood, media/policy, worksites and organizations. Related studies have verified the impact of multilevel social resources on self‐management behaviour and health outcomes of patients with chronic diseases (Glasgow et al, 2000;Wen et al, 2022). But in regard to diabetes social resource interventions, the few studies that are available are more focused on strengthening social resources at the individual level and examining its effect on single behaviours such as dietary habits (Caperon et al, 2019) or physical activity (Soderlund, 2017).…”

“…One common problem is that traditional DSME is didactic in resources on self-management behaviour and health outcomes of patients with chronic diseases (Glasgow et al, 2000;Wen et al, 2022).…”