The impact of chronic illness resources, fear of recurrence, hope, and health locus of control on self-management behaviors in post-stroke patients: a cross-sectional study
BackgroundStroke often leads to functional impairment in patients and carries a risk of recurrence. Therefore, it is crucial for post-stroke patients to proactively pursue self-management behaviors that foster functional recovery and prevent recurrent strokes, such as keeping a balanced diet or exer...
Saved in:
| Main Authors: | , , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Frontiers Media S.A.
2025-05-01
|
| Series: | Frontiers in Medicine |
| Subjects: | |
| Online Access: | https://www.frontiersin.org/articles/10.3389/fmed.2025.1598945/full |
| Tags: |
Add Tag
No Tags, Be the first to tag this record!
|
| _version_ | 1849736943253848064 |
|---|---|
| author | Jingxia Cheng Xiaolian Jiang Xi Liao Lili Zhou Li Qin Hongying Liu |
| author_facet | Jingxia Cheng Xiaolian Jiang Xi Liao Lili Zhou Li Qin Hongying Liu |
| author_sort | Jingxia Cheng |
| collection | DOAJ |
| description | BackgroundStroke often leads to functional impairment in patients and carries a risk of recurrence. Therefore, it is crucial for post-stroke patients to proactively pursue self-management behaviors that foster functional recovery and prevent recurrent strokes, such as keeping a balanced diet or exercising. The implementation of self-management behaviors requires the combined influence of internal and external factors, which have not been fully explored. This study aimed to investigate the level of self-management behaviors in post-stroke patients and to explore the impact of chronic illness resources, fear of recurrence, hope, and health locus of control on these behaviors.MethodsA cross-sectional study was conducted among 262 post-stroke patients from a tertiary hospital in Sichuan, China. The scores of the Self-management Behavior Scale for Post-stroke patients, the Chronic Illness Resource Scale, the Fear of Recurrence Inventory Short Form, the Herth Hope Index, and the Multidimensional Health Locus of Control were collected. Multiple linear regression was ultimately used to determine the predictors of self-management behaviors.ResultsThe mean score of the Self-management Behavior Scale for Post-stroke patients was 92.23 ± 14.61, with the item mean score of 3.55 ± 0.56. Approximately 56.2% of the variation in self-management behaviors in post-stroke patients could be explained by educational level (β = 0.222, P < 0.001), rehabilitation training (β = 0.444, P < 0.001), physician/health care team resources (β = 0.139, P = 0.007), family and friends resources (β = 0.160, P = 0.003), personal resources (β = 0.182, P = 0.002), fear of recurrence (β = –0.145, P = 0.001), internal locus of control (β = 0.181, P < 0.001), and chance health locus of control (β = –0.141, P = 0.004).ConclusionThe self-management of post-stroke patients was moderate, with emotional management and utilization of resources being the weaknesses. Patients’ coping abilities, the establishment of a positive psychological locus of control, and the development of a realistic yet constructive recurrence risk perception were beneficial for their self-management. In addition, professional rehabilitation treatment and enhanced support from chronic illness resources such as medical staff and family and friends were also important. |
| format | Article |
| id | doaj-art-1e7512d46fbc4ac89208f35547d55ae1 |
| institution | DOAJ |
| issn | 2296-858X |
| language | English |
| publishDate | 2025-05-01 |
| publisher | Frontiers Media S.A. |
| record_format | Article |
| series | Frontiers in Medicine |
| spelling | doaj-art-1e7512d46fbc4ac89208f35547d55ae12025-08-20T03:07:06ZengFrontiers Media S.A.Frontiers in Medicine2296-858X2025-05-011210.3389/fmed.2025.15989451598945The impact of chronic illness resources, fear of recurrence, hope, and health locus of control on self-management behaviors in post-stroke patients: a cross-sectional studyJingxia Cheng0Xiaolian Jiang1Xi Liao2Lili Zhou3Li Qin4Hongying Liu5Division of Pancreatic Surgery, Department of General Surgery, West China Hospital, Sichuan University/West China School of Nursing, Sichuan University, Chengdu, ChinaWest China School of Nursing, Sichuan University/West China Hospital, Sichuan University, Chengdu, ChinaColorectal Cancer Center, Department of General Surgery, West China Hospital, Sichuan University/West China School of Nursing, Sichuan University, Chengdu, ChinaDivision of Pancreatic Surgery, Department of General Surgery, West China Hospital, Sichuan University/West China School of Nursing, Sichuan University, Chengdu, ChinaDivision of Pancreatic Surgery, Department of General Surgery, West China Hospital, Sichuan University/West China School of Nursing, Sichuan University, Chengdu, ChinaDivision of Pancreatic Surgery, Department of General Surgery, West China Hospital, Sichuan University/West China School of Nursing, Sichuan University, Chengdu, ChinaBackgroundStroke often leads to functional impairment in patients and carries a risk of recurrence. Therefore, it is crucial for post-stroke patients to proactively pursue self-management behaviors that foster functional recovery and prevent recurrent strokes, such as keeping a balanced diet or exercising. The implementation of self-management behaviors requires the combined influence of internal and external factors, which have not been fully explored. This study aimed to investigate the level of self-management behaviors in post-stroke patients and to explore the impact of chronic illness resources, fear of recurrence, hope, and health locus of control on these behaviors.MethodsA cross-sectional study was conducted among 262 post-stroke patients from a tertiary hospital in Sichuan, China. The scores of the Self-management Behavior Scale for Post-stroke patients, the Chronic Illness Resource Scale, the Fear of Recurrence Inventory Short Form, the Herth Hope Index, and the Multidimensional Health Locus of Control were collected. Multiple linear regression was ultimately used to determine the predictors of self-management behaviors.ResultsThe mean score of the Self-management Behavior Scale for Post-stroke patients was 92.23 ± 14.61, with the item mean score of 3.55 ± 0.56. Approximately 56.2% of the variation in self-management behaviors in post-stroke patients could be explained by educational level (β = 0.222, P < 0.001), rehabilitation training (β = 0.444, P < 0.001), physician/health care team resources (β = 0.139, P = 0.007), family and friends resources (β = 0.160, P = 0.003), personal resources (β = 0.182, P = 0.002), fear of recurrence (β = –0.145, P = 0.001), internal locus of control (β = 0.181, P < 0.001), and chance health locus of control (β = –0.141, P = 0.004).ConclusionThe self-management of post-stroke patients was moderate, with emotional management and utilization of resources being the weaknesses. Patients’ coping abilities, the establishment of a positive psychological locus of control, and the development of a realistic yet constructive recurrence risk perception were beneficial for their self-management. In addition, professional rehabilitation treatment and enhanced support from chronic illness resources such as medical staff and family and friends were also important.https://www.frontiersin.org/articles/10.3389/fmed.2025.1598945/fullstrokeself-management (self-care)chronic illness resourcesfear of recurrencehopehealth locus of control (HLC) |
| spellingShingle | Jingxia Cheng Xiaolian Jiang Xi Liao Lili Zhou Li Qin Hongying Liu The impact of chronic illness resources, fear of recurrence, hope, and health locus of control on self-management behaviors in post-stroke patients: a cross-sectional study Frontiers in Medicine stroke self-management (self-care) chronic illness resources fear of recurrence hope health locus of control (HLC) |
| title | The impact of chronic illness resources, fear of recurrence, hope, and health locus of control on self-management behaviors in post-stroke patients: a cross-sectional study |
| title_full | The impact of chronic illness resources, fear of recurrence, hope, and health locus of control on self-management behaviors in post-stroke patients: a cross-sectional study |
| title_fullStr | The impact of chronic illness resources, fear of recurrence, hope, and health locus of control on self-management behaviors in post-stroke patients: a cross-sectional study |
| title_full_unstemmed | The impact of chronic illness resources, fear of recurrence, hope, and health locus of control on self-management behaviors in post-stroke patients: a cross-sectional study |
| title_short | The impact of chronic illness resources, fear of recurrence, hope, and health locus of control on self-management behaviors in post-stroke patients: a cross-sectional study |
| title_sort | impact of chronic illness resources fear of recurrence hope and health locus of control on self management behaviors in post stroke patients a cross sectional study |
| topic | stroke self-management (self-care) chronic illness resources fear of recurrence hope health locus of control (HLC) |
| url | https://www.frontiersin.org/articles/10.3389/fmed.2025.1598945/full |
| work_keys_str_mv | AT jingxiacheng theimpactofchronicillnessresourcesfearofrecurrencehopeandhealthlocusofcontrolonselfmanagementbehaviorsinpoststrokepatientsacrosssectionalstudy AT xiaolianjiang theimpactofchronicillnessresourcesfearofrecurrencehopeandhealthlocusofcontrolonselfmanagementbehaviorsinpoststrokepatientsacrosssectionalstudy AT xiliao theimpactofchronicillnessresourcesfearofrecurrencehopeandhealthlocusofcontrolonselfmanagementbehaviorsinpoststrokepatientsacrosssectionalstudy AT lilizhou theimpactofchronicillnessresourcesfearofrecurrencehopeandhealthlocusofcontrolonselfmanagementbehaviorsinpoststrokepatientsacrosssectionalstudy AT liqin theimpactofchronicillnessresourcesfearofrecurrencehopeandhealthlocusofcontrolonselfmanagementbehaviorsinpoststrokepatientsacrosssectionalstudy AT hongyingliu theimpactofchronicillnessresourcesfearofrecurrencehopeandhealthlocusofcontrolonselfmanagementbehaviorsinpoststrokepatientsacrosssectionalstudy AT jingxiacheng impactofchronicillnessresourcesfearofrecurrencehopeandhealthlocusofcontrolonselfmanagementbehaviorsinpoststrokepatientsacrosssectionalstudy AT xiaolianjiang impactofchronicillnessresourcesfearofrecurrencehopeandhealthlocusofcontrolonselfmanagementbehaviorsinpoststrokepatientsacrosssectionalstudy AT xiliao impactofchronicillnessresourcesfearofrecurrencehopeandhealthlocusofcontrolonselfmanagementbehaviorsinpoststrokepatientsacrosssectionalstudy AT lilizhou impactofchronicillnessresourcesfearofrecurrencehopeandhealthlocusofcontrolonselfmanagementbehaviorsinpoststrokepatientsacrosssectionalstudy AT liqin impactofchronicillnessresourcesfearofrecurrencehopeandhealthlocusofcontrolonselfmanagementbehaviorsinpoststrokepatientsacrosssectionalstudy AT hongyingliu impactofchronicillnessresourcesfearofrecurrencehopeandhealthlocusofcontrolonselfmanagementbehaviorsinpoststrokepatientsacrosssectionalstudy |