Relationship between self-management behavior and family care among Chinese older adults hospitalized for stroke: the mediating role of chronic disease resource utilization
BackgroundThe importance of self-management behavior has been widely acknowledged in global studies, demonstrating its effectiveness in improving patients’ emotional well-being, enhancing quality of life, preventing stroke recurrence, and reducing mortality and readmission rates. However, existing r...
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Frontiers Media S.A.
2025-07-01
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| Online Access: | https://www.frontiersin.org/articles/10.3389/fmed.2025.1611587/full |
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| author | Zhangyi Wang Fen Zhu Juan Zuo Li Yang Feng Lu Li Chen Liping Li Xiaochun Tang Tingrui Wang Junbo Wu Weimin Xie Yating Zhan Jiaofeng Peng Yan Wang Jie Yang Yue Zhu Zhenfa Li Huilong Shen Jun Yin |
| author_facet | Zhangyi Wang Fen Zhu Juan Zuo Li Yang Feng Lu Li Chen Liping Li Xiaochun Tang Tingrui Wang Junbo Wu Weimin Xie Yating Zhan Jiaofeng Peng Yan Wang Jie Yang Yue Zhu Zhenfa Li Huilong Shen Jun Yin |
| author_sort | Zhangyi Wang |
| collection | DOAJ |
| description | BackgroundThe importance of self-management behavior has been widely acknowledged in global studies, demonstrating its effectiveness in improving patients’ emotional well-being, enhancing quality of life, preventing stroke recurrence, and reducing mortality and readmission rates. However, existing research indicates that self-management behavior among older adults hospitalized for stroke remains underdeveloped. Furthermore, limited studies have examined the correlations between self-management behavior, family care, and chronic disease resource utilization in this population.ObjectiveThis study aims to investigate self-management behavior, family care, and chronic disease resource utilization among Chinese older adults hospitalized for stroke and to explore the relationships among these variables. Specifically, it examines the mediating role of chronic disease resource utilization between self-management behavior and family care.MethodsA cross-sectional correlational design followed the Strengthening the Reporting of Observational Studies in Epidemiology checklist for quality reporting. Between December 2023 and January 2025, a total of 627 Chinese older adults hospitalized for stroke were recruited from three tertiary grade-A hospitals in two cities in China. Data were collected using the Demographic Characteristics Questionnaire, the Stroke Patient Self-Management Behavior Assessment Scale, the Family APGAR Scale, and the Chronic Illness Resources Survey. Descriptive statistics, univariate analysis, correlation analysis, and process plug-in mediation effect analysis were applied to the data.ResultsThe total scores for self-management behavior, family care, and chronic disease resource utilization were (M = 165.94, SD = 51.26), (M = 5.51, SD = 1.65), and (M = 72.15, SD = 16.73), respectively. These scores indicate moderate levels of self-management behavior, family care, and chronic disease resource utilization. Self-management behavior was positively correlated with family care (r = 0.615, p < 0.01) and chronic disease resource utilization (r = 0.536, p < 0.01). Furthermore, chronic disease resource utilization partially mediated the relationship between self-management behavior and family care, accounting for 41.6% of the total effect.ConclusionThe self-management behavior, family care, and chronic disease resource utilization among Chinese older adults hospitalized for stroke were found to be at moderate levels, indicating a need for improvement. Family care directly affects self-management behavior and indirectly affects it through chronic disease resource utilization. Healthcare professionals should focus on enhancing health education and providing psychological support for stroke patients to improve family care, alleviate fears regarding disease progression, and ultimately promote better self-management behavior. |
| format | Article |
| id | doaj-art-1fe2866f2df74ec5bacc6e2c65660db8 |
| institution | Kabale University |
| issn | 2296-858X |
| language | English |
| publishDate | 2025-07-01 |
| publisher | Frontiers Media S.A. |
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| series | Frontiers in Medicine |
| spelling | doaj-art-1fe2866f2df74ec5bacc6e2c65660db82025-08-20T03:50:01ZengFrontiers Media S.A.Frontiers in Medicine2296-858X2025-07-011210.3389/fmed.2025.16115871611587Relationship between self-management behavior and family care among Chinese older adults hospitalized for stroke: the mediating role of chronic disease resource utilizationZhangyi Wang0Fen Zhu1Juan Zuo2Li Yang3Feng Lu4Li Chen5Liping Li6Xiaochun Tang7Tingrui Wang8Junbo Wu9Weimin Xie10Yating Zhan11Jiaofeng Peng12Yan Wang13Jie Yang14Yue Zhu15Zhenfa Li16Huilong Shen17Jun Yin18Nursing Department, Affiliated Hengyang Hospital of Hunan Normal University & Hengyang Central Hospital, Hengyang, ChinaNursing Department, Affiliated Hengyang Hospital of Hunan Normal University & Hengyang Central Hospital, Hengyang, ChinaDepartment of Hematology, The First Affiliated Hospital, Hengyang Medical School, University of South China, Hengyang, ChinaGynecology Department, Chenzhou No. 1 People’s Hospital, Chenzhou, ChinaNursing Department, Affiliated Hengyang Hospital of Hunan Normal University & Hengyang Central Hospital, Hengyang, ChinaSchool of Nursing, Kiang Wu Nursing College of Macao, Hunan Normal University, Cotai, Macao SAR, ChinaNursing Department, Affiliated Hengyang Hospital of Hunan Normal University & Hengyang Central Hospital, Hengyang, ChinaNursing Department, Affiliated Hengyang Hospital of Hunan Normal University & Hengyang Central Hospital, Hengyang, ChinaSchool of Nursing, Guizhou Medical University, Guiyang, ChinaNursing Department, Affiliated Hengyang Hospital of Hunan Normal University & Hengyang Central Hospital, Hengyang, ChinaNursing Department, Affiliated Hengyang Hospital of Hunan Normal University & Hengyang Central Hospital, Hengyang, ChinaSchool of Nursing, Hengyang Medical School, University of South China, Hengyang, ChinaNursing Department, Affiliated Hengyang Hospital of Hunan Normal University & Hengyang Central Hospital, Hengyang, ChinaThe Second Affiliated Hospital, Operating Room, Hengyang Medical School, University of South China, Hengyang, ChinaNursing Department, Affiliated Hengyang Hospital of Hunan Normal University & Hengyang Central Hospital, Hengyang, ChinaNursing Department, Tianjin Academy of Traditional Chinese Medicine Affiliated Hospital, Tianjin, ChinaNursing Department, Affiliated Hengyang Hospital of Hunan Normal University & Hengyang Central Hospital, Hengyang, ChinaNursing Department, Affiliated Hengyang Hospital of Hunan Normal University & Hengyang Central Hospital, Hengyang, ChinaNursing Department, Affiliated Hengyang Hospital of Hunan Normal University & Hengyang Central Hospital, Hengyang, ChinaBackgroundThe importance of self-management behavior has been widely acknowledged in global studies, demonstrating its effectiveness in improving patients’ emotional well-being, enhancing quality of life, preventing stroke recurrence, and reducing mortality and readmission rates. However, existing research indicates that self-management behavior among older adults hospitalized for stroke remains underdeveloped. Furthermore, limited studies have examined the correlations between self-management behavior, family care, and chronic disease resource utilization in this population.ObjectiveThis study aims to investigate self-management behavior, family care, and chronic disease resource utilization among Chinese older adults hospitalized for stroke and to explore the relationships among these variables. Specifically, it examines the mediating role of chronic disease resource utilization between self-management behavior and family care.MethodsA cross-sectional correlational design followed the Strengthening the Reporting of Observational Studies in Epidemiology checklist for quality reporting. Between December 2023 and January 2025, a total of 627 Chinese older adults hospitalized for stroke were recruited from three tertiary grade-A hospitals in two cities in China. Data were collected using the Demographic Characteristics Questionnaire, the Stroke Patient Self-Management Behavior Assessment Scale, the Family APGAR Scale, and the Chronic Illness Resources Survey. Descriptive statistics, univariate analysis, correlation analysis, and process plug-in mediation effect analysis were applied to the data.ResultsThe total scores for self-management behavior, family care, and chronic disease resource utilization were (M = 165.94, SD = 51.26), (M = 5.51, SD = 1.65), and (M = 72.15, SD = 16.73), respectively. These scores indicate moderate levels of self-management behavior, family care, and chronic disease resource utilization. Self-management behavior was positively correlated with family care (r = 0.615, p < 0.01) and chronic disease resource utilization (r = 0.536, p < 0.01). Furthermore, chronic disease resource utilization partially mediated the relationship between self-management behavior and family care, accounting for 41.6% of the total effect.ConclusionThe self-management behavior, family care, and chronic disease resource utilization among Chinese older adults hospitalized for stroke were found to be at moderate levels, indicating a need for improvement. Family care directly affects self-management behavior and indirectly affects it through chronic disease resource utilization. Healthcare professionals should focus on enhancing health education and providing psychological support for stroke patients to improve family care, alleviate fears regarding disease progression, and ultimately promote better self-management behavior.https://www.frontiersin.org/articles/10.3389/fmed.2025.1611587/fullolder adultshospitalized patientsstrokeself-management behaviorfamily carechronic disease resource utilization |
| spellingShingle | Zhangyi Wang Fen Zhu Juan Zuo Li Yang Feng Lu Li Chen Liping Li Xiaochun Tang Tingrui Wang Junbo Wu Weimin Xie Yating Zhan Jiaofeng Peng Yan Wang Jie Yang Yue Zhu Zhenfa Li Huilong Shen Jun Yin Relationship between self-management behavior and family care among Chinese older adults hospitalized for stroke: the mediating role of chronic disease resource utilization Frontiers in Medicine older adults hospitalized patients stroke self-management behavior family care chronic disease resource utilization |
| title | Relationship between self-management behavior and family care among Chinese older adults hospitalized for stroke: the mediating role of chronic disease resource utilization |
| title_full | Relationship between self-management behavior and family care among Chinese older adults hospitalized for stroke: the mediating role of chronic disease resource utilization |
| title_fullStr | Relationship between self-management behavior and family care among Chinese older adults hospitalized for stroke: the mediating role of chronic disease resource utilization |
| title_full_unstemmed | Relationship between self-management behavior and family care among Chinese older adults hospitalized for stroke: the mediating role of chronic disease resource utilization |
| title_short | Relationship between self-management behavior and family care among Chinese older adults hospitalized for stroke: the mediating role of chronic disease resource utilization |
| title_sort | relationship between self management behavior and family care among chinese older adults hospitalized for stroke the mediating role of chronic disease resource utilization |
| topic | older adults hospitalized patients stroke self-management behavior family care chronic disease resource utilization |
| url | https://www.frontiersin.org/articles/10.3389/fmed.2025.1611587/full |
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