Exploring illness uncertainty categories in ischemic stroke patients and the relationship with perceived social support: a latent class analysis

ObjectivesThis study examined the categories of illness uncertainty and their influencing factors in ischemic stroke patients and analyzed their relationship with perceived social support.MethodsPatients with ischemic stroke who were admitted to the neurology department of a tertiary general hospita...

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Main Authors: Xin Wen, Min Shi, Jie Zhou, Wanfang Yuan, Rong Tang, Ruhui Xu, Wenyi Zhu
Format: Article
Language:English
Published: Frontiers Media S.A. 2025-05-01
Series:Frontiers in Psychology
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Online Access:https://www.frontiersin.org/articles/10.3389/fpsyg.2025.1578691/full
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author Xin Wen
Min Shi
Jie Zhou
Wanfang Yuan
Rong Tang
Ruhui Xu
Wenyi Zhu
author_facet Xin Wen
Min Shi
Jie Zhou
Wanfang Yuan
Rong Tang
Ruhui Xu
Wenyi Zhu
author_sort Xin Wen
collection DOAJ
description ObjectivesThis study examined the categories of illness uncertainty and their influencing factors in ischemic stroke patients and analyzed their relationship with perceived social support.MethodsPatients with ischemic stroke who were admitted to the neurology department of a tertiary general hospital in Yibin City from June to December 2024 were selected for this study. The general information questionnaire, the Mishel Uncertainty in illness scale, and the perceived social support scale were used. Latent class analysis was carried out based on the patients’ illness uncertainty and explored the relationship with perceived social support.ResultsIllness uncertainty in ischemic stroke patients could be classified into 3 different latent classes, namely, “low-level-unpredictability group” (16.43%), “medium-level group” (14.52%), and “high-level-complexity group” (69.05%). Logistic regression analysis showed that place of residency, educational level, per capita monthly household income, number of comorbid other chronic diseases, mRS scores, and self-care ability were the factors influencing the latent class of illness uncertainty in stroke patients (p < 0.05). The difference between the three latent classes of illness uncertainty in ischemic stroke patients was statistically significant in the perceived social support score (p < 0.05).ConclusionIllness uncertainty in ischemic stroke patients has a distinct categorical class and perceived social support differs for each category. Targeted interventions should be carried out according to the categorization of patients’ illness uncertainty class traits in order to reduce the level of patients’ illness uncertainty and promote physical and mental health.
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spelling doaj-art-9c45ac3636bc43faba46c34588ea8f972025-08-20T03:48:27ZengFrontiers Media S.A.Frontiers in Psychology1664-10782025-05-011610.3389/fpsyg.2025.15786911578691Exploring illness uncertainty categories in ischemic stroke patients and the relationship with perceived social support: a latent class analysisXin WenMin ShiJie ZhouWanfang YuanRong TangRuhui XuWenyi ZhuObjectivesThis study examined the categories of illness uncertainty and their influencing factors in ischemic stroke patients and analyzed their relationship with perceived social support.MethodsPatients with ischemic stroke who were admitted to the neurology department of a tertiary general hospital in Yibin City from June to December 2024 were selected for this study. The general information questionnaire, the Mishel Uncertainty in illness scale, and the perceived social support scale were used. Latent class analysis was carried out based on the patients’ illness uncertainty and explored the relationship with perceived social support.ResultsIllness uncertainty in ischemic stroke patients could be classified into 3 different latent classes, namely, “low-level-unpredictability group” (16.43%), “medium-level group” (14.52%), and “high-level-complexity group” (69.05%). Logistic regression analysis showed that place of residency, educational level, per capita monthly household income, number of comorbid other chronic diseases, mRS scores, and self-care ability were the factors influencing the latent class of illness uncertainty in stroke patients (p < 0.05). The difference between the three latent classes of illness uncertainty in ischemic stroke patients was statistically significant in the perceived social support score (p < 0.05).ConclusionIllness uncertainty in ischemic stroke patients has a distinct categorical class and perceived social support differs for each category. Targeted interventions should be carried out according to the categorization of patients’ illness uncertainty class traits in order to reduce the level of patients’ illness uncertainty and promote physical and mental health.https://www.frontiersin.org/articles/10.3389/fpsyg.2025.1578691/fullillness uncertaintyperceived social supportlatent class analysisnursingischemic stroke
spellingShingle Xin Wen
Min Shi
Jie Zhou
Wanfang Yuan
Rong Tang
Ruhui Xu
Wenyi Zhu
Exploring illness uncertainty categories in ischemic stroke patients and the relationship with perceived social support: a latent class analysis
Frontiers in Psychology
illness uncertainty
perceived social support
latent class analysis
nursing
ischemic stroke
title Exploring illness uncertainty categories in ischemic stroke patients and the relationship with perceived social support: a latent class analysis
title_full Exploring illness uncertainty categories in ischemic stroke patients and the relationship with perceived social support: a latent class analysis
title_fullStr Exploring illness uncertainty categories in ischemic stroke patients and the relationship with perceived social support: a latent class analysis
title_full_unstemmed Exploring illness uncertainty categories in ischemic stroke patients and the relationship with perceived social support: a latent class analysis
title_short Exploring illness uncertainty categories in ischemic stroke patients and the relationship with perceived social support: a latent class analysis
title_sort exploring illness uncertainty categories in ischemic stroke patients and the relationship with perceived social support a latent class analysis
topic illness uncertainty
perceived social support
latent class analysis
nursing
ischemic stroke
url https://www.frontiersin.org/articles/10.3389/fpsyg.2025.1578691/full
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