Self-Management Status and Influencing Factors Among Patients with Stroke

Abstract

This study aimed to investigate the current status of self-management among patients with stroke in a tertiary hospital in Shaanxi Province and to explore the influencing factors of their self-management behaviours. This study included 104 stroke patients who were diagnosed and treated between April and October 2025. Data were collected using a general information questionnaire, the Stroke Self-Management Behaviour Scale, and the Stroke Self-Efficacy Scale, and statistical analyses were performed to identify the factors influencing self-management behaviours. The results showed that the overall level of self-management among the stroke patients was moderate to high, with a mean self-management score of 168.12 ± 18.56. Specifically, the scores of each dimension were as follows: disease management (40.86 ± 6.65), medication safety management (18.46 ± 1.90), diet management (23.64 ± 2.78), daily life management (27.90 ± 3.84), emotional management (17.64 ± 2.78), social function and interpersonal management (19.47 ± 3.17), and rehabilitation exercise management (20.13 ± 5.48). Univariate analysis revealed that age, education level, current employment status, recurrence risk classification, and self-efficacy had significant effects on self-management behaviours (P < 0.05). Further multiple linear regression analysis confirmed that these five factors (age, education level, current employment status, recurrence risk classification, and self-efficacy) were independent influencing factors of self-management behaviours among stroke patients. In conclusion, the self-management level of stroke patients in this study was moderate to relatively high; healthcare professionals should take the relevant influencing factors into consideration and implement individualized intervention strategies to improve the patients’ self-management abilities and further enhance their quality of life.