Factors Influencing Stroke Recurrence Prevention Behaviors and Well-Being of Patients Attending a Stroke Clinic at a Tertiary Hospital

Main Article Content

Thachakorn Kahyee

Abstract

Background: Stroke is a leading cause of death and disability worldwide. Rehabilitation care and the prevention of stroke recurrence play important roles in reducing recurrence rates and promoting patients’ well-being. This study aimed to examine factors influencing stroke recurrence prevention behaviors and well-being among patients with stroke.


Methods: This predictive correlational study was conducted among 60 patients with recurrent stroke attending a stroke clinic at a tertiary hospital. Participants were purposively selected. Data were collected between August and September 2025. Research instruments included self-administered questionnaires assessing stroke awareness, stroke beliefs, community support, stroke recurrence prevention behaviors, and well-being. The reliability of the instruments ranged from 0.82 to 0.90. Data were analyzed using descriptive statistics, Pearson’s correlation coefficient, and stepwise multiple regression analysis. Statistical significance was set at p<0.05.


Results: Stroke awareness (p < 0.001; p = 0.001) and community support (p = 0.002; p = 0.005) were significantly positively associated with stroke recurrence prevention behaviors and well-being among patients with stroke. Together, these variables significantly predicted recurrence prevention behaviors and well-being, accounting for 46.0% (R² = 0.460) and 38.6% (R² = 0.386) of the variance, respectively.


Conclusion: Stroke awareness and community support are important factors influencing recurrence prevention behaviors and well-being among patients with stroke. Enhancing stroke-related knowledge alongside strengthening community support systems may help reduce stroke recurrence and improve patients’ quality of life.

Article Details

How to Cite
Kahyee, T. (2026). Factors Influencing Stroke Recurrence Prevention Behaviors and Well-Being of Patients Attending a Stroke Clinic at a Tertiary Hospital. Journal of Public Health Research and Innovation, 4(1), 44–57. https://doi.org/10.55164/jphri.v4i1.283733
Section
Research Article

References

World Health Organization. The top 10 causes of death [Internet]. Geneva: WHO; 2022 [cited 2024 Oct 30]. Available from: https://www.who.int/news-room/fact-sheets/detail/the-top-10-causes-of-death.

World Health Organization. Annual report 2019: Health for all [Internet]. Geneva: WHO; 2019 [cited 2024 Oct 30]. Available from: https://apps.who.int/iris/handle/10665/333249.

Bureau of Policy and Strategy, Ministry of Public Health. Public health statistics A.D. 2023. Nonthaburi: Ministry of Public Health; 2023.

Kim MJ, Lee CK, Jung T. Exploring consumer behavior in virtual reality tourism using an extended stimulus-organism-response model. J Travel Res. 2020;59:69–89. https://doi.org/10.1177/0047287518818915.

O’Kane E, De Ivey R, Pearson K, et al. Medication adherence following stroke and TIA: a qualitative synthesis of patient, caregiver and clinician perspectives. Neurol Int. 2026;18(2):34. https://doi.org/10.3390/neurolint18020034.

Hackett ML, Pickles K. Part I: frequency of depression after stroke: an updated systematic review and meta-analysis of observational studies. International journal of stroke. 2014;9(8):1017-25. https://doi.org/10.1111/ijs.12357.

Khotarak C. Factors associated with health behaviors of older adults with recurrent stroke [dissertation]. Chonburi: Burapha University; 2020.

Prasat Neurological Institute, Department of Medical Services. Clinical practice guideline for ischemic stroke. Bangkok: Thana Press; 2019.

Information Center, Medical Informatics Division, Surat Thani Hospital. Stroke patient statistics 2020–2024. Surat Thani: Surat Thani Hospital; 2024.

Kotalux C. Factors related to health behavior of elderly with recurrent stroke [dissertation]. Chonburi: Burapha University; 2020.

Khongkaew O. Illness perception and preventive behavior of recurrent stroke among older adults [dissertation]. Songkhla: Prince of Songkla University; 2018.

Khumsaard S, Thiengtham W, Suwanampai P. Behavior factors related to recurrent stroke. Journal of Public Health Nursing. 2018;31:13–26. https://he01.tci-thaijo.org/index.php/phn/article/view/100844.

Polit DF, Hungler BP. Nursing research: principles and methods. 3rd ed. Philadelphia: Lippincott; 1987.

Cohen J. A power primer. Psychological Bulletin. 1992;112(1):155–159. https://doi.org/10.1037/0033-2909.112.1.155.

Banchanon K, Toskulklao T, Changmai S. Factors influencing recurrent preventive behavior of stroke patients based on transition theory. Thai Journal of Nursing. 2022;71(3):54–62. https://he02.tci-thaijo.org/index.php/TJN/article/view/257352/176917.

Bloom BS. Handbook on formative and summative evaluation of student learning. New York: McGraw-Hill; 1971.

Dupuy HJ. The general well-being schedule. In: McDowell I, Newell C, editors. Measuring health: a guide to rating scales and questionnaires. New York: Oxford University Press; 1977.

Nucharoenkul S, Inthasombat P, Putwatana P. Daily hassles, sense of coherence and perceived well-being among nursing faculty in universities. Thai Journal of Nursing. 1989;38(3):169–90.

Kuder GF, Richardson MW. The theory of the estimation of test reliability. Psychometrika. 1937;2(3):151–60. https://doi.org/10.1007/BF02288391.

Cronbach LJ. Coefficient alpha and the internal structure of tests. Psychometrika. 1951;16(3):297-334. https://doi.org/10.1007/BF02310555.

Rosenstock IM. Historical Origins of the Health Belief Model. Health Education Monographs. 1974;2(4):328-35. https://doi.org/10.1177/109019817400200403.

Panida P. Effects of a self-management support program on health behaviors in chronic disease patients. Thai J Nurs Res. 2020;24(2):155-67.

House JS. Work stress and social support. Reading (MA): Addison-Wesley; 1981.

Cobb S. Social support as a moderator of life stress. Psychosom Med. 1976;38(5):300-14. https://doi.org/10.1097/00006842-197609000-00003.

Supaporn C. Community support and mental well-being among stroke patients. J Public Health. 2019;49(3):210-9.

Jaruwan T. Family support and psychological well-being in chronic illness patients. Thai J Psychol. 2021;28(2):105-17.

Pender NJ, Murdaugh CL, Parsons MA. Health promotion in nursing practice. 7th ed. Boston: Pearson; 2015.

Nichcharee P. Health promotion program for chronic disease management. J Nurs Public Health. 2018;32(1):45-56.

Dunn HL. High-level wellness: a collection of twenty-nine short talks on different aspects of the theme "High-level wellness for man and society". Arlington (VA): R.W. Beatty; 1961.

Venketasubramanian N, Chan ML. Stroke Recurrence among Stroke Patients Referred for Driving Assessment and Rehabilitation: A Cohort Study. Journal of Cardiovascular Development and Disease. 2023; 10(2):83. https://doi.org/10.3390/jcdd10020083.

Jiang N, Feng L, Song N, Ye Y, Wei B, Tian T, et al. Stroke survivors’ patient activation and self-management: The serial mediating role of social support and resilience. Geriatric Nursing. 2025;63:16-25. https://doi.org/10.1016/j.gerinurse.2025.02.013.