Factors Influencing Recurrent Stroke Preventive Behaviors among Stroke Patients during COVID-19 Pandemic, Bangkok
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Abstract
This predictive descriptive research aimed to study the recurrent stroke preventive behaviors and the factors influencing recurrent stroke preventive behaviors among stroke patients during the COVID-19 pandemic in Bangkok. A PRECEDE-PROCEED framework was applied for the research framework. This study included 148 patients, multi-stage randomly selected from the stroke patients in the community of Bangkok. Data were collected by using interviewing forms consisting of 1) general information, 2) ability to perform the activities of daily living scale, 3) health literacy scale, 4) recurrence risk perception scale, 5) access to health services scale, 6) social support scale and 7) recurrence stroke preventive behavior scale. The content validity index of instruments part 3 - 7 had values of .80, 1.00, .80, .80, and .92, respectively, and Cronbach’s alpha coefficients of .96, .78, .76, .73, and .73, respectively. Data were analyzed by descriptive statistics, Pearson’s product-moment correlation coefficient, and stepwise multiple regression analysis.
The results revealed that around two-thirds of stroke patients (68.20%) had a high-level recurrent stroke preventive behavior (Mean 73.62 ± 8.46). Age (β = .328), perceived risk of recurrence (β = .312), health literacy (β = .290), access to health services (β = .257), and social support from health volunteers (β = -.184) were factors that predicted recurrent stroke preventive behaviors in a stroke patient at 45.20% (adj R2 = .452). According to the results of this study, community nurses should promote health literacy, perception of risk of recurrence, appropriate recurrence stroke preventive behaviors, and support access to health services with consideration of patient’s age, and capacity building of health care volunteers.
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