A Decade-long Comparison of Prestroke Health Behaviors Among Hypertensive Stroke Patients in Mainland China. Issue 1 (11th November 2021)

• Record Type: Journal Article
• Authors: Liu, Qun-Hong; Tan, Ju-Xiang; Hu, Cai-Xia; Hu, Dan-Lu; Wan, Li-Hong
• Is Part Of: Journal of neuroscience nursing. Volume 54:Issue 1(2022)
• Page Start: 42
• Page End: 47
• Publication Date: 2021-11-11
• Subjects: health behavior -- hypertension -- primary prevention of stroke -- stroke; Neurological nursing -- Periodicals; 616.80231
• DOI: 10.1097/JNN.0000000000000628
• Languages: English
• ISSNs: 0888-0395

Abstract

Abstract : Supplemental digital content is available in the text. ABSTRACT: BACKGROUND: Patients with hypertension are at a high risk for stroke, but a healthy lifestyle can greatly reduce the risk of stroke. However, there has been no research on the change in prestroke health behaviors in Chinese patients with hypertensive stroke over a decade. OBJECTIVES: The aims of this study were to determine whether prestroke health behaviors of patients with hypertensive stroke changed over a decade and to explore the predictors of prestroke health behaviors over a decade. METHODS: This study used data from 2 cross-sectional studies conducted in the neurology departments of 3 hospitals in Guangzhou, China. In total, 110 hypertensive stroke patients were recruited in stage I (2008-2009), and 119 hypertensive stroke patients were recruited in stage II (2018-2019). Patients' stroke knowledge was measured by the Stroke Knowledge Questionnaire. Patients' prestroke health behavior was measured by the Health Behavior Scale for Stroke Patients. RESULTS: The total score of prestroke health behaviors significantly increased over the decade ( P < .001), but the scores of the subcategories of low-fat diet, low-sugar diet, and blood pressure checkups decreased over the decade ( P < .05). Stroke knowledge was a significant predictor of prestroke health behaviors in stage I ( P < .05). Besides stroke knowledge, sex and age were significant predictors of prestroke health behaviors in stage II ( P < .05). CONCLUSIONS: Prestroke health behaviors of hypertensive stroke patients significantly improved over the decade. Moreover, prestroke health behaviors were significantly influenced by stroke-related knowledge over the decade. Healthcare providers should focus in particular on assisting patients who are male, young, and middle-aged, and lack stroke-related knowledge to improve their prestroke health behaviors, especially in terms of adherence to a low-fat/low-sugar diet and regular blood pressure checks.