A Study On The Correlation Between The Health Locus Of Control,Self-management And Health Promoting Behaviors Of Stroke Patients

Objective: The study was designed to investigate the status of health locus of control,self-management and health-promoting behaviors(HPB)in stroke patients;to learn the correlation among these three aspects;to discuss the key factors affecting the HPB of stroke patients,provide recommendations for improving the level of HPB of stroke patients and provide a theoretical basis for clinical nursing intervention.Method: 336 stroke patients admitted into the Department of Neurology of a Tertiary A General Hospital from January 2020 to November 2020 were chosen as the study subjects.Multidimensional Health Locus of Control(MHLC),Stroke Self-Management Scale(SSMS)and Health-Promoting Lifestyle Profile Ⅱ(HPLP Ⅱ)were used for investigation.SPSS 26.0 was used for statistical analysis of the data.Descriptive statistical method was used to analyze the scores of general characteristics,health locus of control,self-management and HPB of stroke patients;T-test and ANOVA were used to compare the demographic differences of health locus of control,self-management and HPB in stroke patients;The Pearson correlation analysis was used to investigate the correlation among health locus of control,self-management and HPB in stroke patients;stepwise regression was used to investigate the key factors affecting the HPB in stroke patients.Result:(1)The total score of health locus of control of the subjects was 70.55±10.17(full score: 108).The score of internal was 26.29±5.28;The score of Powerful Others was 23.75±5.62;The score of Chance was 20.51±5.79(The full score for each dimension is 36 points).There was statistical significance of the influence of different genders,ages,working background and payment methods for medical expenses on mental health locus of control in stroke patients(p<0.05).(2)The total score of self-management of the subjects was 142.49±19.19(full score: 255).There was statistical significance of the influence of different working background,household monthly income per person,payment methods for medical expenses and duration of illness on self-management in stroke patients(p<0.05).(3)The total score of HPB of the subjects was 126.43±26.68(full score: 208).There was statistical significance of the influence of different genders,ages,ethnic groups,working background,household monthly income per person and payment methods for medical expenses on HPB in stroke patients(p<0.05).(4)There was a positive correlation of the subjects between the health locus of control and self-management(r=0.223,p<0.05);There was a positive correlation between health locus of control and HPB(r=0.143,p<0.05);There was a positive correlation between self-management and HPB(r=0.500,p<0.05).(5)gender,Age,ethnical groups,working condition,household monthly income per person,payment methods for medical expenses,internal,powerful others,chance and self-management were jointly included in the regression equation affecting the HPB of stroke patients.36.3% of the total variability was able to be explained in total.Self-management was the most predictive.Conclusions:(1)During the hospitalization of stroke patients,the internal control dimension was low level,while the external control dimension(powerful others and chance)was high level;the patient showed a tendency of external control.(2)Stroke patients had a moderate level of self-management;a moderate level of HPB.(3)Stroke patients whose health locus of control source tends to be internal controlled or powerful others,the stronger the self-management ability,the better the health promotion behavior;(4)The predictive factors of HPB of stroke patients were age,ethnic group,household monthly income per person,powerful others,chance and self-management.