Self-perceived and actual risk of stroke recurrence in young and middle-aged stroke patients
Objective To analyze the consistency of perceived risk and actual risk of recurrent stroke in young and middle-aged pa-tients,to explore the influencing factors,and to provide reference for enhancing accuracy of perceptions and reducing stroke recur-rence.Methods A total of 337 young and middle-aged stroke patients were invited to complete a battery of questionnaires including a self-designed demographic questionnaire,the Essen Stroke Risk Score,Perceived Risk of Stroke Recurrence,short form of the Fear of Progression Questionnaire,Self-perceived Burden Scale,Social Support Rating Scale,and Modified Barthel Index Scale.Re-suIts Among 337 participants,100(29.7％)underestimated,173(51.3％)accurately estimated,and 64(19.0％)overestimated their risk,with the kappa coefficient of 0.110(P＜0.05).Multinomial logistic regression analysis showed that age,education level,fear of disease progression,and social support were factors associated with the underestimation of recurrent risk,whereas fear of disease progression,Barthel index,and self-perceived burden were factors affecting overestimation of recurrent risk(all P＜0.05).Conclusion The level of agreement between perceived and actual risk of recurrent stroke in young and middle-aged pa-tients is low.There is a need to focus on young patients and those with lower education level,enhance social support,improve self-care ability,and alleviate self-perceived burden,thereby enhancing the accuracy of their recurrent risk perception.This,in turn,promotes the adoption of healthy behaviors and reduces the risk of recurrence.
young and middle-aged peoplestrokerecurrence risk perceptionactual risksocial supportfear of progres-sionself-perceived burdenself-care ability
万方数据
维普
