Factors influencing health behaviour, blood pressure control, and disability in hypertensive ischaemic stroke patients after a comprehensive reminder intervention

Aims To test prospective pathways of a Comprehensive Reminder System based on the Health Belief Model (CRS‐HBM), stroke knowledge, health belief in health behaviour, blood pressure (BP) control, and disability in hypertensive ischaemic stroke patients at 6‐month postdischarge. Design A nested cohort...

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Bibliographic Details
Published in:Journal of advanced nursing 2020-06, Vol.76 (6), p.1384-1393
Main Authors: Zhang, Xiao‐Pei, Pan, Jun‐Hao, Wan, Li‐Hong, Liu, Zhu‐Yun, Mo, Miao‐Miao, Wang, Meng‐Yao, Li, Li‐Li
Format: Article
Language:English
Subjects:
Adult
Aftercare - psychology
Aftercare - statistics & numerical data
Aged
Aged, 80 and over
Blood pressure
Brain Ischemia - rehabilitation
China
Clinical trials
Cohort analysis
Cohort Studies
Disability
Disabled Persons - psychology
Disabled Persons - statistics & numerical data
Female
Health Behavior
health behaviour
Health belief model
Health beliefs
Health education
Health Education - methods
Health Education - statistics & numerical data
Health information
Higher education
Humans
Hypertension
Hypertension - drug therapy
Hypertension - psychology
Intervention
Ischemic Stroke
Male
Medication Adherence - psychology
Medication Adherence - statistics & numerical data
Middle Aged
nurse
Nurses
Nursing
Prospective Studies
reminder system
Reminder Systems - statistics & numerical data
Stroke
Structural equation modeling
structural equation modelling
Surveys and Questionnaires
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Summary:Aims To test prospective pathways of a Comprehensive Reminder System based on the Health Belief Model (CRS‐HBM), stroke knowledge, health belief in health behaviour, blood pressure (BP) control, and disability in hypertensive ischaemic stroke patients at 6‐month postdischarge. Design A nested cohort study design. Methods Data were derived from a randomized controlled trial evaluating the effects of the intervention (N = 174, performed during February 2015 ‐ March 2016). Data were collected by questionnaires and analysed in structural equation modelling in Mplus software. Results The proposed model provided a good fit to the data. This model accounted for 51.5% of the variance in health behaviour, 34.1% in BP control, and 5.7% in modified Rankin Scale score at 6‐month postdischarge. The CRS‐HBM had: (a) direct positive effect (β = .391, p 
ISSN:0309-2402
1365-2648
DOI:10.1111/jan.14340