Browse > Article
http://dx.doi.org/10.5762/KAIS.2020.21.12.719

Relations of Stroke Literacy, Health Literacy, Stroke Knowledge, and Self-Management among Middle-Aged and Older Adults  

Lee, Ji-Yeon (College of Nursing, Gyeongsang National University)
Chang, Hee-Kyung (College of Nursing, Gyeongsang National University)
Publication Information
Journal of the Korea Academia-Industrial cooperation Society / v.21, no.12, 2020 , pp. 719-730 More about this Journal
Abstract
This study examined the degree and relations of stroke literacy, health literacy, stroke knowledge, and self-management to identify the significant determining factors affecting stroke prevention among middle-aged and older adults with a high incidence of stroke. Data on the sociodemographic characteristics, stroke literacy, health literacy, stroke knowledge, and self-management of 198 participants were collected from December 5, 2019, to March 31, 2020, using a structured questionnaire. The data were analyzed using the SPSS/WIN 23.0 program. The determining factors affecting self-management in middle-aged and older adults were age (β=.190. p=.015), followed in order by smoking (β=-.226, p=.001), self-rated health status (β=.297, p<.001), and stroke knowledge (β=-.168, p=.014); the explanation power was approximately 20.3%. The results suggest that the self-rated health status and stroke knowledge should be considered when developing nursing interventions to improve self-management among middle-aged and older adults. Furthermore, it will be necessary to find the intervening variable between stroke knowledge and self-management for community-dwelling middle-aged and older adults in the community. Overall, these findings underscore the importance of systematic and ongoing education on stroke prevention.
Keywords
Health Literacy; Middle-Aged; Older Adults; Self-Management; Stroke Knowledge; Stroke Literacy;
Citations & Related Records
Times Cited By KSCI : 12  (Citation Analysis)
연도 인용수 순위
1 Chang, K. O., & Oh, M. J. "Effects of Stroke Prevention Education Program of Oriental Nursing on Self-Health Perception Change, Health Behavior Change, Self-Care and Physiological Index of adult and elderly people" Journal of the Korea Academia-Industrial cooperation Society, Vol.20, No.1, pp.111-120, 2019. DOI: https://doi.org/10.5762/KAIS.2019.20.1.111   DOI
2 Adebayo, O. D., & Culpan, G. "Diagnostic accuracy of computed tomography perfusion in the prediction of haemorrhagic transformation and patient outcome in acute ischaemic stroke: A systematic review and meta-analysis" European stroke journal, Vol.5, No.1, pp.4-16, 2020. DOI: https://doi.org/10.1177/2396987319883461   DOI
3 Korean Statistical Information Service (KOSIS) Korea national health and nutrition examination survey. (2018). Available From: http://kostat.go.kr/portal/korea/kor_nw/1/6/2/index.board?bmode=read&bSeq=&aSeq=377606&pageNo=1&rowNum=10&navCount=10&currPg=&searchInfo=&sTarget=title&sTxt= (accessed Jul. 1, 2020)
4 Kim. J. Y., Bea. H. J., & Park. J. M. "Stroke Statistics in Korea, 2018" Public Health Weekly Report, Vol.12, No.43, pp.1845-1860, 2019.
5 Kang, J. H., Jeong, B. G., Cho, Y. G., Song, H. R., & Kim, K. A. "Medical expenditure attributable to overweight and obesity in adults with ischemic heart disease and stroke in Korea" Korean Journal of Health Education and Promotion, Vol.27, No.4, pp.83-90, 2010.
6 Niewada, M., & Michel, P. "Lifestyle modification for stroke prevention: facts and fiction" Current opinion in neurology, Vol.29, No.1, pp.9-13, 2016 DOI: https://doi.org/10.1097/WCO.0000000000000285   DOI
7 Bae, S. G., Lee, S. K., & Han, C. H. "Influencing and mediating factors in stroke: Based on 2007-2012 Korea national health and nutrition examination survey" Journal of the Korea Academia-Industrial cooperation Society, Vol.16, No.1, pp.418-428, 2015. DOI: https://doi.org/10.5762/KAIS.2015.16.1.418   DOI
8 Kim, E. J., & Kong, J. H. "The Effects of Primary Stroke Prevention Program on the Knowledge of Stroke, Stroke Symptom Coping Behavior and Self Management of Stroke Risk Group" Journal of the Korea Academia-Industrial cooperation Society, Vol.16, No.11, pp.7925-7933, 2015. DOI: https://doi.org/10.5762/KAIS.2015.16.11.7925   DOI
9 Kindig, D. A., Panzer, A. M., & Nielsen-Bohlman, L. Health literacy: a prescription to end confusion. pp.368, National Academies Press, 2004, pp.31.
10 Howe, M. D., & McCullough, L. D. "Prevention and management of stroke in women" Expert Review of Cardiovascular Therapy, Vol.13, No.4, pp.403-415, 2015. DOI: https://doi.org/10.1586/14779072.2015.1020300   DOI
11 Lee, J. E., Lee, S. Y., Noh, H. K., & Lee, E. "The influence of functional health literacy on health promotion behavior" Journal of the Korean Data and Information Science Society, Vol.26, No.6, pp.1427-1438, 2015. DOI: https://doi.org/10.7465/jkdi.2015.26.6.1427   DOI
12 Chesser, A. K., Woods, N. K., Smothers, K., & Rogers, N. Health literacy and older adults: a systematic review. Gerontology and Geriatric Medicine, Vol.2, pp.1-13, 2016. DOI: https://doi.org/10.1177/2333721416630492   DOI
13 Brice, J. H., Griswell, J. K., Delbridge, T. R., & Key, C. B. Stroke: from recognition by the public to management by emergency medical services. Prehospital Emergency Care, Vol.6, No.1, pp.99-106, 2002. DOI: https://doi.org/10.1080/10903120290938904   DOI
14 Kim. J. H., Park. C. Y., & Kang. S. H. "A Survey on the Level and Related Factors of Health Literacy in Korean People" Korean Academy of Health Policy and Management, Vol.29, No.2, pp.146-159, 2019. DOI: https://doi.org/10.4332/KJHPA.2019.29.2.146   DOI
15 Jeong, J. H., & Kim, J. S. "Health Literacy, Health Risk Perception and Health Behavior of Elders" Journal of Korean Academy of Community Health Nursing, Vol.25, No.1, pp.65-73, 2014. DOI: https://doi.org/10.12799/jkachn.2014.25.1.65   DOI
16 Gumbinger, C., Reuter, B., Stock, C., Sauer, T., Wietholter, H., Bruder, I., ... & Hacke, W. "Time to treatment with recombinant tissue plasminogen activator and outcome of strokein clinical practice: retrospective analysis of hospital quality assurance data with comparison with results from randomised clinical trials" British Medical Journal, Vol.348, pp.1-12, 2014. DOI: https://doi.org/10.1136/bmj.g3429   DOI
17 Kim, J., Hwang, Y. H., Kim, J. T., Choi, N. C., Kang, S. Y., Cha, J. K., ... & Lim, B. H. "Establishment of government-initiated comprehensive stroke centers for acute ischemic stroke management in South Korea" Stroke, Vol.45, No.8, pp.2391-2396, 2014. DOI: https://doi.org/10.1161/STROKEAHA.114.006134   DOI
18 Lee. Y. H., Kim. Y. T., Oh. G. J., Kim. N. H., ... & Kim. H. S. "Effects of community-based education and advocacy intervention on public awareness about the warning signs of stroke and the golden window of time" Korean J Health Educ Promot, Vol.32, No.1, pp.1-10, 2015. DOI: https://doi.org/10.14367/kjhep.2015.32.1.1   DOI
19 Kim, Y. S., Park, S. S., Bae, H. J., Cho, A. H., ... & Kim, G. M. "Stroke awareness decreases prehospital delay after acute ischemic stroke in Korea" BMC Neurology, Vol.11, No.1, pp.1-8, 2011. DOI: https://doi.org/10.1186/1471-2377-11-2   DOI
20 Willey, J. Z., Williams, O., & Boden-Albala, B. Stroke literacy in Central Harlem: a high-risk stroke population. Neurology, Vol.73, No.23, pp.1950-1956, 2009. DOI: https://doi.org/10.1212/WNL.0b013e3181c51a7d   DOI
21 Lee, Y. M., Kim, K. Y., & Kim, K. S. "Awareness of stroke warning symptoms and related factors among residents in a province" Journal of the Korea Academia-Industrial cooperation Society, Vol.15, No.8, pp.5116-5123, 2014. DOI: https://doi.org/10.5762/KAIS.2014.15.8.5116   DOI
22 Lee, Y. H., Kim, Y. T., Oh, G. J., Kim, N. H., ... & Lee, K. S. "Effects of community-based education and advocacy intervention on public awareness about the warning signs of stroke and the golden window of time" Korean Journal of Health Education and Promotion, Vol.32, No.1, pp.1-10, 2015. DOI: https://doi.org/10.14367/kjhep.2015.32.1.1   DOI
23 Seo, H. M. Constructing of health promoting behaviors model in elderly Ph.D dissertation. Seoul National University, Seoul, Korea, p. 54-55, 2000.
24 Yang, J., Zheng, M., Cheng, S., Ou, S., Zhang, J., Wang, N., et al. "Knowledge of stroke symptoms and treatment among community residents in western urban China" Journal of Stroke and Cerebrovascular Diseases, Vol.23, No.5, pp.1216-1224, 2014. DOI: https://doi.org/10.1016/j.jstrokecerebrovasdis.2013.10. 019   DOI
25 Sallar, A. M., Williams, P. B., Omishakin, A. M., & Lloyd, D. P. "Stroke prevention: awareness of risk factors for stroke among African American residents in the Mississippi delta region" Journal of the National Medical Association, Vol.102, No.2, pp.84-94, 2010. DOI: https://doi.org/10.1016/S0027-9684(15)30495-8   DOI
26 Miyamatsu, N., Okamura, T., Nakayama, H., Toyoda, K., Suzuki, K., Toyota, A., et al. "Public awareness of early symptoms of stroke and information sources about stroke among the general Japanese population: the acquisition of stroke knowledge study" Cerebrovascular Diseases, Vol.35, No.3, pp.241-249, 2013. DOI: https://doi.org/10.1159/000347066   DOI
27 Nedeltchev, K., Fischer, U., Arnold, M., Kappeler, L., & Mattle, H. P. "Low awareness of transient ischemic attacks and risk factors of stroke in a Swiss urban community" Journal of Neurology, Vol.254, pp.179-184, 2007.   DOI
28 Walker, S. N., Sechrist, K. R., & Pender, N. J. "The health-promoting lifestyle profile: development and psychometric characteristics" Nursing Research, Vol.36, No.2, pp.76-81, 1987. DOI: https://doi.org/10.1097/00006199-198703000-00002   DOI
29 Kwon, M. S., Noh G. Y., & Jang, J. H. "A Study on Relationships between Health Literacy, Disease-related Knowledge and Compliance to Medical Recommendations in Patients with Hypertension" Journal of Korean Public Health Nursing, Vol27, No.1, pp.190-202, 2013. DOI: https://doi.org/10.5932/JKPHN.2013.27.1.190   DOI
30 Kang, S. J., Lee, T. W., Kim, G. S., & Lee, J. H. "The Levels of Health Literacy and Related Factors among Middle-aged Adults in Seoul, Korea" Korean Journal of Health Education and Promotion, Vol.29, No.3, pp.75-89, 2012.
31 Kim, J. H., Kwon, M. J., & Jung, S. K. "The Influence of Health Locus of Control, Social Support, and Self-Efficacy on Health Promoting Behavior in Middle-Aged Adults" Journal of the Korea Academia-Industrial cooperation Society, Vol.18, No.4, pp.494-503, 2017. DOI: https://doi.org/10.5762/KAIS.2017.18.4.494   DOI
32 Choi, S. S. "Impact of Hospital Admission Times on Acute Ischemic Stroke Patients Protector Stroke-related knowledge Score" Asia-pacific Journal of Multimedia Services Convergent with Art, Humanities, and Sociology, Vol.6, No.9, pp.495-504, 2016. DOI: https://dx.doi.org/10.14257/AJMAHS.2016.09.05   DOI
33 Yoon, S. S., Heller, R. F., Levi, C., Wiggers, J., & Fitzgerald, P. E. "Knowledge of stroke risk factors, warning symptoms, and treatment among an Australian urban population" Stroke, Vol.32, pp.1926-1930, 2001.   DOI
34 Waltz, C., Strickland, O. L., Lenz, E. Measurement in nursing and health research. 4th ed. New York, NY: Springer Publishing Company; 2010. p. 453
35 Lee, T. W., & Kang, S. J. "Development of the short form of the Korean health literacy scale for the elderly" Research in nursing & health, Vol.36, No.5, pp.524-534, 2013. DOI: https://doi.org/10.1002/nur.21556   DOI
36 Lee, T. W., & Kang, S. J. "Health Literacy in the Korean Elderly and Influencing Factors" Journal of Korea Gerontological Society, Vol.28, No.4, pp.847-863, 2008.
37 Song. H. Y. "Stroke Risk and Knowledge in Women with Prehypertension" Journal of Korean Biological Nursing Science, Vol.10, No.2, pp.121-130, 2008.
38 Oh, J. H., & Park, E. O. "The impact of health literacy on self-care behaviors among hypertensive elderly" Korean Journal of Health Education and Promotion, Vol.34, No.1, pp.35-45, 2017. DOI: https://doi.org/10.14367/kjhep.2017.34.1.35   DOI
39 Jeong, Y. J., & Park, J. H. "The Effects of the Stroke on the Health Knowledge, Optimistic Bias and Health-Promoting Lifestyle in Middle-Aged Adults" Journal of the Korea Academia-Industrial cooperation Society, Vol.17, No.9, pp.141-155, 2016. DOI: https://doi.org/10.5762/KAIS.2016.17.9.141   DOI
40 Yang, S. Y., & Park, K. O. "Associations between community residents perceived acceptance of health information and their health behaviors in Incheon" Journal of Regional Studies, Vol.26, No.2, pp.65-80, 2018. DOI: https://doi.org/10.31324/JRS.2018.06.26.2.65   DOI
41 Kim, Y. M., & Yoo, K. H. "A Correlational Study on the Knowledge, Stress and Self-care Performance among Tuberculosis Patients" The Journal of Korean Academic Society of Nursing Education, Vol.25, No.3, pp.366-377, 2019. DOI: https://doi.org/10.5977/jkasne.2019.25.3.366   DOI
42 Yang, I. S. "Influence of Social Support and Negative Emotional Status on Self-care Adherence in Symptomatic Patients with Heart Failure" Korean Journal of Adult Nursing, Vol.28, No.3, pp.302-313, 2016. DOI: https://doi.org/10.7475/kjan.2016.28.3.302   DOI