Cargando…
Perceived participation and autonomy structural relationships among related factors in patients with stroke and hypertension in China: A ISM model approach
AIMS: To explore the structural relationship between perceived participation and autonomy among older adults with stroke and hypertension in home and community-based services (HCBSs) in the eastern coastal region of China. DESIGN: An explorative cross-sectional study. METHODS: From July to September...
Autores principales: | , , , , |
---|---|
Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Frontiers Media S.A.
2023
|
Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9874123/ https://www.ncbi.nlm.nih.gov/pubmed/36711350 http://dx.doi.org/10.3389/fpubh.2022.1070998 |
_version_ | 1784877735789723648 |
---|---|
author | Wan, Le-ping Yang, Guang-mei Dong, Hai-ying Liang, Xiao-xiao He, Yan |
author_facet | Wan, Le-ping Yang, Guang-mei Dong, Hai-ying Liang, Xiao-xiao He, Yan |
author_sort | Wan, Le-ping |
collection | PubMed |
description | AIMS: To explore the structural relationship between perceived participation and autonomy among older adults with stroke and hypertension in home and community-based services (HCBSs) in the eastern coastal region of China. DESIGN: An explorative cross-sectional study. METHODS: From July to September 2021, a total of 714 respondents were reported to have stroke and hypertension, and their information was used in the analysis of this study. A multiple linear regression analysis was used to explore the factors influencing factors older adults' perceived participation and autonomy. Using the ISM model, we analyzed the factors affecting social participation in patients with stroke and hypertension and explained the logical relationships and hierarchy among the factors. RESULTS: The mean score of perceived participation was 58.34 ± 27.57. Age, marital status, health insurance, living status, number of children, chronic diseases, sleep time, frequency of outings, and health utility value were significant factors affecting perceived participation and autonomy with stroke and hypertension patients. Among them, health insurance is the direct factor on the surface, age, number of children, chronic diseases, sleep time, frequency of outings, and health utility value are the intermediate indirect factors, and marital status and living status are the deep-rooted factors. CONCLUSION: By the study that the hierarchical structure provides a visualization of interrelationships and interdependences among the influencing factors of perceived participation and autonomy. It also may be a significant complement to traditional variable-entered approaches and construct an optimized multidimensional perspective of participation and autonomy. Future research should focus on optimizing the living environment of older adults with stroke and hypertension to explore the model of rehabilitative intervention and help patients successfully reintegrate into their families/societies. |
format | Online Article Text |
id | pubmed-9874123 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2023 |
publisher | Frontiers Media S.A. |
record_format | MEDLINE/PubMed |
spelling | pubmed-98741232023-01-26 Perceived participation and autonomy structural relationships among related factors in patients with stroke and hypertension in China: A ISM model approach Wan, Le-ping Yang, Guang-mei Dong, Hai-ying Liang, Xiao-xiao He, Yan Front Public Health Public Health AIMS: To explore the structural relationship between perceived participation and autonomy among older adults with stroke and hypertension in home and community-based services (HCBSs) in the eastern coastal region of China. DESIGN: An explorative cross-sectional study. METHODS: From July to September 2021, a total of 714 respondents were reported to have stroke and hypertension, and their information was used in the analysis of this study. A multiple linear regression analysis was used to explore the factors influencing factors older adults' perceived participation and autonomy. Using the ISM model, we analyzed the factors affecting social participation in patients with stroke and hypertension and explained the logical relationships and hierarchy among the factors. RESULTS: The mean score of perceived participation was 58.34 ± 27.57. Age, marital status, health insurance, living status, number of children, chronic diseases, sleep time, frequency of outings, and health utility value were significant factors affecting perceived participation and autonomy with stroke and hypertension patients. Among them, health insurance is the direct factor on the surface, age, number of children, chronic diseases, sleep time, frequency of outings, and health utility value are the intermediate indirect factors, and marital status and living status are the deep-rooted factors. CONCLUSION: By the study that the hierarchical structure provides a visualization of interrelationships and interdependences among the influencing factors of perceived participation and autonomy. It also may be a significant complement to traditional variable-entered approaches and construct an optimized multidimensional perspective of participation and autonomy. Future research should focus on optimizing the living environment of older adults with stroke and hypertension to explore the model of rehabilitative intervention and help patients successfully reintegrate into their families/societies. Frontiers Media S.A. 2023-01-11 /pmc/articles/PMC9874123/ /pubmed/36711350 http://dx.doi.org/10.3389/fpubh.2022.1070998 Text en Copyright © 2023 Wan, Yang, Dong, Liang and He. https://creativecommons.org/licenses/by/4.0/This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms. |
spellingShingle | Public Health Wan, Le-ping Yang, Guang-mei Dong, Hai-ying Liang, Xiao-xiao He, Yan Perceived participation and autonomy structural relationships among related factors in patients with stroke and hypertension in China: A ISM model approach |
title | Perceived participation and autonomy structural relationships among related factors in patients with stroke and hypertension in China: A ISM model approach |
title_full | Perceived participation and autonomy structural relationships among related factors in patients with stroke and hypertension in China: A ISM model approach |
title_fullStr | Perceived participation and autonomy structural relationships among related factors in patients with stroke and hypertension in China: A ISM model approach |
title_full_unstemmed | Perceived participation and autonomy structural relationships among related factors in patients with stroke and hypertension in China: A ISM model approach |
title_short | Perceived participation and autonomy structural relationships among related factors in patients with stroke and hypertension in China: A ISM model approach |
title_sort | perceived participation and autonomy structural relationships among related factors in patients with stroke and hypertension in china: a ism model approach |
topic | Public Health |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9874123/ https://www.ncbi.nlm.nih.gov/pubmed/36711350 http://dx.doi.org/10.3389/fpubh.2022.1070998 |
work_keys_str_mv | AT wanleping perceivedparticipationandautonomystructuralrelationshipsamongrelatedfactorsinpatientswithstrokeandhypertensioninchinaaismmodelapproach AT yangguangmei perceivedparticipationandautonomystructuralrelationshipsamongrelatedfactorsinpatientswithstrokeandhypertensioninchinaaismmodelapproach AT donghaiying perceivedparticipationandautonomystructuralrelationshipsamongrelatedfactorsinpatientswithstrokeandhypertensioninchinaaismmodelapproach AT liangxiaoxiao perceivedparticipationandautonomystructuralrelationshipsamongrelatedfactorsinpatientswithstrokeandhypertensioninchinaaismmodelapproach AT heyan perceivedparticipationandautonomystructuralrelationshipsamongrelatedfactorsinpatientswithstrokeandhypertensioninchinaaismmodelapproach |