Potential categories of perceived recurrence risk in stroke patients and their relationship with self-management ability

Yihao WuShitong GongFei LongJie Yin^*

• Xuzhou Central Hospital, Xuzhou, China

Objective: This study aimed to identify latent profile categories of recurrence risk perception among stroke patients, analyze the factors influencing these categories, and examine their correlation with self-management ability. The findings are intended to provide new insights and a foundation for enhancing self-management in stroke patients. Methods: A total of 221 stroke patients admitted to the Department of Neurology and Neurosurgery at Xuzhou Central Hospital between January 2024 and December 2024 were selected using a convenience sampling method. Data were collected using a general information questionnaire, the Stroke Patient Recurrence Risk Perception Assessment Scale, and the Stroke Patient Self-Management Ability Assessment Scale. Statistical analyses included factor analysis and pairwise comparisons to examine influencing factors and their relationships. Results: A total of 221 questionnaires were distributed, with 23 invalid responses excluded, yielding an effective response rate of 89.59%. The mean recurrence risk perception score was 39.63 ± 5.67, while the mean self-management ability score was 85.69 ± 12.33. Latent profile analysis identified three distinct categories of recurrence risk perception: high -level, medium -level, and low -level risk perception groups.Univariate analysis revealed significant differences in recurrence risk perception based on age (χ²=11.132, P=0.025), education level (χ²=5.523, P=0.044), living environment (χ²=9.868, P=0.007), disease duration (χ²=13.142, P=0.011), and stroke frequency (χ²=25.710, P<0.001). Logistic regression analysis indicated that age, living environment, disease duration, and stroke frequency were protective factors for recurrence risk perception (OR < 1, P < 0.05). Pairwise comparisons showed that patients in the high -level risk perception group exhibited significantly higher self-management ability compared to those in the medium -level (P < 0.01) and low -level risk perception groups (P < 0.01). Similarly, patients in the medium -level risk perception group demonstrated greater self-management ability than those in the low -level risk perception group (P < 0.01).This study utilized latent profile analysis to classify stroke patients' recurrence risk perception into three categories: high, medium, and low. These profiles were influenced by age, living environment, disease duration, and stroke frequency. Moreover, recurrence risk perception was significantly associated with self-management ability.