Volume 24 Issue 2
Feb.  2026
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Article Navigation >  Chinese Journal of General Practice  > 2026  >  24(2): 239-242
QIAN Yuan, ZHANG Xiping, DONG Qimin. Positivity and influencing factors of patients in the recovery period of stroke in the elderly[J]. Chinese Journal of General Practice, 2026, 24(2): 239-242. doi: 10.16766/j.cnki.issn.1674-4152.004369
Citation: QIAN Yuan, ZHANG Xiping, DONG Qimin. Positivity and influencing factors of patients in the recovery period of stroke in the elderly[J]. Chinese Journal of General Practice, 2026, 24(2): 239-242. doi: 10.16766/j.cnki.issn.1674-4152.004369
shu

Positivity and influencing factors of patients in the recovery period of stroke in the elderly

doi: 10.16766/j.cnki.issn.1674-4152.004369

  • Emergency Department, First People ' s Hospital of Hangzhou City, Hangzhou, Zhejiang 310006, China

Funds:

 2025KY1065

  • Received Date: 2025-07-08
    Available Online: 2026-04-11
    Abstract
  •   Objective  To explore the influencing factors of positivity in elderly stroke patients during recovery period, and to develop more targeted intervention strategies for patient positivity in clinical practice and promote patients ' self-management.  Methods  Convenience sampling was used to select 241 stroke patients admitted to Hangzhou First People ' s Hospital from January to December 2024 as subjects. Demographic information and disease data were collected through the hospital ' s electronic medical record system. The patient activation measure-13 (PAM-13), perceived social support scale (PSSS), and stroke shame scale were used to measure positivity, social support, and shame, respectively. Multiple linear regression analysis was employed to determine the factors influencing the level of positivity.  Results  The PAM-13 scores for elderly stroke patients were (59.22±9.36) points, social support scores were (59.06±10.31) points, and shame scores were (46.10±9.17) points. Positivity was positively correlated with perceived social support (r=0.419, P < 0.01) and negatively correlated with shame (r=-0.386, P < 0.01). Multiple linear regression analysis revealed that age (70-80 years, β=-0.103; ≥80 years, β=-0.197), educational level (high school/vocational high school, β=0.121; college or above, β=0.243), per capita monthly household income (≥3 000 yuan, β=0.262), marital status (married, β=0.110), self-care ability (partially self-care, β=0.159; fully self-care, β=0.270), shame score (β=-0.135), and PSSS score (β=0.238) were factors affecting the positivity of elderly stroke patients in the recovery period (P < 0.05).  Conclusion  The positivity of elderly stroke patients in recovery period is related to age, economic status, educational level, marital status, self-care ability, stigma, and social support level. Targeted intervention strategies should be developed to enhance their levels of positivity.

     

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