Zhongguo gonggong weisheng (Aug 2024)
Analysis of impaired self-care ability after stroke and its influencing factors among urban and rural elderly people in Henan province: a cross-sectional survey
Abstract
ObjectiveTo understand the impaired self-care ability after stroke and its influencing factors among urban and rural elderly people in Henan province, and provide a reference for taking corresponding intervention measures. MethodsFrom July to December 2022, a multi-stage random sampling method was used to select 3 193 elderly people aged ≥ 65 years old who had lived in the local area for ≥ 2.5 years after stroke in 15 districts (counties) of five major regions of eastern Henan, western Henan, southern Henan, northern Henan, and central Henan for a questionnaire survey, and the impaired self-care ability after stroke and its influencing factors of urban and rural elderly people in the region were analyzed. ResultsAmong the 3 067 elderly people after stroke in Henan province finally included in the analysis, 554 had impaired self-care ability, with an impairment rate of 18.06% after stroke; the impairment rates of self-care ability after stroke among urban and rural elderly people in Henan province were 10.96% and 20.00%, respectively, and the impairment rate of self-care ability after stroke among urban elderly people was lower than that among rural elderly people (χ2 = 28.513, P < 0.001); the results of multivariate unconditional logistic regression analysis showed that smoking, kidney disease, heart disease, eye disease, and liver disease were risk factors for impaired self-care ability after stroke among urban elderly people in Henan province, while exercise habits were a protective factor for impaired self-care ability after stroke among urban elderly people in Henan province. Smoking, hearing impairment, kidney disease, heart disease, eye disease, and liver disease were risk factors for impaired self-care ability after stroke among rural elderly people in Henan province, while improved toilet environment, exercise habits, and healthy eating habits were protective factors for impaired self-care ability after stroke among rural elderly people in Henan province. ConclusionThe impairment rate of self-care ability after stroke among rural elderly people in Henan province was higher than that among urban elderly people, and smoking status, presence or absence of exercise habits, kidney disease, heart disease, eye disease, and liver disease were common influencing factors for impaired self-care ability after stroke among urban and rural elderly people in the region.
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