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Health behavior change trajectories and influencing factors in stroke patients
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Mengyu ZHANG1, Yuying XIE2, Xinxin ZHOU2, Peng ZHAO2, Yuanli GUO1, Yanjin LIU1, Li'na GUO1
Chinese Nursing Research | 2026, 40(2) : 302 - 309
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Chinese Nursing Research | 2026, 40(2): 302-309
• Comprehensive Study •
Health behavior change trajectories and influencing factors in stroke patients
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Mengyu ZHANG1, Yuying XIE2, Xinxin ZHOU2, Peng ZHAO2, Yuanli GUO1, Yanjin LIU1, Li'na GUO1
Affiliations
  • 1The First Affiliated Hospital of Zhengzhou University, Henan 450052 China
  • 2School of Nursing and Health, Zhengzhou University
Published: 2026-01-25 doi: 10.12102/j.issn.1009-6493.2026.02.016
Outline
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Objective

To explore the trajectory of health behavior changes in stroke patients and to analyze the influencing factors based on the capacity,opportunity,motivation-behavior(COM-B) model.

Methods

A total of 186 stroke patients admitted to the department of neurology at a tertiary grade A hospital in Zhengzhou city were selected as the study subjects from January to October 2023.Data were collected using a general information questionnaire,the Health-Promoting Lifestyle Profile Ⅱ(HPLP Ⅱ),the Stroke Prevention Knowledge Questionnaire(SPKQ),the Stroke Health Belief Model Scale Short Form(SF-HBMS),and an environmental domain subscale.Latent growth mixture modeling(LGMM) was used to identify and analyze the health behavior change trajectories in patients,and Logistic regression analysis was employed to explore the influencing factors of different developmental trajectories.

Results

Four subgroups of health behavior change trajectories were identified in stroke patients,namely unstable health behavior group(14.5%),fluctuating health behavior group(12.9%),stable health behavior group(40.9%),and continuously improving health behavior group(31.7%).Multivariate analysis results showed that Charlson Comorbidity Index(CCI),smoking history,health knowledge,health beliefs,and environmental satisfaction were influencing factors of the health behavior change trajectories in stroke patients(P<0.05).

Conclusions

Individual differences exist in the developmental trajectories of health behaviors among stroke patients. Healthcare professionals could distinguish different populations based on influencing factors and implement precise,stratified interventions to promote the adoption of health behaviors.

stroke  /  health behavior  /  change trajectory  /  capacity,opportunity,motivation-behavior(COM-B) model  /  influencing factors  /  nursing
张孟羽, 谢钰莹, 周欣馨, 赵鹏, 郭园丽, 刘延锦, 郭丽娜. 脑卒中病人健康行为变化轨迹及影响因素. 护理研究, 2026 , 40 (2) : 302 -309 . DOI: 10.12102/j.issn.1009-6493.2026.02.016
Mengyu ZHANG, Yuying XIE, Xinxin ZHOU, Peng ZHAO, Yuanli GUO, Yanjin LIU, Li'na GUO. Health behavior change trajectories and influencing factors in stroke patients[J]. Chinese Nursing Research, 2026 , 40 (2) : 302 -309 . DOI: 10.12102/j.issn.1009-6493.2026.02.016
Appendix
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Year 2026 volume 40 Issue 2
61
24
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Article Info
doi: 10.12102/j.issn.1009-6493.2026.02.016
  • Receive Date：2025-05-20
  • Online Date：2026-10-28
  • Published：2026-01-25
Article Data
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History
  • Received：2025-05-20
  • Revised：2025-12-24
Affiliations
    1The First Affiliated Hospital of Zhengzhou University, Henan 450052 China
    2School of Nursing and Health, Zhengzhou University

Corresponding:

GUO Li'na, E-mail:
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