What does this research mean for the field?

Lower depression scores and higher health literacy are significantly associated with higher self-care adherence in patients with ischemic stroke. Novelty: ClaimNovelty.INCREMENTAL. Consensus alignment: ConsensusAlignment.NEUTRAL.

What question did this study set out to answer?

To assess levels of health literacy, self-efficacy, depression, and self-care adherence, and to determine the factors influencing self-care adherence among outpatients recovering from ischemic stroke.

September 3, 2026Journal of Korean Academy of Fundamentals of NursingOpen Access

Effects of Health Literacy, Self-Efficacy, and Depression on Self Care Adherence in Patients with Ischemic Stroke

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Authors

M조Min-Jin 조민진JoPusan National University Hospital EKEun‐Mi KimSungkyunkwan University

Discussion

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Implication

Cross-sectional survey reveals depression and health literacy drive self-care adherence in ischemic stroke outpatients, highlighting targets for tailored recovery programs.

Key Points

To assess levels of health literacy, self-efficacy, depression, and self-care adherence, and to determine the factors influencing self-care adherence among outpatients recovering from ischemic stroke.
Conducted a cross-sectional survey of 192 patients with ischemic stroke receiving outpatient follow-up care after hospitalization at a single university hospital between April and September 2024.
Administered structured questionnaires and analyzed data using descriptive statistics, independent t-tests, ANOVA, Pearson's correlation coefficients, and multiple linear regression.
Self-care adherence positively correlated with health literacy (r = .38, p < .001) and self-efficacy (r = .22, p = .003), while correlating negatively with depression (r = -.38, p < .001).
Multiple linear regression demonstrated that depression (β = -.36, p < .001), health literacy (β = .30, p < .001), age (β = .23, p = .001), and monthly income were significant predictors of self-care adherence, accounting for 36.0% of the variance (F = 14.41, p < .001).

Cite This Study

조민진Jo et al. (2026) studied this question.

synapsesocial.com/papers/6a99352e636c6408cfa7d205 https://doi.org/10.7739/jkafn.2026.33.3.313

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Implication

Cross-sectional survey reveals depression and health literacy drive self-care adherence in ischemic stroke outpatients, highlighting targets for tailored recovery programs.

Effects of Health Literacy, Self-Efficacy, and Depression on Self Care Adherence in Patients with Ischemic Stroke

Discussion

Member takes

Implication

Key Points

Cite This Study

Effects of Health Literacy, Self-Efficacy, and Depression on Self Care Adherence in Patients with Ischemic Stroke

Discussion

Member takes

Implication

Key Points

Cite This Study

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