Objective  To explore the latent profile classification of health empowerment in elderly patients with ischemic stroke and to analyze the influencing factors of different profiles.

Methods  Elderly patients with ischemic stroke admitted to the department of neurology of a Grade-A tertiary hospital in Cangzhou City, Hebei Province, from January to June 2025 were selected as the research subjects by using the convenience sampling method. A questionnaire survey was conducted among the research subjects using the general information questionnaire, Barthel Index Scale, Health Empowerment Scale for Elderly Patients with Chronic Disease, Health Literacy Management Scale and Family APGAR Index Scale.

Results  A total of 265 patients were included. Three latent profiles of health empowerment were identified: the low health empowerment-high growth knowledge group (20.75%), the medium health empowerment-high self-reconstruction group (49.06%), and the high health empowerment-high access to support group (30.19%). Age, place of residence, primary caregiver, activities of daily living, health literacy scores and family care degree scores were the influencing factors of the latent profile of health empowerment in elderly patients with ischemic stroke (P<0.05).

Conclusion  There was heterogeneity in the health empowerment of elderly patients with ischemic stroke, which was influenced by multiple factors. Medical staff should promptly determine the category of patients' health empowerment and the influencing factors, so as to carry out precise intervention, effectively improve patients' health empowerment level and enhance their health management efficiency.

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