%0 Journal Article %T Self %A Dong Eun Jang %A Juh Hyun Shin %J Clinical Nursing Research %@ 1552-3799 %D 2019 %R 10.1177/1054773817740670 %X The incidence rate of middle-aged ischemic stroke patients has been increasing. Because of their high risk of recurrence, it is important for them to adhere to their self-care performance. The purpose of this study was to investigate predictors of self-care performance among middle-aged ischemic stroke patients. A descriptive correlational and cross-sectional survey design was used. About 140 participants who had been diagnosed with ischemic stroke within a year and visited neurological outpatients were investigated. Participants answered self-report questionnaires, the Secondary Stroke Prevention Knowledge Scale, the Health-Related Hardiness Scale, and the Subjective Self-Care Performance Scale. Hardiness, secondary-stroke-prevention knowledge, age, and stroke-diagnosis duration had statistically significant influences on self-care performance; hardiness had the largest effect. This study highlighted hardiness as the major predictor of self-care performance. To improve middle-aged ischemic stroke patients¡¯ self-care performance, nurses need an integrated approach that considers a patient¡¯s age, diagnosis duration, secondary-stroke-prevention knowledge, and, especially, hardiness %K middle-aged stroke patient %K self-care performance %K hardiness %K secondary-stroke-prevention knowledge %U https://journals.sagepub.com/doi/full/10.1177/1054773817740670