Prout Erik C, Mansfield Avril, McIlroy William E, Brooks Dina
a Rehabilitation Sciences Institute, University of Toronto , Toronto , Canada.
b Toronto Rehabilitation Institute (University Health Network) , Toronto , Canada.
Disabil Rehabil. 2017 Apr;39(7):684-690. doi: 10.3109/09638288.2016.1161833. Epub 2016 Mar 26.
To describe patient perspectives of aerobic exercise during inpatient stroke rehabilitation, including their self-efficacy and beliefs towards exercise, as well as their perceptions of barriers.
A survey was conducted at three Canadian rehabilitation centres to evaluate individuals' (N = 33) self-efficacy and outcome expectations for exercise. In addition, patient perceptions of other people recovering from stroke, social support, and aerobic exercise as part of rehabilitation were assessed.
Thirty-two people completed the survey. Of these, 97% were willing to participate in aerobic exercise 5.9 ± 8.8 days after admission to inpatient rehabilitation. While outcome expectations for exercise were high, participants reported lower self-efficacy for exercise. Patients reported barriers related to the ability to perform exercise (other health problems (i.e., arthritis), not being able to follow instructions and physical impairments) more often than safety concerns (fear of falling). The lack of support from a spouse and family were commonly identified, as was a lack of information on how to perform aerobic exercise.
Patients with stroke are willing to participate in aerobic exercise within a week after admission to inpatient rehabilitation. However, they perceive a lack of ability to perform aerobic exercise, social support from family and information as barriers. Implications for rehabilitation Aerobic exercise is recognized as part of comprehensive stroke rehabilitation. There is a need to better understand patient perspectives to develop and implement more effective interventions early after stroke. Patients lack confidence in their ability to overcome barriers early after stroke. Patients are concerned with their ability to perform exercise, fall risk, lack of support from a spouse and family, and limited information on aerobic exercise. There is a need to reinforce education with practical experience in structured aerobic exercise programs that show patients and caregivers how to manage disability and complex health needs.
描述住院脑卒中康复期间患者对有氧运动的看法，包括他们对运动的自我效能感和信念，以及他们对障碍的认知。
在加拿大的三个康复中心进行了一项调查，以评估个人（N = 33）对运动的自我效能感和结果期望。此外，还评估了患者对其他脑卒中康复者、社会支持以及有氧运动作为康复一部分的看法。
32人完成了调查。其中，97%的人愿意在入住住院康复机构5.9±8.8天后参加有氧运动。虽然对运动的结果期望很高，但参与者报告的运动自我效能感较低。患者报告与运动能力相关的障碍（其他健康问题（如关节炎）、无法遵循指示和身体损伤）比安全问题（害怕跌倒）更常见。普遍认为缺乏配偶和家人的支持，以及缺乏关于如何进行有氧运动的信息。
脑卒中患者愿意在入住住院康复机构一周内参加有氧运动。然而，他们认为缺乏进行有氧运动的能力、家人的社会支持和信息是障碍。康复的意义有氧运动被认为是综合脑卒中康复的一部分。有必要更好地了解患者的看法，以便在脑卒中后早期制定和实施更有效的干预措施。患者在脑卒中后早期对克服障碍的能力缺乏信心。患者担心自己的运动能力、跌倒风险、缺乏配偶和家人的支持以及关于有氧运动的信息有限。有必要通过结构化有氧运动计划中的实践经验加强教育，向患者和护理人员展示如何管理残疾和复杂的健康需求。
