Yao Meiqi, Chen Jinhua, Jing Jiyong, Sheng Han, Tan Xing, Jin Jingfen
Nursing Department, The Second Affiliated Hospital, School of Medicine, Zhejiang University, Hangzhou, Zhejiang Province, People's Republic of China.
Patient Prefer Adherence. 2017 Aug 21;11:1435-1441. doi: 10.2147/PPA.S139854. eCollection 2017.
Patient adherence is a crucial determinant of rehabilitation in the long term after stroke. However, adherence is inconstant and fluctuates along a time course, and the underlying regular pattern of adherence variation remains to be clarified.
We aimed to describe the longitudinal pattern of adherence to rehabilitation exercises in stroke patients and to determine different adherence phases based on formulated rehabilitation adherence curve.
Rehabilitation adherence levels were prospectively collected using the Questionnaire of Exercise Adherence (EAQ) among patients diagnosed with first-onset stroke since the second week of stroke onset, with a follow-up of 24 weeks. SPSS19.0 was used to formulate a fitting curve based on a scatter diagram. Possible causal factors for the different adherence phases are also discussed from the psychological, socioeconomic, and behavioral aspects.
A total of 98 patients were included in this study. General adherence of the included subjects was classified as low to medium during follow-up. The adherence fitting curve was an "S" curve, with the fitting function =0.005-0.211+1.963+52.345. Three phases, namely, rapid increase phase, slow decrease phase, and stable phase, were identified based on the adherence curve, and relevant theories are explored.
Rehabilitation adherence of stroke patients is a dynamic behavioral process that continuously changes along a time course, with a regular pattern of an "S" curve and includes a rapid increase phase, a slow decrease phase, and a stable phase.
患者依从性是卒中后长期康复的关键决定因素。然而，依从性并不稳定，且随时间变化波动，其潜在的依从性变化规律仍有待阐明。
我们旨在描述卒中患者康复锻炼依从性的纵向模式，并根据制定的康复依从性曲线确定不同的依从阶段。
自卒中发病第二周起，对首次发病的卒中患者使用运动依从性问卷（EAQ）前瞻性收集康复依从性水平，随访24周。使用SPSS19.0根据散点图制定拟合曲线。还从心理、社会经济和行为方面讨论了不同依从阶段可能的因果因素。
本研究共纳入98例患者。纳入对象的总体依从性在随访期间被分类为低至中等。依从性拟合曲线为“S”形曲线，拟合函数为 =0.005 - 0.211 + 1.963 + 52.345。根据依从性曲线确定了三个阶段，即快速上升阶段、缓慢下降阶段和稳定阶段，并探讨了相关理论。
卒中患者的康复依从性是一个动态行为过程，随时间不断变化，具有“S”形曲线的规律模式，包括快速上升阶段、缓慢下降阶段和稳定阶段。
