Stroke, Acute
Conditions
Keywords
Rehabilitation, stroke, medical adherence, trajectory
Brief summary
To describe the general trajectories of rehabilitation compliance in first-onset stroke patients within 6 months, and to identify the heterogeneous development trajectory of different subgroups based on the mixed model of latent growth.To explore the predictors of different change tracks of rehabilitation compliance of stroke patients from the perspectives of biological, psychological and social factors, so as to provide the basis for formulating precise nursing intervention measures.
Detailed description
To describe the general trajectories of rehabilitation compliance in first-onset stroke patients within 6 months. To recruit first-onset stroke patients undergoing rehabilitation and collect the general data. Telephone follow-up at 2 weeks, 6 weeks, 8 weeks, 12 weeks and 24 weeks after the onset. Based on the biological-psychosocial medical model and literature, biological, psychological and sociological factors were screened. The patient rehabilitation adherence level in different periods was measured. Latent Growth Mixture Model (LGMM) was used to investigate the general trend of rehabilitation compliance in patients with first-episode stroke within 6 months. Latent Class Growth Analysis (LCGA) method in Latent Growth hybrid model was used to identify the track of heterogeneous change. Multivariate Logistic regression analysis was used to explore the predictors of different subgroups of change trajectories relative to other subgroups.
Interventions
OTHERobservation
Observed patients' compliance with rehabilitation at different time
Sponsors
Second Affiliated Hospital, School of Medicine, Zhejiang University
Study design
Observational model
OTHER
Time perspective
PROSPECTIVE
Eligibility
Sex/Gender
ALL
Age
18 Years to No maximum
Healthy volunteers
No
Inclusion criteria
* Patients diagnosed with stroke by CT or MR; * Patients with first onset (within 14 days of onset); ③ limb dysfunction (muscle strength ≤4); ④ Age: ≥18 years old; ⑤ Awareness (NIHSS consciousness level ≤1 point); * Informed consent of patients.
Exclusion criteria
* Patients with deep vein thrombosis; * fracture patients; * a history of severe cardiopulmonary dysfunction and craniocerebral trauma; * recurrent stroke during the study; ⑤patients with severe mental disorders; ⑥ Mixed aphasia patients.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Motor Functional Exercise Compliance Scale for Stroke Patients | Week 2 | The full score is 56 points, and the higher the cumulative score of each item, the higher the level of compliance. |
Countries
China
Contacts
PRINCIPAL_INVESTIGATORYuping Yuping, master
Nursing Department Second Affiliated Hospital of Zhejiang University School of Medicine
Outcome results
None listed