中青年出血性脑卒中患者功能锻炼依从性的影响因素及路径分析

目的 了解中青年出血性脑卒中患者功能锻炼依从性现状，影响因素及其作用路径，以期为医护人员做好中青年出血性脑卒中的运动康复管理提供理论依据。方法 2021年7月—2022年5月，采用便利抽样法选取我国北、东、中部3所三级甲等医院神经外科369名中青年出血性脑卒中患者为研究对象。应用一般资料调查表、脑卒中健康信念量表、运动自我效能量表、锻炼计划量表及脑卒中功能锻炼依从性量表进行调查。结果 369例患者功能锻炼依从性总分为（43.18±9.57）分，患者功能锻炼依从性与健康信念、运动自我效能、计划分别呈显著正相关（r=0.529,0.717,0.686；均P<0.01）；健康信念对运动自我效能、计划和功能锻炼依从性均有直接正向预测作用（β=0.393,0.371,0.155；均P<0.01）；运动自我效能和计划在健康信念与功能锻炼依从性间呈部分中介作用（β=0.375,P<0.01），中介效应占总效应值的70.75%。结论 运动自我效能、计划在患者健康信念和功能锻炼依从性间起中介作用，医护人员应加强对中青年出血性脑卒中患者的健康教育，提升内在驱动力，促使其形成运动计划，进而...

Influencing Factors and Pathway Analysis of Functional Exercise Adherence in Young and Middle-aged Patients with Hemorrhagic Stroke

Objective To analyze the influencing factors and pathways of functional exercise adherence of young and middle-aged patients with hemorrhagic stroke, and to provide theoretical basis for medical staff in exercise rehabilitation management of patients. Methods From July 2021 to May 2022, 369 young and middle-aged patients with hemorrhagic stroke in neurosurgery wards of 3 tertiary grade-A hospitals in northern, eastern and central China were collected by convenience sampling method, and they were surveyed by using general information questionnaire, Stroke Health Belief Scale, Exercise Self-Efficacy Scale, Exercise Planning Scale and Stroke Functional Exercise Adherence Questionnaire. Results The total functional exercise adherence score of 369 patients was 43.18±9.57. Functional exercise adherence of young and middle-aged patients with hemorrhagic stroke was positively correlated with health belief, exercise self-efficacy and planning (r=0.529, 0.717, 0.686; all P<0.01). Health belief had a directly positive predictive effect on exercise self-efficacy, planning, and functional exercise adherence (β=0.393, 0.371, 0.155; all P<0.01). Exercise self-efficacy and planning had mediating effect on health belief and functional exercise adherence (β=0.375, P<0.01), with a mediating effect value of 70.75%. Conclusion Exercise self-efficacy and planning play a mediating role between health belief and functional exercise adherence. More health education for enhancing the internal driving force for young and middle-aged patients with hemorrhagic stroke helps to form exercise planning, and then improve patient's functional exercise adherence.