Study on the Trajectories of Rehabilitation Compliance in Stroke Patients Based on Latent Growth Mixture Model
概览
- 阶段
- 不适用
- 干预措施
- observation
- 疾病 / 适应症
- Stroke, Acute
- 发起方
- Second Affiliated Hospital, School of Medicine, Zhejiang University
- 入组人数
- 282
- 试验地点
- 2
- 主要终点
- Motor Functional Exercise Compliance Scale for Stroke Patients
- 状态
- 已完成
- 最后更新
- 9天前
概览
简要总结
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.
详细描述
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.
研究者
入排标准
入选标准
- •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.
排除标准
- •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.
研究组 & 干预措施
Compliance with rehabilitation
The patients' compliance with rehabilitation was followed up at 2, 6, 8, 12 and 24 weeks after onset, respectively
干预措施: observation
结局指标
主要结局
Motor Functional Exercise Compliance Scale for Stroke Patients
时间窗: Week 24
The full score is 56 points, and the higher the cumulative score of each item, the higher the level of compliance.
Motor Functional Exercise Compliance Scale for Stroke Patients
时间窗: Week 2
The full score is 56 points, and the higher the cumulative score of each item, the higher the level of compliance.
Motor Functional Exercise Compliance Scale for Stroke Patients
时间窗: Week 6
The full score is 56 points, and the higher the cumulative score of each item, the higher the level of compliance.
Motor Functional Exercise Compliance Scale for Stroke Patients
时间窗: Week 8
The full score is 56 points, and the higher the cumulative score of each item, the higher the level of compliance.
Motor Functional Exercise Compliance Scale for Stroke Patients
时间窗: Week 12
The full score is 56 points, and the higher the cumulative score of each item, the higher the level of compliance.