以质量求发展，以服务铸品牌

Journal of Nursing ›› 2022, Vol. 29 ›› Issue (8): 7-13.doi: 10.16460/j.issn1008-9969.2022.08.007

Previous Articles     Next Articles

Exercise Compliance and Its Influence Factors in Stroke Patients: A Systematic Review of Qualitative Studies

ZHU Jin-feng, FANG Ying-ying, WANG Fang, YUAN Ping, CHEN Lu   

  1. Dept. of Neurosurgery, Nanjing Drum Tower Hospital, the Affiliated Hospital of Nanjing University Medical School, Nanjing 210008, China
  • Received:2021-09-10 Online:2022-04-25 Published:2022-05-11

PDF (PC)

100

Like

Abstract: Objective To systematically integrate the influence factors of exercise compliance in patients with stroke. Methods A computer search was conducted for related studies on the influence factors of exercise compliance in stroke patients from PubMed, Web of Science, Cochrane library, Embase, CINAHL, PsycINFO, Baidu, Google, CNKI, Wanfang database, CBM and VIP database. The retrieval time was from the inception to November 15, 2021. Two researchers independently screened, extracted and evaluated the literature, and discussed in groups for any disagreement. Results Thirteen papers were obtained and 62 extracted findings were integrated into 6 categories and 2 synthesized findings: 1.factors affecting exercise compliance in stroke patients including personal motivation, personal competence and personal psychological factors; 2.external factors influencing exercise compliance of stroke patients including interpersonal relationship, rehabilitation team and social system. Conclusion It is of great significance to understand the driving and hindering factors of exercise compliance of stroke patients; the breakthrough of promoting exercise compliance will enhance the exercise enthusiasm of patients, and then improve their quality of life.

Key words: stroke, exercise compliance, qualitative study, Meta integration

CLC Number: 

  • R47
[1] Caprio FZ, Sorond FA.Cerebrovascular Disease: Primary and Secondary Stroke Prevention[J]. Med Clin North Am, 2019, 103(2):295-308.DOI:10.1016/j.mcna.2018.10.001.
[2] Wu S, Wu B, Liu M, et al.Stroke in China: Advances and Challenges in Epidemiology, Prevention, and Management[J].Lancet Neurol, 2019, 18(4):394-405. DOI:10.1016/S1474-4422(18)30500-3.
[3] Le Danseur M.Stroke Rehabilitation[J]. Crit Care Nurs Clin North Am,2020,32(1):97-108.DOI:10.1016/j.cnc.2019.11.004.
[4] Hornby TG, Reisman DS, Ward IG, et al.Clinical Practice Guideline to Improve Locomotor Function Following Chronic Stroke, Incomplete Spinal Cord Injury, and Brain Injury[J].J Neurol Phys Ther,2020, 44(1):49-100.DOI:10.1097/NPT.0000000000000303.
[5] Castex A, Comte M.Stroke, Follow-up and Rehabilitation Care[J]. Soins Gerontol, 2019, 24(138):23-26. DOI:10.1016/j.sger.2019.04.010.
[6] Deka P, Pozehl B, Williams MA, et al.Adherence to Recommended Exercise Guidelines in Patients with Heart Failure[J]. Heart Fail Rev, 2017, 22(1):41-53. DOI:10.1007/s10741-016-9584-1.
[7] Denny E, Weckesser A.Qualitative Research: What It Is and What It Is not:Study Design: Qualitative Research[J]. BJOG, 2019, 126(3):369. DOI:10.1111/1471-0528.15198.
[8] Lockwood C, Munn Z, Porritt K.Qualitative Research Synthesis: Methodological Guidance for Systematic Reviewers Utilizing Meta-aggregation[J].Int J Evid Based Healthc, 2015,13(3):179-187. DOI:10.1097/XEB.0000000000000062.
[9] 胡雁. 循证护理学[M].北京:人民卫生出版社,2012:132-141.
[10] Chang E, Choi S, Kwon I,et al.Characterizing Beliefs about Stroke and Walking for Exercise among Seniors from Four Racial/Ethnic Minority Communities[J].J Cross Cult Gerontol,2018,33(4):387-410.DOI:10.1007/s10823-018-9356-6.
[11] Damush TM, Plue L, Bakas T, et al.Barriers and Facilitators to Exercise among Stroke Survivors[J]. Rehabil Nurs, 2007, 32(6):253-262.DOI:10.1002/j.2048-7940.2007.tb00183.x.
[12] Jansson AB, Carlsson G.Physical Activity on Prescription at the Time of Stroke or Transient Ischemic Attack Diagnosis-from a Patient Perspective[J]. Disabil Rehabil,2021,43(8):1121-1128. DOI:10.1080/09638288.2019.1650296.
[13] Harrison M, Palmer R, Cooper C.Factors Associated with Adherence to Self-Managed Aphasia Therapy Practice on a Computer-A Mixed Methods Study Alongside a Randomized Controlled Trial[J]. Front Neurol,2020, 11:582328. DOI:10.3389/fneur.2020.582328.
[14] Levy T, J Christie L, Killington M, et al. "Just that Four Letter Word, Hope": Sroke Survivors’ Perspectives of Participation in an Intensive Upper Limb Exercise Program; A Qualitative Exploration[J]. Physiother Theory Pract, 2021(12):1-15. DOI:10.1080/09593985.2021.1875525.
[15] Mahmood A, Nayak P, Kok G, et al.Factors Influencing Adherence to Home-based Exercises among Community-Dwelling Stroke Survivors in India: A Qualitative Study[J]. Eur J Physiother,2021,23(1):48-54.DOI:10.1080/21679169.2019.1635641.
[16] Morris JH, Oliver T, Kroll T, et al.Physical Activity Participation in Community Dwelling Stroke Survivors: Synergy and Dissonance Between Motivation and Capability. A Qualitative Study[J]. Physiotherapy,2017,103(3):311-321. DOI:10.1016/j.physio.2016.05.001.
[17] Nicholson SL, Donaghy M, Johnston M, et al.A Qualitative Theory Guided Analysis of Stroke Survivors’ Perceived Barriers and Facilitators to Physical Activity[J]. Disabil Rehabil, 2014,36(22):1857-1868. DOI:10.3109/09638288.2013.874506.
[18] Khoshbakht Pishkhani M, Dalvandi A, Ebadi A, et al.Factors Affecting Adherence to Rehabilitation in Iranian Stroke Patients: A Qualitative Study[J]. J Vasc Nurs,2019,37(4):264-271. DOI:10.1016/j.jvn.2019.07.001.
[19] Poltawski L, Boddy K, Forster A, et al.Motivators for Uptake and Maintenance of Exercise: Perceptions of Long-Term Stroke Survivors and Implications for Design of Exercise Programmes[J]. Disabil Rehabil,2015,37(9):795-801. DOI:10.3109/09638288.2014.946154.
[20] Simpson LA, Eng JJ, Tawashy AE.Exercise Perceptions among People with Stroke: Barriers and Facilitators to Participation[J]. Int J Ther Rehabil,2011,18(9):520-530. DOI:10.12968/ijtr.2011.18.9.520.
[21] Tyagi S, Lim D, Ho W, et al.Acceptance of Tele-Rehabilitation by Stroke Patients: Perceived Barriers and Facilitators[J]. Arch Phys Med Rehabil, 2018,99(12):2472-2477. DOI:10.1016/j.apmr.2018.04.033.
[22] 吴燕霞, 陈琼珍, 黄秋芳, 等. 影响脑卒中偏瘫患者中医康复护理依从性相关因素的质性研究[J]. 内科, 2020,15(5):617-619, 628. DOI:10.16121/j.cnki.cn45-1347/r.2020.05.34.
[23] Duong PK, Egan MY, Meyer MJ, et al.Intention to Return to Work after Stroke Following Rehabilitation in Ontario[J].Can J Occup Ther,2020,87(3):221-226.DOI:10.1177/0008417420905706.
[24] 申滨艳,陈慈玉,翟慧颖,等.脑卒中患者延续性照护需求及影响因素分析[J].护理学报, 2019,26(24):1-5.DOI:10.16460/j.issn1008-9969.2019.24.001.
[25] 田丽,李梦媛,李佳倩,等. COPD患者预立医疗照护计划的研究进展[J].护理学报, 2019,26(17):22-26.DOI:10.16460/j.issn1008-9969.2019.17.022.
[26] 练海娟,姚梅琪,陈金花,等. 脑卒中患者家庭功能与康复锻炼依从性现状及其相关性分析[J].中华现代护理杂志,2019, 25(27):3474-3479.DOI:10.3760/cma.j.issn.1674-2907.2019.27.009.
[27] Sarfo FS, Ulasavets U, Opare-Sem OK, et al.Tele-Rehabilitation after Stroke: An Updated Systematic Review of the Literature[J]. J Stroke Cerebrovasc Dis, 2018,27(9):2306-2318. DOI:10.1016/j.jstrokecerebrovasdis.2018.05.013.
[1] LIU Hui, GUO Li-rui, CHEN Qiu-xiang, LIU Chun-ying, HE Juan-feng, WU Xiao-jia. Relocation Stress on Admission of Acute Stroke Patients: A Phenomenological Study [J]. Journal of Nursing, 2022, 29(8): 75-78.
[2] YAN Wen-juan, LI Zhuang-miao, YU Meng-ting, LI Shi-en, CHI Yan-hong. Systematic Review of Influence Factors of Stigma in Stroke Patients [J]. Journal of Nursing, 2022, 29(8): 46-52.
[3] YANG Jie, XIE Xiao-hua, LIAN Wan-cheng, YANG Mei, DENG Li-ping, PAN Lu. Construction and Verification of Predictive Model of Hemorrhage after Intravenous Thrombolysis in Acute Ischemic Stroke [J]. Journal of Nursing, 2022, 29(5): 10-14.
[4] LI Jing-wen, MEI Jin-jin, WANG Yi-ying, GUO Jian, REN Bin-bin, FENG Xiao-dong, LI Rui-qing. Bayesian Network Meta-analysis of Total Effective Rate of Different Acupuncture Methods for Post-stroke Limb Spasm [J]. Journal of Nursing, 2022, 29(3): 1-6.
[5] GUO Ya-juan, LIU Li-shuang, HUO Juan-juan, ZHANG Hui, WANG Yong-jun. Medicating Effect of Anhedonia on Self-compassion and Post-traumatic Stress Disorder in Elderly Stroke Patients [J]. Journal of Nursing, 2021, 28(8): 72-76.
[6] LIU Qing-xuan, ZHANG Zhen-xiang, GUO Yun-fei, ZHANG Le-yun, LIN Bei-lei, MEI Yong-xia. Post-traumatic Growth and Related Factors of Stroke Patients in China and Abroad: A Systematic Evaluation [J]. Journal of Nursing, 2021, 28(8): 1-7.
[7] LI Yu-juan, LI Jun-yan, OUYANG Yan-qiong. Qualitative Studies on Pregnant Women's Experience of Group Antenatal Care: A Meta Synthesis [J]. Journal of Nursing, 2021, 28(6): 6-12.
[8] HE Yi-qing, ZHOU Hong, GAO Zu-mei. Qualitative Research on Compassion Fatigue in Nurses: A Meta Synthesis [J]. Journal of Nursing, 2021, 28(6): 33-37.
[9] LI Ke-xuan, SHEN Li-teng, LIANG Yi, XIANG Wei-xu, YING Yu-ai, LI Ling. Effect of Experiential Health Education in Patients with Hypertension [J]. Journal of Nursing, 2021, 28(3): 74-78.
[10] WANG Ya-ling, WANG Bing-han, ZHANG Yan, YIN Xue, JIANG Xin, XIONG Xiao-ming, LI Hua-li. Best Evidence Summary for Prevention of Hemorrhagic Transformation after Thrombolysis in Patients with Acute Ischemic Stroke [J]. Journal of Nursing, 2021, 28(3): 46-52.
[11] LIU Rui, HAN Xue-na, YANG Fu-guo, GENG Wen-yao, DING Yao-yao, LI Meng-fei. Barriers to Returning to Work after Stroke: A Qualitative Meta-synthesis [J]. Journal of Nursing, 2021, 28(24): 36-41.
[12] HUANG Cui-hong, LIU Dao-qing, ZHU Jun-ying, YUAN Jing, LI Chun-chang, LI Xin-yun, DAI Cheng-bo. Effect of Multi-disciplinary Diagnosis and Treatment on Patients with Acute Ischemic Stroke [J]. Journal of Nursing, 2021, 28(21): 62-66.
[13] SONG Jing-yu, SHU Yao-ya, WANG Meng-meng, XU Tian-meng, YUE Peng. Experience of Spouse Caregivers in Caring for Patients in Terminal Stage: A Meta Integration [J]. Journal of Nursing, 2021, 28(20): 30-38.
[14] LIU Qing-wei, SHAO Mei-hua, ZHAO Ya-ling, YIN Xiao-meng, JIANG Yuan-yuan, ZHU Xiu-li. Health Information Acquisition Behavior of Patients with Interstitial Lung Disease：A Descriptive Qualitative Study [J]. Journal of Nursing, 2021, 28(2): 47-51.
[15] TONG Yun-jie, LIU Yan-mei, LV Mei-fang, LU Dan-dan, TAN Shi-yun. Self-acceptance of Convalescent Stroke Patients and Its Influence Factors [J]. Journal of Nursing, 2021, 28(19): 13-16.
Viewed
Full text


Abstract

Cited
  Shared   
[1] LIU Jin, LU Na, ZHANG Feng-wa, NIU Xiao-dan, YUAN Rong-jing, LI Wen-yan, WANG Ye-tong, WANG Yan-hong. Influence Factors of Cancer Recurrence Fear in Breast Cancer Patients：A Meta-analysis[J]. Journal of Nursing, 2021, 28(14): 1 -7 .
[2] FU A-dan, WANG Li, XU Li-wen, YANG Jing, ZHANG Xue-yu, ZENG Qian-jiao. Development and Practice of Chronic Refractory Ulcer Clinic with Doctor-nurse Collaboration[J]. Journal of Nursing, 2021, 28(14): 8 -11 .
[3] . [J]. Journal of Nursing, 2021, 28(14): 12 -16 .
[4] . [J]. Journal of Nursing, 2021, 28(14): 17 -21 .
[5] ZHANG Ying, WANG Xiao-ling, YANG Ting, YIN Zhuan-ye, HU Yan. Best Evidence Summary for Cuff Size Selection for Blood Pressure Measurement in Hospitalized Adult Patients[J]. Journal of Nursing, 2021, 28(14): 22 -25 .
[6] SUN Cai-yun, LIN Zheng, ZHOU Mei-jing, GU Zi-jun, WANG Mi, GU Jun-yi, ZHU Zhan-hui. Current Status of Benefit Finding among Patients with Inflammatory Bowel Diseases and Its Influence Factors[J]. Journal of Nursing, 2022, 29(6): 1 -6 .
[7] REN Peng-na, HU Xiao-yi, TANG Ai-ling, ZHANG Yue, XU Fang-lei. Construction of Evidence-based Nursing Plan for Discharge Preparation of Elderly Patients with Urinary Incontinence[J]. Journal of Nursing, 2022, 29(6): 7 -10 .
[8] WU Xiao-yun, BI Qing-quan, ZHOU Gui-qin, PAN Hai-feng. Mediating Effect of Psychological Resilience between Emotional Creativity and Post-traumatic Growth in Patients with Cornea Transplant[J]. Journal of Nursing, 2022, 29(6): 11 -14 .
[9] MI Yuan-yuan, HUANG Hai-yan, CHEN Hui, CHEN Han-zhen, MING Yao-hui, NIE Tao. Construction and Evaluation of Safety Management Project for Unplanned ICU Readmission[J]. Journal of Nursing, 2022, 29(6): 15 -19 .
[10] . [J]. Journal of Nursing, 2022, 29(6): 20 -25 .