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Journal of Nursing ›› 2022, Vol. 29 ›› Issue (20): 6-10.doi: 10.16460/j.issn1008-9969.2022.20.006

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

ZHANG Yuan-xing1,2, CHEN Lu1,2, JI Cui-ling2, WANG Fang2, YUAN Ping2, HE Man-lan2   

  1. 1. School of Nursing, Nanjing University of Chinese Medicine, Nanjing 210023, China;
    2. Dept. of Neurosurgery, Nanjing Drum Tower Hospital, the Affiliated Hospital of Nanjing University Medical School, Nanjing 210008, China
  • Received:2022-07-10 Published:2022-11-08

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Abstract: 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.

Key words: young and middle-aged, hemorrhagic stroke, health belief, exercise self-efficacy, planning, functional exercise adherence

CLC Number: 

  • R47
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