居家老年脑梗死患者功能锻炼依从性及影响因素研究

The level and influence factors of functional exercise compliance among elderly patients with cerebral infarction

目的调查居家老年脑梗死患者功能锻炼依从性现状,并分析其影响因素。方法采用自设一般资料问卷、脑卒中患者功能锻炼依从性问卷和老年抑郁量表对120例老年脑梗死患者进行调查。结果患者的功能锻炼依从性得分为(2.38±0.35)分,仅有18例患者为高依从水平。文化程度、生活自理能力、患病时间、抑郁共解释功能锻炼依从性总变异的33.6%。结论居家老年脑梗死患者功能锻炼依从性处于中低等水平,要提高其依从性,应注重文化程度、生活自理能力、患病时间、抑郁水平等方面的个体差异,采取针对性措施。

Objective To investigate the level and influence factors of functional exercise compliance in elderly patients with cerebral infarction. Methods Totally 120 elderly patients with cerebral infarction who received home functional exercise were investigated using the Exercise Compliance Scale and Geriatric Depression Scale（ GDS）. Results The total score of exercise compliance was（ 2. 38 ± 0. 35）, and only 18 cases showed high level of compliance. Multiple regression analysis showed that educational level,ability of daily living,illness duration and depression were influence factors of functional exercise compliance,which could explain 33.6%of the total variance. Conclusion The functional exercise compliance is at moderate to low level in most elderly patients with cerebral infarction. It is suggested to take targeted interventions based on the influence factors to promote their functional exercise compliance.