Latent profile analysis of home-based functional exercise adherence in patients undergoing total knee arthroplasty
10.3760/cma.j.cn115682-20231123-02208
- VernacularTitle:全膝关节置换术患者居家功能锻炼依从性的潜在剖面分析
- Author:
Meng JIA
1
;
Yingqi ZHANG
;
Yunfeng LI
;
Di QIAN
;
Yawen LI
;
Ying WU
;
Rui HUANG
Author Information
1. 山东第一医科大学护理学院，济南 250014
- Keywords:
Total knee arthroplasty;
Functional exercise;
Home-based rehabilitation;
Adherence;
Latent profile analysis
- From:
Chinese Journal of Modern Nursing
2024;30(30):4113-4118
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To explore the different categories of home-based functional exercise adherence in patients undergoing total knee arthroplasty (TKA), identify the influencing factors, and provide a reference for the development of personalized intervention strategies.Methods:A cross-sectional study was conducted using convenience sampling to select 320 patients who underwent unilateral primary TKA at The First Affiliated Hospital of Shandong First Medical University between November 2022 and January 2023. The Orthopedic Functional Exercise Compliance Scale, Rehabilitation Self-Efficacy Scale, and Social Support Rating Scale were used for data collection. Latent profile analysis was employed to identify the latent characteristics of home-based functional exercise adherence in TKA patients. Univariate analysis and logistic regression were used to explore the influencing factors among different subgroups.Results:A total of 320 questionnaires were distributed, with 307 valid responses, yielding a recovery rate of 95.94%. The 307 patients were classified into three latent profile categories based on their characteristics: low adherence group (29.32%, 90/307), moderate adherence group (46.58%, 143/307), and high adherence group (24.10%, 74/307). Logistic regression analysis revealed that the number of comorbidities, marital status, home rehabilitation environment, pain score, education level, social support, and rehabilitation self-efficacy were influencing factors for home-based exercise adherence in TKA patients ( P< 0.05) . Conclusions:Home-based functional exercise adherence in TKA patients can be categorized into three latent profiles. Healthcare providers should implement targeted interventions based on the specific characteristics of each patient, with a focus on those with low adherence, to enhance their compliance with home-based exercises.
