Study on the exercise rehabilitation preference of stroke patients based on discrete choice experiment
10.3760/cma.j.cn211501-20250729-02317
- VernacularTitle:基于离散选择实验的脑卒中患者运动康复偏好研究
- Author:
Huiling SHI
1
;
Qing WANG
;
Yuanyuan JIANG
;
Can ZHANG
Author Information
1. 南京大学医学院附属鼓楼医院神经内科，南京 210008
- Publication Type:Journal Article
- Keywords:
Stroke;
Exercise rehabilitation;
Preferences;
Discrete choice experiment
- From:
Chinese Journal of Practical Nursing
2025;41(31):2456-2465
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To analyze the exercise rehabilitation preference of stroke patients, and provide reference for clinical medical staff to formulate personalized exercise rehabilitation scheme, construct precise rehabilitation decision support system, and develop exercise rehabilitation intelligent service platform.Methods:A convenience sampling approach was employed to select the stroke patients in Nanjing Drum Tower Hospital, Affiliated Hospital of Medical School, Nanjing University from June to December 2024, a face to face cross-sectional survey was conducted using the questionnaire on exercise rehabilitation preferences of stroke patients based on the method of discrete choice experiments. The obtained data were analyzed using conditional Logit model.Results:Finally, 242 stroke patients were included, including 152 males and 90 females, aged 64 (56, 69) years. The six attributes included in this study: rehabilitation goal, rehabilitation setting, exercise intensity, exercise duration, exercise supervision method, and payment method. The relative importance of each attribute was ranked as follows: payment method (37.1%), exercise duration (15.5%), supervision method (14.3%), rehabilitation setting (14.1%), exercise intensity (11.4%), and rehabilitation goal (7.6%). The most preferred combination was identified as a rehabilitation goal of ≥70% recovery, professional institution/hospital as the setting, supervision by wearable device combined with professional guidance, low-intensity exercise, a duration of 30-60 minutes per session, and a self-payment rate of <30%. Under this combination, the probability of patients choosing the rehabilitation program was 75.4%.Conclusions:Stroke patients' preferences for exercise rehabilitation are influenced by multiple factors, with substantial heterogeneity observed across individuals. Rehabilitation programs should be tailored according to patients' preferences regarding goals, settings, duration, and other key attributes to enhance adherence and optimize rehabilitation outcomes.
