Relationship between autonomous rehabilitation behavior and related symptoms of middle-aged stroke patients
10.3761/j.issn.0254-1769.2025.07.001
- VernacularTitle:中年脑卒中患者自主康复行为与相关症状关系的研究
- Author:
Yuting TAN
1
;
Zhixia ZHANG
;
Mengli XU
;
Peiran GUO
;
Qin XIAO
;
Linru QIAO
;
Feiyun SONG
;
Qiaojun YU
Author Information
1. 430064 武汉市 武汉科技大学附属天佑医院护理部
- Publication Type:Journal Article
- Keywords:
Middle-Aged;
Stroke;
Autonomous Rehabilitation Behavior;
Symptoms;
Ecological Momentary Assessment;
Nursing Care
- From:
Chinese Journal of Nursing
2025;60(7):773-778
- CountryChina
- Language:Chinese
-
Abstract:
Objective To explore the time-varying characteristics and correlation degree of autonomous rehabili-tation behavior and related symptoms of middle-aged stroke patients,and to provide a basis for clinical transitional nursing and precise rehabilitation.Methods Ecological momentary assessment was used to select 57 middle-aged stroke patients who underwent rehabilitation treatment in the Rehabilitation Medicine Department of a tertiary com-prehensive hospital in Wuhan from March 15 to August 30,2024,using convenience sampling method.Their au-tonomous rehabilitation behavior and related symptoms(fatigue,pain,emotion,sensation)were continuously monitored for 2 weeks.A hierarchical linear model was used to analyze the correlation between behavior and symptoms.Results The autonomous rehabilitation behavior of middle-aged stroke patients showed a fluctuating increasing trend,and the symptom score showed a slow decreasing trend.The hierarchical linear model showed that compared with female patients,male patients have longer duration of autonomous rehabilitation behavior(P＜0.05).The number and duration of autonomous rehabilitation behaviors in patients without fatigue were higher(P＜0.05).The number of autonomous rehabilitation behaviors in patients without pain was higher than that in patients with pain(P＜0.05).The number of autonomous rehabilitation behavior items among patients who perceived more pleasure in rehabilitation was higher than that among patients with greater difficulty in rehabilitation challenges(P＜0.05).Patients with high rehabilitation confidence have higher numbers and duration of autonomous rehabilitation behaviors compared to pa-tients with low rehabilitation confidence(P＜0.05).Conclusion There are significant individual differences and dy-namic changes in the autonomous rehabilitation behavior and related symptoms of middle-aged stroke patients.Nurs-ing staff should accurately implement personalized rehabilitation services during the transition period,enhance pa-tients'autonomy and self-management ability in home-based rehabilitation,in order to improve the overall rehabilita-tion effect.
