Trajectory and influencing factors of rehabilitation exercise adherence in patients undergoing anterior cruciate ligament reconstruction
10.3760/cma.j.cn115682-20240422-02231
- VernacularTitle:前交叉韧带重建患者康复锻炼依从性变化轨迹及影响因素分析
- Author:
Yang LYU
1
;
Peixia WANG
;
Zhiming SONG
;
Jinpeng SUN
;
Yuru GUO
;
Caijuan GUO
;
Hui WANG
;
Niu DONG
Author Information
1. 郑州大学第一附属医院骨科，郑州 450052
- Publication Type:Journal Article
- Keywords:
Anterior cruciate ligament reconstruction;
Rehabilitation exercise;
Adherence;
Trajectory;
Latent class growth model
- From:
Chinese Journal of Modern Nursing
2025;31(7):954-959
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To investigate the level of rehabilitation exercise adherence in patients undergoing anterior cruciate ligament (ACL) reconstruction within 6 months post-surgery, analyze its trajectory, and provide a reference for clinical nursing interventions.Methods:Using a convenience sampling method, 150 patients who underwent arthroscopic ACL reconstruction at the First Affiliated Hospital of Zhengzhou University from June 2022 to August 2023 were selected. Rehabilitation exercise adherence was assessed monthly from postoperative 1 month (M 1) to 6 months (M 6) using the Orthopedic Functional Exercise Adherence Scale. A latent class growth model was employed to analyze adherence trajectory categories, and Logistic regression was used to identify influencing factors for different adherence trajectories. Results:A total of 144 patients completed follow-up (follow-up rate was 96.00%). Exercise adherence scores gradually declined over the 6 months post-surgery, with scores of (50.30±5.39), (45.92±3.85), (39.48±5.27), (35.83±6.19), (31.85±7.59), and (29.88±7.88) from M 1 to M 6, respectively. The difference in scores across time points was statistically significant ( F=85.467, P<0.01). Three potential categories were identified through the latent class growth model: the moderate-high level rapid decline group ( n=65, 45.14%), the moderate-low level stable group ( n=32, 22.22%), and the moderate-low level slow decline group ( n=47, 32.64%). Logistic regression analysis revealed that gender and age were significant factors influencing adherence trajectory categories ( P<0.05) . Conclusions:Dynamic declines in rehabilitation exercise adherence are common among ACL reconstruction patients, with varying degrees of decline. Gender and age may influence adherence trajectories, suggesting that targeted management strategies could be implemented in clinical practice.
