Study on the Trajectories of Rehabilitation Compliance in Stroke Patients

Zhejiang University

Status: Unknown

Conditions: Stroke, Acute

Treatments: Other: observation

Study type: Observational

Funder types: Other

Identifiers

NCT04939896

2020-1062

Details and patient eligibility

About

To describe the general trajectories of rehabilitation compliance in first-onset stroke patients within 6 months, and to identify the heterogeneous development trajectory of different subgroups based on the mixed model of latent growth.To explore the predictors of different change tracks of rehabilitation compliance of stroke patients from the perspectives of biological, psychological and social factors, so as to provide the basis for formulating precise nursing intervention measures.

Full description

To describe the general trajectories of rehabilitation compliance in first-onset stroke patients within 6 months. To recruit first-onset stroke patients undergoing rehabilitation and collect the general data. Telephone follow-up at 2 weeks, 6 weeks, 8 weeks, 12 weeks and 24 weeks after the onset. Based on the biological-psychosocial medical model and literature, biological, psychological and sociological factors were screened. The patient rehabilitation adherence level in different periods was measured. Latent Growth Mixture Model (LGMM) was used to investigate the general trend of rehabilitation compliance in patients with first-episode stroke within 6 months. Latent Class Growth Analysis (LCGA) method in Latent Growth hybrid model was used to identify the track of heterogeneous change. Multivariate Logistic regression analysis was used to explore the predictors of different subgroups of change trajectories relative to other subgroups.

Enrollment: 300 estimated patients

Sex: All

Ages: 18+ years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• Patients diagnosed with stroke by CT or MR;

  • Patients with first onset (within 14 days of onset); ③ limb dysfunction (muscle strength ≤4); ④ Age: ≥18 years old; ⑤ Awareness (NIHSS consciousness level ≤1 point);

    • Informed consent of patients.

Exclusion criteria

• Patients with deep vein thrombosis;

  • fracture patients;

    • a history of severe cardiopulmonary dysfunction and craniocerebral trauma;

      • recurrent stroke during the study; ⑤patients with severe mental disorders; ⑥ Mixed aphasia patients.

Trial design

300 participants in 1 patient group

Compliance with rehabilitation

Description:

The patients' compliance with rehabilitation was followed up at 2, 6, 8, 12 and 24 weeks after onset, respectively

Treatment:

Other: observation