Study on the Trajectories of Rehabilitation Compliance in Stroke Patients

Study Overview
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Brief Summary
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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.

Detailed Description
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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.

Official Title
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Study on the Trajectories of Rehabilitation Compliance in Stroke Patients Based on Latent Growth Mixture Model

Conditions
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Stroke, Acute

Intervention / Treatment
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* Other: observation


Participation Criteria
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Eligibility Criteria
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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.

Ages Eligible for Study
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Minimum Age: 18 Years

Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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No

Study Plan
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How is the study designed?
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Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Compliance with rehabilitation<br>The patients' compliance with rehabilitation was followed up at 2, 6, 8, 12 and 24 weeks after onset, respectively | Other: observation<br>* Observed patients' compliance with rehabilitation at different time<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Motor Functional Exercise Compliance Scale for Stroke Patients | The full score is 56 points, and the higher the cumulative score of each item, the higher the level of compliance. | Week 2 | 
| Motor Functional Exercise Compliance Scale for Stroke Patients | The full score is 56 points, and the higher the cumulative score of each item, the higher the level of compliance. | Week 6 | 
| Motor Functional Exercise Compliance Scale for Stroke Patients | The full score is 56 points, and the higher the cumulative score of each item, the higher the level of compliance. | Week 8 | 
| Motor Functional Exercise Compliance Scale for Stroke Patients | The full score is 56 points, and the higher the cumulative score of each item, the higher the level of compliance. | Week 12 | 
| Motor Functional Exercise Compliance Scale for Stroke Patients | The full score is 56 points, and the higher the cumulative score of each item, the higher the level of compliance. | Week 24 | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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Rehabilitation, stroke, medical adherence, trajectory