关键词: 脑卒中偏瘫；功能锻炼依从性；潜变量增长混合模型；影响因素

Abstract: Objective: To classify the development trajectory of functional exercise compliance during rehabilitation training for stroke patients with hemiplegia and to identify the influencing factors. Methods: Convenience sampling was used to recruit 210 patients with hemiplegia due to stroke admitted to a tertiary grade A hospital in Ganzhou from January 2022 to January 2024. Functional exercise compliance at the 1st, 6th, 12th, 20th, and 24th week of rehabilitation training were evaluated. The latent growth mixture model and disordered multinomial Logistic regression were utilized for data processing. Results: The development trajectories of functional exercise compliance during rehabilitation training in 210 stroke patients with hemiplegia were divided into four categories: 56 cases (26.7%) of low compliance stable type, 42 cases (20.0%) of low compliance rise type, 64 cases (30.5%) of moderate compliance decline type, and 48 cases (22.8%) of moderate compliance rise type. The results of disordered multinomial Logistic regression analysis showed that age, stroke knowledge, degree of neurological dysfunction, self-efficacy, psychological resilience, and family care level were the influencing factors for different development trajectories of functional exercise compliance (all P<0.05). Conclusion: The compliance development trajectories with rehabilitation training for stroke hemiplegic patients varies. Medical staff should develop corresponding nursing plans based on different influencing factors to improve patients' exercise compliance.

Key words: stroke induced hemiplegia; compliance with functional exercise; Latent growth mixture model; influencing factors