Research On Functional Exercise Adherence Questionnaire Development Of Parkinson’s Patients And Status Survey

Objectives: 1.Research on functional exercise adherence questionnaire development of Parkinson’s patients,to provide a objective and accurate survey tool for clinical Parkinson’s patients;2.Using compiled questionnaire to survey the status quo,to know the status of Parkinson’s patients with functional exercise adherence and analyze the main factors that affect it;then Provide theoretical basis for clinical targeted interventions.Methods: 1.Questionnaire establishment methods of Parkinson’s patients with functional exercise adherence(1)Qualitative research: based on the literature and guide、discussion of team members,Forming the semi-structured interview outline for clinical medical staff,the preliminary questionnaire dimension and item pool of Parkinson’s patients with functional exercise adherence was developed;(2)Deliphi expert enquiry: Using purposive sampling to select senior clinical experts in this field and nursing research experts total 17 for two rounds of expert enquiry,After that,adjusting questionnaire items,forming the preliminary Parkinson’s patients functional exercise adherence questionnaire;(3)The reliability and validity of the questionnaire: Using the cluster sampling to select two hospital neurology clinic 96 cases of PD patients as the research object in Nanchang.Using compiled Parkinson’s patients functional exercise adherence questionnaire to investigate.Using Cronbach,s coefficient,Split-half reliability to assess questionnaire reliability;Structure validity,content validity to evaluate questionnaire validity.2.Present situation investigation of Parkinson’s patients with functional exercise adherence Using the cluster sampling method,selecting two hospital neurology clinic 150cases of PD patients as the research object in Nanchang.Using the general data questionnaire、Parkinson’s patients functional exercise adherence questionnaire to investigate present situation and analyse influence factors.Results: 1.Questionnaire establishment results of Parkinson’s patients with functional exercise adherence(1)Qualitative research results: Qualitative research extracted 4 dimensions,16 items.It was physical exercise adherence six items,exercise monitoring four items,seek advice three items,matters attention three items respectively;(2)Expert consultation’s result: 2 rounds of experts enquiry for this study send34 questionnaire,so expert positive coefficients was 100%;two rounds authority coefficient of experts were 0.80,0.83,Round 1 expert enquiry for scope of variation coefficient is 0.10 ~ 0.15,coordination coefficient is 0.17 ~ 0.23,according to the item selection criteria and expert advice,add 1 item,delete 1 item,modify 5 items;Round 2 expert enquiry for scope of variation coefficient is 0.10 ~ 0.11,coordination coefficient is 0.17 ~ 0.25,After chi square test,the difference was statistically significant(P<0.01).variation coefficient was smaller,the coordination coefficient was larger.Suggesting expert coordination degree is better.Preliminary form of Parkinson’s functional exercise adherence questionnaire,including 4primary index and 6 secondary index,a total of 16 items.(3)The result of the reliability and validity of the questionnaire: Exploratory factor analysis resulted that the KMO=0.714,Partial correlation was weak,meanwhile,the Bartlett spherical test of X2 value was 1327.393,it has Significance statistical(P=0.000,P<0.01),it is suitable for factor analysis.Using the principal component analysis to extract the common factor,Take the characteristic root >l,it produced four common factor,each item has big load in the corresponding common factor,cumulative variance contribution rate was 73.992%;Questionnaire content validity was 0.881.Total questionnaire Cronbanch ’s alpha was 0.924,each dimension Cronbanch’ s alpha coefficient range 0.746 ~ 0.911;Total questionnaire a half reliability was 0.868,all dimensions a half reliability coefficient range 0.718 ~ 0.857.2.Present situation investigation results of Parkinson’s patients with functional exercise adherence Parkinson’s patients with functional exercise adherence score was(36.07± 4.54)points,in a moderate level.The highest score of the dimension was physical exercise(15.31±1.85)points,The lowest score of the dimension was seek advice(5.53±1.03)points,Single factor analysis showed that age,culture level,the main caregivers,sick time,disease stage,whether in the hospital,the degree of self-care was statistically significant of functional exercise adherence in patients with Parkinson’s(P < 0.05);By multi-factor analysis showed that the degree of care,disease stage,cultural degree,mate enter the regression equation,explain 27.3% of the total variability.Conclusions: 1.Questionnaire of patients with Parkinson’s functional exercise adherence,it is reasonable,reliable,and closely related to the current status of patients.It can reflect the status of Parkinson’s patients functional exercise adherence objectively and accurately.2.The level of Parkinson’s patients functional exercise adherence needed to be improved;the degree of care,disease stage,cultural degree and mate was the main influence factors of Parkinson’s patients functional exercise adherence.Therefore,in view of the patients with low care ability,late disease stage,and low education level,Some targeted intervention measures should be put forward,then slow natural disease progress and improve the patients quality of life.