A Correlation Study On Relationship Shared Decision Making Acceptance Of Disabience And Rehabilitation Excise Adher Of Acute Stroke Patients In Stage

Objective:This study investigated the status of shared decision making,acceptance of disability and rehabilitation exercise adherence in the rehabilitation of patients with acute stroke;to investigate the effects of general data on the shared decision making,acceptance of disability and rehabilitation exercise adherence in patients with acute stroke;to analyze the correlation between early shared decision making,acceptance of disability and rehabilitation exercise adherence in patients with acute stroke,and to provide theoretical basis and data support for improving patients early rehabilitation compliance.Methods: In this study,convenience sampling method was adopted to select 209 patients with acute stroke who met the inclusion and exclusion criteria in the department of Neurology of a grade III class A hospital from April to October 2021 as the investigation objects.The questionnaire was evaluated by general data questionnaire,patient version of shared decision questionnaire(SDM-Q-9),disability acceptance scale(ADS-R)and functional exercise compliance scale for stroke patients(EAQ).After the questionnaire was collected,the data were collated and analyzed by execel and SPSS26.0 statistical software.Results:(1)The mean standardized total score of 209 subjects in the shared decision making questionnaire was 22.68±3.54,which was at a medium level;(2)The mean score of 209 subjects on acceptance of disability questionnaire was 78.89±10.93,which was in the middle level;(3)The total score of 209 subjects in the rehabilitation of adherence questionnaire was 33.13±12.81 points,and the standardized compliance index was(59.43±22.19)%,which was in the middle level;(4)There was a positive pinpail correlation between 209 subjects shared decision making,acceptance of disability and rehabilitation exercise adherence;Multivariate linear stepwise regression analysis of rehabilitation exercise compliance of 209 subjects showed that: Finally,the patient’s family per capita monthly income,shared decision perception,age and disability acceptance had statistical significance(F=56.405,P < 0.001),which entered the regression equation of rehabilitation exercise compliance,and the interaction between variables explained 80.0% of the variation value of rehabilitation compliance.Conclusions:(1)The level of shared decision making,disability acceptance and rehabilitation exercise adherence of patients with acute stroke were all at medium level;(2)In terms of general information,shared decision making scores were higher in patients aged ≥70,with college degree or above,average monthly family income ≥5000 yuan,basic self-care,main caregiver is spouse,living in urban areas,and working in institutions public institutions before retirement.Patients with college bachelor degree or above,average monthly family income ≥5000 yuan,basic self-care,living in urban areas have higher acceptance of disability scores;rehabilitation exercise adherence scores were higher among medical insurance patients with age ≥70,college degree or above,average monthly family income ≥5000 yuan and basic self-care;(3)The higher the level of shared decision making,the better the acceptance of disability,the higher the rehabilitation compliance level of acute stroke patients;(4)The influencing factors of rehabilitation exercise compliance of acute stroke patients were shared decision perception,age,per capita monthly income of family,disability acceptance,among which shared decision perception was the most influential.