Table 1_Stroke patients’ knowledge, attitudes, and practices regarding home-based exercise and psychological rehabilitation programs.xlsx

BackgroundStroke rehabilitation encompasses crucial components essential for the recovery process. This study aimed to investigate the knowledge, attitudes, and practices (KAP) of stroke patients regarding home-based exercise and psychological rehabilitation programs aimed at enhancing their physical and mental well-being, as well as alleviating depressive symptoms.
MethodsThis study conducted a cross-sectional survey at 37 institutions from December 2023 to January 2024. The survey gathered demographic data and assessed KAP related to stroke rehabilitation through structured questionnaires.
ResultsA total of 499 valid questionnaires were included in this study. Of these participants, 312 (62.5%) were male and 252 (50.5%) were aged over 60 years. The median [25.75%] knowledge, attitude, and practice scores were 9.03 (5.04) (possible range: 0–20), 33.19 (3.55) (possible range: 9–45), and 21.43 (4.49) (possible range: 6–30), respectively. Multivariate logistic regression showed that knowledge score (OR = 1.19, 95% CI: [1.13, 1.26], p < 0.001), attitude score (OR = 1.28, 95% CI: [1.19, 1.38], p < 0.001), employed (OR = 2.41, 95% CI: [1.15, 5.04], p = 0.020), retired (OR = 2.20, 95% CI: [1.20, 4.02], p = 0.011), and more than 3 years of duration of stroke (OR = 0.37, 95% CI: [0.16, 0.85], p = 0.019) were independently associated with practice. Structural equation modeling (SEM) showed that knowledge directly affected attitude (β = 0.407, p < 0.001), knowledge (β = 0.390, p < 0.001) and attitude (β = 0.461, p < 0.001) directly affected practice, and knowledge indirectly affected practice through attitude (β = 0.188, p = 0.007).
ConclusionThe study highlights that while stroke patients generally exhibit positive attitudes and practices toward home-based exercise and psychological rehabilitation, there remains a gap in their knowledge about these crucial interventions. Clinically, it is imperative to enhance educational strategies targeting stroke survivors, focusing on improving knowledge to further strengthen their rehabilitation outcomes and adherence to prescribed regimens.

背景 脑卒中康复涵盖了康复进程中不可或缺的核心环节。本研究旨在探讨脑卒中患者对家庭锻炼与心理康复项目的认知、态度及实践（Knowledge, Attitudes and Practices，简称KAP）情况，这些项目旨在改善患者的身心健康状况并缓解抑郁症状。方法 本研究于2023年12月至2024年1月期间，在37家医疗机构开展横断面调查。本研究通过结构化问卷收集受试者的人口学资料，并评估其与脑卒中康复相关的认知、态度及实践情况。结果 本研究共纳入499份有效问卷。其中，312名（62.5%）受试者为男性，252名（50.5%）年龄超过60岁。认知、态度及实践得分的中位数（四分位间距）分别为9.03（5.04）（分值范围0~20）、33.19（3.55）（分值范围9~45）及21.43（4.49）（分值范围6~30）。多因素logistic回归分析显示，认知得分（比值比[OR]=1.19，95%置信区间[CI]：1.13~1.26，P<0.001）、态度得分（OR=1.28，95%CI：1.19~1.38，P<0.001）、在职状态（OR=2.41，95%CI：1.15~5.04，P=0.020）、退休状态（OR=2.20，95%CI：1.20~4.02，P=0.011）以及脑卒中病程超过3年（OR=0.37，95%CI：0.16~0.85，P=0.019）均与实践行为独立相关。结构方程模型（SEM）结果显示，认知可直接影响态度（标准化回归系数β=0.407，P<0.001）；认知（β=0.390，P<0.001）与态度（β=0.461，P<0.001）均可直接影响实践行为，且认知可通过态度间接影响实践行为（β=0.188，P=0.007）。结论 本研究表明，尽管脑卒中患者对家庭锻炼与心理康复项目普遍持有积极的态度并能践行相关行为，但他们对这些关键干预措施的认知仍存在不足。临床上，亟需针对脑卒中幸存者优化教育策略，重点提升其认知水平，以进一步改善康复效果并提高患者对医嘱治疗方案的依从性。