Monday, June 16, 2025

Stroke Patients' Knowledge, Attitudes, and Practices Regarding Home-Based Exercise and Psychological Rehabilitation Programs

If you had 100% recovery protocols your patients would gladly do the millions of reps needed because they would be looking forward to recovery! SO, SOLVE THAT PROBLEM!

Leaders solve problem; Are you leaders or mice?

 Stroke Patients' Knowledge, Attitudes, and Practices Regarding Home-Based Exercise and Psycholosgical Rehabilitation Programs

Ying Zou 2 Hongbo Li 3 Wei Xu 4 2 Lezheng Wang 2 Qiyue Sun Lei Shi Shaoxuan Ma 2 Ye Liu 1* 1 Beijing Sport University, Beijing, Beijing Municipality, China 2 Jiangsu College of Nursing, Huai'an, China Jinhu County People’s Hospital, Jiangsu, China 4 Zhenjiang Hospital of Integrated Traditional Chinese and Western Medicine, Zhenjiang, Jiangsu Province, China 5 Yangzhou University, Yangzhou, Jiangsu Province, China The final, formatted version of the article will be published soon.Notify me 

Background: 

Stroke 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.

Methods: 

This 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. 

Results: 

A 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).

Conclusion: 

The study highlights that while stroke patients generally exhibit positive attitudes and practices towards 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.(Adherence wouldn't be a problem with 100% recovery protocols! Can't you people think at all?)

Keywords: knowledge, Attitude, Practice, Stroke, Patient, home-based exercise, psychological rehabilitation programs

Received: 23 Mar 2025; Accepted: 13 Jun 2025.

Copyright: © 2025 Dai, Zou, Li, Xu, Luo, Wang, Sun, Shi, Ma and Liu. This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) or licensor are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.

* Correspondence: Ye Liu, Beijing Sport University, Beijing, 100084, Beijing Municipality, China

Disclaimer: All claims expressed in this article are solely those of the authors and do not necessarily represent those of their affiliated organizations, or those of the publisher, the editors and the reviewers. Any product that may be evaluated in this article or claim that may be made by its manufacturer is not guaranteed or endorsed by the publisher.

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