Exercise Compliance Research Articles

45. Blood Pressure Description in PROLANIS Community in Bandung, West Java

Background: 15% of the total cases of hypertension in West Java were found in Bandung. The prevention and management of hypertension are major public health challenges for Indonesia. The government had launched a chronic disease care program (PROLANIS) that designed to be done at primary health care with the aim to control hypertension for preventing the complication. Objective: This research aims to describe the blood pressure (BP) in PROLANIS community in Bandung, West Java. Method: A quantitative descriptive using non-analytic cross sectional study was carried out among PROLANIS community in Bandung. We performed BP examination in twenty-one primary care during March-October 2022. 853 data were collected and categorized based on the degree of hypertension by International Society of Hypertension 2020. Result: The results showed that PROLANIS community in Bandung is dominated by women (74.3%) than men. The data was categorized as normal BP (n = 274), high to normal BP (n = 191), first degree hypertension (n = 283) and second degree hypertension (n = 105). Conclusion: PROLANIS is expected to optimize the quality of life for chronic diseases patients and 75% of registered participants had a “good” result on specific examination for hypertension. But, this study showed that 45.5% of the patients did not achieve the target of BP. Most of them were in first degree hypertension (33.2%). This can be influenced by various factors, including the compliance of therapy, diet patterns, exercise, stress levels, and others. Further investigation is needed to find out the causes of BP in this population is not reaching the target.

Effect of electric function training instrument for arteriovenous fistula on vascular index of fistula and puncture success rate in patients with autogenous arteriovenous fistulization

ABSTRACT Objective. To explore the effect of electric function training instrument for arteriovenous fistula on vascular index of fistula and puncture success rate in patients with autogenous arteriovenous fistulization (AVF). Methods. 60 patients received AVF in the Fourth Hospital of Hebei Medical University from June 2020 to June 2021 were selected as the study subjects, and they were divided into the treatment group (TG, n = 30) and the reference group (RG, n = 30) according to the random number table method. The patients in the RG received routine pressure training by clench fist and tourniquet after surgery, and the TG used electric function training instrument for arteriovenous fistula on the basis of routine clench fist, then comprehensively evaluating the clinical application value of this study protocol by comparing the vascular index of fistula and puncture success rate of the two groups. Results. The depth of cephalic vein to skin at T2 and T3 in the TG was notably lower than the RG (P < 0.05), and the vessel diameter of cephalic vein at T3 in the TG was visibly higher than the RG (P < 0.05), with no overt difference in the rate of fistula complication, one-time puncture success rate and the incidence of puncture injury in both groups (P > 0.05). The score of functional exercise compliance of fistula in the TG was clearly higher than the RG (P < 0.001). Conclusion. The study results suggest that the use of electric function training instrument for arteriovenous fistula after AVF is more effective, so it has certain clinical application value.

Study of the Effect of Rehabilitation Nursing on the Compliance of Patients with Hip Fracture Towards Rehabilitation Exercise and Functional Recovery

Objective: To analyze the effect of rehabilitation nursing on the compliance of rehabilitation exercise and functional recovery in patients with hip fracture. Methods: 80 patients with hip fracture were selected from our hospital (Xiamen Rehabilitation Hospital) from October 2021 to March 2023 as research subjects. After being randomly divided into groups, the control group was given routine nursing, and the observation group was given rehabilitation nursing. The positive effects of different nursing programs on patients’ compliance towards rehabilitation exercise, functional recovery, and quality of life were analyzed. Results: The rehabilitation compliance of the observation group was higher than that of the control group (P &lt; 0.05); the hip function recovery scores of the two groups were similar before nursing (P &gt; 0.05), and the scores of the observation group after nursing were significantly higher than those of the control group (P &lt; 0.05); The quality-of-life scores in the observation group were higher than those in the control group (P &lt; 0.05). Conclusion: Rehabilitation nursing can effectively improve the hip fracture patients’ compliance towards rehabilitation exercises, which can further improve the patient’s functional recovery, improve their quality of life, and the nursing effect is more ideal.

The Predictive Role of Illness Perception on Lymphedema Risk-Management Behaviors in Women After Breast Cancer Surgery: A Longitudinal Study.

Illness perception affects lymphedema risk-management behaviors. However, little is known about these behavioral changes within 6 months after surgery and how illness perception predicts behavioral trajectories. The aim of this study was to explore the trajectories of lymphedema risk-management behaviors in breast cancer survivors within 6 months after surgery and the predictive role of illness perception. Participants were recruited from a cancer hospital in China and completed a baseline survey (Revised Illness Perception Questionnaire) and follow-up assessments (Lymphedema Risk-Management Behavior Questionnaire and the physical exercise compliance dimension of the Functional Exercise Adherence Scale) at the first, third, and sixth months postoperatively. A total of 251 women were analyzed. Regarding the Lymphedema Risk-Management Behavior Questionnaire, the total scores were stable. The scores of the "lifestyle" and "skin care" dimensions showed upward trends; the scores of the "avoiding compression and injury" and "other matters needing attention" dimensions showed downward trends. For "physical exercise compliance," scores remained stable. Furthermore, key illness perceptions (especially "personal control" and "causes") at baseline could predict the starting levels of and changes in behavioral trajectories. Different lymphedema risk-management behaviors exhibited different trajectories and could be predicted by illness perception. Oncology nurses should focus on the early development of behaviors related to "lifestyle" and "skin care" and the later maintenance of "avoiding compression and injury" and "other matters needing attention" during follow-up, as well as help women strengthen their personal control beliefs and correctly understand the causes of lymphedema during hospitalization.

Predictive Model of Functional Exercise Compliance of Patients with Breast Cancer Based on Decision Tree.

Regular functional exercise can help recover the functions of upper limb for patients with breast cancer. By finding the influencing factors of functional exercise compliance and constructing a predictive model, patients with a poor functional exercise compliance can be better identified. This study aims to find out the factors influencing the functional exercise compliance of patients with breast cancer and build a predictive model based on decision tree. Convenience sampling was used at two tertiary hospitals in Shantou from August 2020 to March 2021. Data of patients with breast cancer patient was obtained from questionnaires and based on demographics, Constant-Murley Score, Functional Exercise Compliance Scale for Postoperative Breast Cancer Patients, Champion Health Belief Model Scale, Social Support Rating Scale, Disease Perception Questionnaire and Family Care Index Questionnaire. Possible influencing factors of functional exercise compliance were analyzed using correlation analysis as well as univariate and binary logistic regression analysis through SPSS v25, and a CHAID decision tree was used to construct a predictive model on training, validation and test sets via SPSS Modeler v18 at a ratio of 6:2:2. Prediction accuracy, sensitivity, specificity and AUC were used to analyze the efficacy of the predictive model. A total of 227 valid samples were collected, of which 145 were assessed with a poor compliance (63.9%). According to a logistic regression analysis, perceived benefits, time after surgery and self-efficacy were influencing factors. The prediction accuracy, sensitivity, specificity and AUC of the predictive model, based on a CHAID decision tree analysis, were 70.73%, 57.1%, 77.8% and 0.81 respectively. The predictive model, based on a CHAID decision tree analysis, had a moderate predictive efficacy, which could be used as a clinical auxiliary tool for clinical nurses to predict patients' functional exercise compliance.

Abstract WMP15: Health Belief And Exercise Adherence Of Young And Middle-aged Stroke Patients: A Moderated Mediation Model Of Planning And Exercise Self-efficacy

Background: Health belief and exercise self-efficacy are meaningful protective factors that help individuals maintain health. However, few studies have explored their impact on planning and exercise adherence. Purpose: To explore the mediating role of planning in the impact of health beliefs on exercise compliance in young and middle-aged stroke patients, and the regulatory role of exercise self-efficacy in this mediating model. Method: Convenience sampling method was used to select 369 young and middle-aged patients with hemorrhagic stroke from 3 Grade A hospitals in China from July 2021 to May 2022. General data questionnaire, stroke health belief Scale, exercise self-efficacy scale, exercise plan scale and functional exercise compliance scale were used to investigate. Results: Health belief was positively correlated with exercise self-efficacy, planning and exercise compliance ( r =0.136, 0.531, 0.529, all P &lt;0.01). The indirect effect of health belief on exercise compliance in young and middle-aged stroke patients was 0.206 (95% CI : 0.158-0.259), and the direct effect was 0.167 (95% CI : 0.106-0.229), indicating that planning played an intermediary role between health belief and exercise compliance, accounting for 55.23%. Using the PROCESS macro (model 8) test, it was found that sports self-efficacy had a regulating effect, and had a significant interaction between planning and sports compliance( β =0.009, 95% CI : 0.001-0.018; β =0.008, 95% CI : 0.001-0.014). Conclusion: Health beliefs and plans can improve the exercise compliance of young and middle-aged stroke patients, and this benefit is related to exercise self-efficacy. We should enhance the health beliefs of patients, improve their exercise self-efficacy, encourage them to make exercise plans, and then improve their exercise compliance.

Abstract WMP14: Status And Influencing Factors Of Rehabilitation Exercise Compliance In Young And Middle-aged Patients With Hemorrhagic Stroke Based On The Hapa Model: A Multi-center Cross-sectional Survey

Background and Purpose: Exercise rehabilitation is the preferred rehabilitation therapy for stroke patients, but exercise compliance of patients is generally low. The study aimed to investigate and analyze the status and influencing factors of rehabilitation exercise compliance in young and middle-aged patients with hemorrhagic stroke. Methods: Convenience sampling method was adopted to select 397 young and middle-aged hemorrhagic stroke patients from three hospitals in central, eastern and northern China from July 2021 to January 2022 in accordance with the geographical classification standards of the National Bureau of Statistics and multi-center research cooperation. According to the Health Action Process Approach(HAPA), the general data survey scale, stroke functional exercise compliance Scale, exercise self-efficacy scale, exercise plan scale, stroke health belief scale and self-care ability scale were used for cross-sectional investigation. Results: The total score of exercise compliance in young and middle-aged stroke patients was (43.46±9.58), and the average compliance rate was 77.60%, which was in the middle level. Multivariate regression analysis showed that total score of exercise self-efficacy, total score of exercise program, perceived susceptibility, perceived severity, perceived benefit, perceived obstacle, health motivation and self-efficacy were the influencing factors of exercise compliance in young and middle-aged stroke patients ( P &lt; 0.05). Conclusions: According to the HAPA model, clinical medical staff should accurately evaluate the rehabilitation exercise stage of patients, and formulate and implement stroke rehabilitation exercise strategies according to the actual situation of patients and various possible influencing factors, so as to improve the exercise compliance of patients, improve their functional status, and further improve their quality of life.

Effect of Multimodal Health Education Combined with the Feedback Method in Perioperative Patients with Lung Cancer: A Randomised Controlled Study.

To explore the effect of multimodal health education combined with a feedback method in perioperative patients with lung cancer. A total of 200 lung cancer patients were divided into the observation group and the control group. The observation group adopted the multimodal health education combined with the feedback method, and the control group adopted the conventional health education model. The postoperative extubation time, length of hospital stay, time to first leaving the bed, postoperative exercise compliance, emotional-distress index and patient satisfaction were compared between the two groups. The postoperative extubation time (2.80 ± 1.03 days), the emotional-distress index (8.26 ± 3.01) and the time to first leaving the bed (23.74 ± 11.87 h) were all lower in the observation group than in the control group, with a statistically significant difference (P < 0.05). The postoperative exercise compliance (49.69 ± 3.60) and patient satisfaction (98.32 ± 1.66) values were higher in the observation group than in the control group, with statistically significant differences (P < 0.05). Multimodal health education combined with the feedback method can improve the postoperative exercise compliance of lung cancer patients, reduce their postoperative rehabilitation time and improve their postoperative psychological state and satisfaction, which is in line with the concept of promoting the enhanced recovery of lung cancer patients.

Clinical Indicators of Effects of Yoga Breathing Exercises on Patients With Lung Cancer After Surgical Resection: A Randomized Controlled Trial.

Cancer itself and surgery pose a heavy burden on adults with lung cancer. Yoga breathing exercises have been proposed as a form of pulmonary rehabilitation exercises to improve these patients' perioperative outcomes. To investigate the impact of yoga breathing exercises based on a problem-solving model on dyspnea, exercise capacity, anxiety, depression, and postoperative indwelling time of thoracic drainage tube and compliance in adults with lung cancer undergoing surgery. One hundred eight lung cancer patients were randomly assigned to receive problem-solving model-based yoga breathing exercises, yoga breathing exercises, or usual care. Outcomes were collected at admission, the day before surgery, and at discharge. Patients in the combined intervention group showed a significantly greater improvement in dyspnea, exercise capacity, and anxiety compared with the control group. Yoga breathing training can significantly improve patients' dyspnea and anxiety. Significant difference favoring the combined group was observed in exercise capability and compliance between the 2 intervention groups. However, there was no significant difference in depression or indwelling time of thoracic drainage tube among the 3 groups at any time point. Findings indicate that yoga breathing exercises are effective in alleviating perioperative symptoms of lung resection patients. Compared with yoga breathing exercises, applying additional problem-solving model may achieve a better effect. Yoga breathing exercises can be considered as a promising pulmonary rehabilitation strategy for lung cancer patients with surgery. The problem-solving model could be integrated into yoga breathing exercises in clinical practice to enhance the rehabilitation effect.

Therapeutic effect of upper extremities exercise based on mirror therapy in the postoperative recovery of shoulder function in breast cancer patients

This study aims to investigate the effect of upper extremities exercise based on mirror therapy in the postoperative recovery of shoulder function in breast cancer patients. A total of 120 patients were selected from January 2021 to December 2021 and randomly divided into the control group (60 cases) and the observation group (60 cases) by random number table method. The control group was given conventional intervention, while the observation group was additionally given mirror therapy. The Constant-Murley Score (CMS), Disability of the Arm, Shoulder and Hand (DASH) Score, compliance of shoulder exercise, and arm circumference were compared between the two groups before the intervention and at 2 weeks, 4 weeks or 8 weeks after surgery. After 2 weeks, 4 weeks and 8 weeks of intervention, patients in the observation group showed higher scores of CMS, lower scores of DASH and better compliance of shoulder exercise than those in the control group. There was no significant difference regarding the bilateral circumference difference of upper limbs between the control group and the observation group. The application of mirror therapy is beneficial to the mobility of shoulder joint, and it promotes the functional recovery of shoulder joint, reduces the occurrence of upper limb dysfunction and increases the compliance of shoulder exercise, whereby preventing lymphedema of the upper extremities in the postoperative shoulder exercise of breast cancer patients.

The Effect of Telephone Follow-Up System on Exercise Compliance and Disease Activity in Ankylosing Spondylitis Patients-an Open-Label: Randomized Controlled Trial

The Effect of Telephone Follow-Up System on Exercise Compliance and Disease Activity in Ankylosing Spondylitis Patients-an Open-Label: Randomized Controlled Trial

Application effect of quality control circle in postoperative functional exercise compliance of breast neoplasms patients:a meta-analysis

Application effect of quality control circle in postoperative functional exercise compliance of breast neoplasms patients:a meta-analysis

Effect of ERAS management mode on postoperative functional exercise compliance and functional recovery in male anterior cruciate ligament injury

The study aims to investigate the effect of ERAS (Enhanced Recovery After Surgery) management mode on functional exercise compliance and functional recovery after ACL (anterior cruciate ligament) reconstruction in males. Patients were admitted between June 2021 and December 2021 as the control group, and patients were admitted between January 2022 and June 2022 as the observation group. Routine nursing was adopted in the control group, while ERAS management mode was applied in the observation group for nursing. The clinical nursing efficacy, knee joint function (Lysholm score) and VAS (Visual analogue scale) score, patients’ functional training compliance and complications were compared. After intervention, the swelling disappearance time, pain disappearance time, hospital stay and other indicators of clinical nursing effect in the observation group were better (p &lt; 0.05); the preoperative Lysholm score and VAS score showed no statistical significance (p &gt; 0.05). The Lysholm score and VAS score at each time point after operation were markedly higher, and repeated measures analysis of variance manifested that the Lysholm score, VAS score, intergroup effect, time effect and interaction effect in both groups had statistical significance (p &lt; 0.05). The total compliance rate of functional training in the observation group was conspicuously higher (p &lt; 0.05); the overall incidence of complications in the observation group (13.3%) was evidently lower (28.7%) (p &lt; 0.05). ERAS management mode can improve the functional training compliance, accelerate the recovery of joint function, reduce the incidence of complications and promote the quality of life of patients with ACL injury.

Retracted: The Effect of Psychological Support Intervention Based on Structure-Process-Result Three-Dimensional Quality Assessment on Maternal Role Adaptation and Pelvic Floor Rehabilitation Exercise Compliance of Women in Spontaneous Labor.

[This retracts the article DOI: 10.1155/2022/8993144.].

GUIDED BREATHING EXERCISE MODULATES BLOOD PRESSURE FOR PEOPLE WITH SPINAL CORD INJURY

https://youtu.be/iK9idhJBdoY BACKGROUND People with Spinal Cord Injury (SCI) often suffer from autonomic dysfunction, including orthostatic intolerance. These effects can be similar to those that astronauts experience while exposed to microgravity. To improve post-flight orthostatic intolerance, and other symptoms of autonomic dysfunction, scientists at NASA designed a biofeedback protocol, Autogenic Feedback Training Exercise (AFTE). AFTE combines specific autogenic exercises (e.g., self-suggestion of warmth in the hands) with biofeedback of multiple physiological responses (i.e., blood pressure [BP], heart rate, body temperature, breathing rate). We modified this protocol by adding guided breathing exercises and immersive virtual reality (VR) and tested it among people with and without SCI. The study aims to determine if AFTE is viable for improving autonomic dysfunction in individuals with SCI. We hypothesize that participants with SCI will improve symptoms of orthostatic hypotension and be able to modulate BP toward normotensive values after eight sessions of AFTE. METHODS/DESIGN A convenience sample of five (n=5) participants with chronic cervical SCI: two women (body weight 90+/−13Kg, height 164+/−2Cm, age 48+/−18), three men (body weight 96+/−37, height 180+/−5Kg, age 40+/−28) and four (n=4) participants without SCI: two women (body weight 57+/−9 Kg, height 164+/ 9 Cm, age 22+/−1) and two men (body weight 78 Kg +/−18, height 182 cm +/−5, age 27+/−2) participated in the study. Training consisted of eight 3-minute cycles of alternating relaxing then stimulating breathing, interoception (i.e., noticing inner body sensation), and VR. The relaxing breathing to lower BP consisted of making the “mmm” sound with three long nasal exhales to lower blood pressure. The stimulating breathing to raise BP consisted of three series of ten quick nasal exhales. After each of the eight cycles, participants were given feedback on whether they met their goal of increasing of decreasing MAP 5 mmHg during stimulation or relaxation cycles respectively. Training was performed twice a week for five weeks. RESULTS Participants successfully modulated their BP during the breathing exercise portion of the training. Participants reported they were able to use the technique at home after training was completed. CONCLUSIONS Guided breathing exercises could provide a readily available method of BP modification without side effects, potentially enabling more exercise compliance for people with SCI.

Correlation of temperament characteristics and early functional exercise compliance in school-age children with limb fractures: Implication for clinical nursing care

Early functional exercise plays a very important role in the rehabilitation and nursing care of children with fractures. We aimed to evaluate the role of temperament characteristics in the early functional exercise compliance in school-age children with limb fractures, to provide evidence to clinical nursing care. School-age children with limb fractures admitted to our hospital from January 1, 2021 to June 30, 2022 were selected. We collected the general information, evaluated the temperament characteristics and their functional exercise compliance in school-age children. Correlation and regression analyses were conducted to assess the correlation of temperament characteristics and early functional exercise compliance. A total of 126 school-age children with limb fractures were finally included. There were 68, 36, and 22 children that were rated as easy-going, troublesome and initiate slow temperament, respectively. The children with easy-going temperament had the best early functional exercise compliance, followed by children with initiate slow temperament, and compliance of children with troublesome temperament was the worst. The reaction intensity factor in the temperament characteristics of school-age children with fracture was negatively correlated with early functional exercise compliance (P = .007). Reaction intensity was a risk factor for early functional exercise compliance in school-age children with fractures (P = .004). Health care providers must consider the influence of temperament characteristics on compliance in school-age children with fractures, and take targeted nursing measures according to different temperament characteristics of children to improve early functional exercise compliance in school-age children with fractures, so as to improve the functional recovery and prognosis of children.

Effect of teach-back education on exercise compliance and quality of life in elderly patients with hemiplegia after stroke

Effect of teach-back education on exercise compliance and quality of life in elderly patients with hemiplegia after stroke

Development of an Innovative Telerehabilitation System to Improve Handgrip Strength.

Handgrip strength is an essential function of the hand to perform day-to-day tasks. People lose grip strength due to various factors such as aging, diseases, and other medical conditions. According to neuroplastic and physiological principles, grip strength can be improved using goal-oriented tasks or exercises repeatedly and consistently. People often fail to adhere to repeated movements, including grip strength exercises. Studies have shown that game-based rehabilitation has improved exercise compliance and functional outcomes. This article explains the design and development of an affordable smartphone-based telerehabilitation system that includes an innovatively designed grip strength device (eGripper) and a phone application to play games.

Exercise Adherence and Compliance and Its Related Factors Among Elderly Patients with Type 2 Diabetes in China: A Cross-Sectional Study.

To explore exercise adherence and compliance as well as its related factors among elderly patients with type 2 diabetes mellitus (T2DM) to provide a basis for clinical intervention strategies. The present study was a cross-sectional study of 205 elderly patients with T2DM who regularly visited a Shanghai community health center from August 2020 to July 2021. Exercise adherence and compliance was measured using an exercise adherence and compliance questionnaire, and potential correlates were explored using multiple linear regression analysis. The mean total score of the exercise adherence and compliance questionnaire was 16.72±5.08. The stepwise regression results revealed that exercise adherence and compliance was positively correlated with self-monitoring (F=3.510, P=0.005), exercise knowledge (r=0.784, P<0.001), exercise willingness (r=0.556, P<0.001), professional support (r=0.426, P<0.001), and self-efficiency (r=0.5, P<0.001). There was a negative correlation between hypoglycemia and exercise adherence and compliance (F=-3.672, P<0.001). Low exercise adherence and compliance was related to low glucose self-monitoring frequency, increased hypoglycemia, less exercise knowledge, less exercise willingness, less professional support, and less self-efficiency. When developing exercise instructions adapted to the cognitive and volitional needs of diabetic patients, it is essential to focus on their daily self-management habits and extrinsic motivation to improve exercise adherence and compliance.

Views of inpatients on the prevention of venous thrombosis with ankle pump exercise: A cross-sectional survey.

This study investigated the current status of patients' knowledge and clinical compliance with ankle pump exercises in order to better enhance patient education and improve patient compliance with ankle pump exercises. A cross-sectional survey of the current status of ankle pump exercise awareness and compliance was conducted using a self-designed questionnaire. The questionnaire consisted of a general demographic information questionnaire, a questionnaire on patients' perceptions of ankle pump exercise and a compliance questionnaire. A total of 2,203 patients from 53 clinical departments participated in this survey. 87.8% of patients considered ankle pump exercise important, 92.1% could grasp the knowledge of ankle pump exercise, 48.5% could self-monitor and exercise daily as instructed, 81.5% of health care workers would often supervise patients to complete ankle pump exercise, poor self-control (34.6%), lack of physical strength (21.1%) and perceived hassle (18.9%) were the top 3 factors contributing to patients' inability to complete the ankle pump exercise. Regression analysis showed that the factors influencing patients' compliance with the ankle pump exercise were literacy, economic level, number of comorbidities and caprini risk class (p < .05). The patient's cognition of ankle pump exercise is good, but the compliance needs to be improved. It is suggested that the compliance of ankle pump exercise in hospitalized patients should be improved in the future to reduce the incidence of Venous thromboembolism.