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 < 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.