卒中后抑郁或焦虑患者康复运动依从性现状及影响因素分析OA

Objective To investigate the current status of physical activity adherence in poststroke patients with depression or anxiety in a rehabilitation specialty hospital,explore its influencing factors,and analyze the mediating role of selfefficacy between de-pression or anxiety and physical activity adherence.Methods A crosssectional survey was conducted using the following instru-ments:a general information questionnaire,Stroke Functional Exercise Adherence Scale,Patient Health Questionnaire-9(PHQ-9),Generalized Anxiety Disorder-7(GAD-7),Stroke Self-Efficacy Questionnaire,Social Support Rating Scale,and Modified Barthel In-dex.Data were analyzed using descriptive analysis,univariate analysis,multiple linear regression,and Bootstrap mediation effect anal-ysis.Results This study investigated a total of 172 subjects.The detection rates of depression and anxiety were 45.3％and 37.8％,respectively.The physical activity adherence score was(34.8±6.5).Multiple linear regression showed that rehabilitation selfefficacy(β=0.388),depression(β=-0.281),Barthel Index(β=0.221),age(β=-0.171),and social support(β=0.158)were independent influencing factors of physical activity adherence(adjusted R2=0.463).Mediation analysis indicated that selfefficacy played a partial mediating role between depression and physical activity adherence,with an indirect effect accounting for 34.7％.Conclusion Psychological problems are prominent in stroke patients receiving rehabilitation in specialty hospitals.Physical activity adherence is influenced by multiple factors,with selfefficacy playing a significant mediating role between depression and ad-herence.It is recommended to implement integrated"psychological-rehabilitation"interventions with a focus on enhancing patients' self-efficacy.