Current status of exercise fear and its influencing factors in patients with acute ischemic stroke combined with atrial fibrillation

Abstract:

Objective To investigate the current situation of exercise fear and its influencing factors in patients with acute ischemic stroke combined with atrial fibrillation.Methods A total of 248 patients with acute ischemic stroke combined with atrial fibrillation who were hospitalized in the department of neurology of a 3A-grade hospital in Shanghai during January 2020 to December 2021 were selected in the study using convenience sampling method. They were investigated with the fear of heart disease exercise scale，activity-specific balance confidence scale，exercise self-efficacy scale and family care index scale，and the influencing factors were analyzed by univariate analysis and multivariate linear regression.Results Among the 248 patients included in the analysis，126（50.8%） were male and 122 （49.2%） were female，with the mean age of （74.19 ± 11.65） years old. Univariate analysis showed that factors affecting exercise fear in patients with stroke and atrial fibrillation included educational background （Z=26.326，P<0.001），occupational status （Z=9.323，P=0.009），residence（Z=26.990，P<0.001），falling history（Z=2.976，P=0.003），number of stroke relapses （Z=24.996，P<0.001），and cardiac function classification（Z=32.097，P<0.001）. The results of multiple linear regression showed that education level，falling history，number of stroke recurrences，cardiac function classification，motor self-efficacy and family care index entered the regression equation，and altogether accounted for 37.6% of the total variation in the level of exercise fear of patients.Conclusion The current situation of exercise fear in patients with acute ischemic stroke combined with atrial fibrillation is not optimistic. Clinical nursing staff should focus on them when guiding patients' exercise rehabilitation，and formulate targeted nursing measures after comprehensive evaluation of patients，in order to improve the compliance of patients with acute ischemic stroke combined with atrial fibrillation in exercise rehabilitation.