Decision tree analysis of movement fear change trajectory and core influencing factors in ischemic stroke patients with hemiplegia during rehabilitation
Objective:To analyze the trajectory of movement fear and its core influencing factors in ischemic stroke patients with hemiplegia during rehabilitation.Methods:158 hemiplegia patients resulted from ischemic stroke were recruited as the study subjects,and underwent measurement of the exercise fear scale at the right day of discharge,the 1st,3rd and 6th month after discharge by using Chinese versions of the Tampa Scale for Kinesiophobia Heart.The latent category model was used to classify the potential categories of the exercise fear track of patients with hemiplegia during rehabilitation of ischemic stroke.The core factors of the potential categories of exercise fear track during rehabilitation period were analyzed by decision tree model.Results:The patients with hemiplegia in the rehabilitation period of ischemic stroke fell into two potential categories,namely:high movement fear-slow reduction group(31.01％)and medium movement fear-fast reduction group(68.99％).The decision tree model indicated that the scoring on self-efficacy,stroke recurrence times,comorbidities,family caring scores,rehabilitation exercise guidance and fall history were the factors affecting the exercise fear track in patients in the subgroup during rehabilitation,among which self-efficacy score was the most important influencing factor,with an information gain of 0.312.Conclusion:The movement fear of ischemic stroke patients with hemiplegia shows different change trajectories during rehabilitation.The findings suggest that medical staff can develop relevant intervention methods targeting at boosting the self-efficacy score to alleviate the level of movement fear of this group of patients.
ischemic stroke,hemiplegiamovement fearlatent category growth modeltrackdecision tree
万方数据
维普
