Exercise rehabilitation adherence and associated factors in patients aged ≥75 years with hemorrhagic stroke: a mixed-methods study - Report - MDSpire
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Factors Influencing Adherence to Exercise Rehabilitation in Patients Aged 75 and Older Following Hemorrhagic Stroke: A Mixed-Methods Investigation

  • By

  • Yan Wang

  • Lan Lu

  • Wei Wei

  • September 15, 2026

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Factors Influencing Adherence to Exercise Rehabilitation in Patients Aged 75 and Older Following Hemorrhagic Stroke

Overview

This study investigates adherence to exercise rehabilitation among patients aged ≥75 years with hemorrhagic stroke, revealing that adherence levels are influenced by factors such as rehabilitation self-efficacy and illness uncertainty.

Background

Hemorrhagic stroke is a significant cause of mortality and disability, particularly among older adults. Effective rehabilitation through exercise is crucial for restoring physical function, yet adherence to such programs can be challenging in this age group. Understanding the factors that influence adherence is essential for improving rehabilitation outcomes.

Data Highlights

Adherence LevelPercentage
High49.60%
Moderate29.53%
Low20.87%

Key Findings

  • Average adherence score was 37.97 ± 10.57 points.
  • 49.60% of participants demonstrated high adherence to exercise rehabilitation.
  • Low adherence was associated with greater illness uncertainty and illness duration of ≤6 months.
  • Rehabilitation self-efficacy was inversely related to the likelihood of low adherence.
  • Qualitative themes included cognition and attitudes towards exercise, psychological disturbances, and the role of external support.

Clinical Implications

The study found that individual patient factors such as self-efficacy and illness uncertainty are associated with adherence to rehabilitation programs.

Conclusion

The study examined the multifaceted nature of adherence to exercise rehabilitation in older adults following hemorrhagic stroke.

Related Resources & Content

  1. Frontiers in Neurology, 2026 -- Network analysis of rehabilitation needs and influencing factors in aged patients recovering from first-time stroke
  2. European Journal of Preventive Cardiology, 2025 -- Impact of Pre-Hospital Exercise Patterns on Post-Discharge Outcomes in Elderly Heart Failure Patients
  3. Frontiers in Medicine, 2026 -- Impact of Exercise Compliance on Wrist Recovery Following Distal Radius Fracture Surgery in Elderly Patients: A 12-Week Prospective Study
  4. Top Things to Know, 2026 -- 2026 AHA/ASA Guideline for Adult Stroke Rehabilitation and Recovery
  5. European Stroke Organisation (ESO) guideline on motor rehabilitation - PMC, 2025
  6. Frontiers in Cardiovascular Medicine — Development and implementation of a HAPA-based exercise rehabilitation program for patients with chronic heart failure
  7. Top Things to Know
  8. European Stroke Organisation (ESO) guideline on motor rehabilitation - PMC
  9. The safety and efficacy of high-intensity interval training (HIIT) in post-stroke patients with moderate functional impairment: a systematic review and meta-analysis

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