Influencing factors of home exercise adherence in elderly patients with stroke: A multiperspective qualitative study

Zhang, Yuanxing; Qiu, Xichenhui; Jin, Qiansheng; Ji, Cuiling; Pan, Yuan; Cui, Mengjiao; Zhang, Juanjuan; Chen, Lu

doi:10.3389/fpsyt.2023.1157106

Cited by 2 publications

(2 citation statements)

References 33 publications

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“…can influence participation in exercise and act as confounding variables when investigating the beneficial effects of physical exercise (Zhang, Qiu, et al 2023;Zhang, Song, and Wang 2022). Propensity score matching (PSM) is a method that can reduce these interferences by matching individuals in the exercise group (treatment) with nonexercise group (control).…”

Section: Discussionmentioning

confidence: 99%

“…Referring to previous studies (Zhang, Qiu, et al 2023 First, considering the specialty of our samples, chi-square tests (suitable for factors with more than two groups, such as health rating) and t-tests (suitable for factors with two groups, such as gender) were used to analyse whether the selected variables affected the participation of physical exercise in the present study.…”

Section: Selection Of Confounding Variables and The Psmmentioning

confidence: 99%

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Physical Exercise Transforms the Topography and Increases the Invulnerability of the Symptom Network of Depression–Anxiety in the Elderly

Zhang,

Yang

et al. 2024

Clin Psychology and Psychoth

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Background and ObjectivesDepression and anxiety often co‐occur and have worse impacts on the elderly when experienced simultaneously. Although physical exercise may alleviate depression and anxiety, how it affects the specific symptoms is not fully understood.MethodsA total of 8884 participants was selected from the 2018 CLHLS database. The 10‐item Center for Epidemiologic Studies Depression Scale (CESD‐10) and the Generalized Anxiety Disorder Scale–7 (GAD‐7) were used to assess depression and anxiety, respectively. Participants were divided into the exercise and the nonexercise groups using propensity score matching to minimize the influence of confounding variables. Depression–anxiety symptom networks were constructed, and network indexes were computed for each group, based on various packages of R. By computing network connectivity, invulnerability simulation was used to investigate the role of physical exercise in network robustness.ResultsBoth groups had D3 (sad mood), A4 (trouble relaxing) and A2 (uncontrollably worry) as central symptoms. In the exercise group, A1 (nervousness), A3 (too much worry) and D1 (bothered by little things) were the strongest bridge nodes. In the nonexercise group, A1 (nervousness), D1 (bothered by little things) and A4 (trouble relaxing) played this role. Participation in physical exercise decreased the centrality of D9 (cannot get doing) but increased the centrality of A3 (too much worry). Furthermore, the exercise group had higher network invulnerability than the nonexercise group under random attack conditions.ConclusionsPhysical exercise affected core symptoms of depression–anxiety and the interactions of symptoms. Targeting central or bridge nodes may be an effective intervention for alleviating the comorbidity. Increased network invulnerability manifested the positive effects of physical exercise.

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Section: Discussionmentioning

confidence: 99%

Section: Selection Of Confounding Variables and The Psmmentioning

confidence: 99%

Physical Exercise Transforms the Topography and Increases the Invulnerability of the Symptom Network of Depression–Anxiety in the Elderly

Zhang,

Yang

et al. 2024

Clin Psychology and Psychoth

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Endoscopic Endonasal Approach for Clival Chordomas in Elderly Patients: Clinical Characteristics, Patient Outcome, and Recurrence Rate

Zoli,

Carretta,

Rustici

et al. 2023

J Neurol Surg B Skull Base

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Introduction. The endoscopic endonasal route has demonstrated to be the approach of choice for a large majority of clival chordomas (CC). However, its results in elderly patients are under-evaluated in literature. Aim of this study is to assess the surgical outcome for these patients, determining the factors associated with a larger tumor resection in this population. Materials and Methods. Our institutional database of CC has been retrospectively reviewed, to identify all cases over 65 years old, operated through an endoscopic endonasal approach (EEA). Pre-operative clinical and radiological features were considered, as well as surgical results, morbidity and patients outcome at follow-up. Results. Out of our series of 143 endoscopic surgical procedures for CC, 34 (23.8%) were in patients older than 65 and 10 in older than 75 (7.0%). Gross tumor removal was achieved in 22 cases (64.7%). Complications consisted in 2 (5.9%) post-operative CSF leaks, 1 (2.9%) meningitis, 1 (2.9%) permanent CN VI palsy, 1 (2.9%) pneumonia and 2 (5.9%) urinary infections. In 39.1% of cases, the pre-operative ophthalmoplegia improved or resolved. Twenty-seven patients (79.4%) underwent radiation therapy. At follow-up (37.7 ± 44.9 months), 13 patients (38.2%) showed a recurrence/progression and 13 (38.3%) deceased. Conclusion. EEA can be a useful approach in elderlies, balancing the large tumor removal with an acceptable morbidity rate, even if higher than for general CC population. However, patients selection remains crucial. A multidisciplinary evaluation is important to assess not only their medical conditions, but also their social and familiar conditions.

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Influencing factors of home exercise adherence in elderly patients with stroke: A multiperspective qualitative study

Cited by 2 publications

References 33 publications

Physical Exercise Transforms the Topography and Increases the Invulnerability of the Symptom Network of Depression–Anxiety in the Elderly

Physical Exercise Transforms the Topography and Increases the Invulnerability of the Symptom Network of Depression–Anxiety in the Elderly

Endoscopic Endonasal Approach for Clival Chordomas in Elderly Patients: Clinical Characteristics, Patient Outcome, and Recurrence Rate

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