Adherence to Home Exercise Program among Caregivers of Children with Cerebral Palsy
Adherence to Home Exercise Program among Caregivers of Children with Cerebral Palsy
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DOI：
10.5152/tftrd.2014.60973
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发表时间：
2014-06-01
影响因子：
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通讯作者：
Atasoy, Nuray
中科院分区：
文献类型：
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作者：
Basaran, Aynur;Karadavut, Kiymet Ikbal;Atasoy, Nuray
目的：本研究的目的是确定影响脑瘫儿童照护者坚持家庭运动计划的因素。方法：对147例CP患儿的护理人员进行调查。通过一项调查来评估护理人员对锻炼计划的依从性。儿童和照料者的社会人口统计数据；残疾儿童的家庭特征、CP类型和大肌肉运动功能分类系统（GMFCS）水平；并评估照顾者的心理健康和倦怠相关的清单，以确定这些数据是否与依从性状况有关。结果：采用单变量检验参数[儿童的年龄、体重和GMFCS水平，照料者的年龄和Maslach情绪衰竭（EE）评分]，构建logistic回归模型预测运动计划的依从性。GMFCS水平和Maslach情感表达评分是预测家庭锻炼计划依从性的统计学显著独立因素。结论：功能限制的严重程度似乎可以提高照顾者对家庭运动计划的依从性，而照顾者的倦怠则有负向影响。对于一个成功的家庭锻炼计划，照顾者应该得到社会和医学上的支持。
Objective: The objective of this study is to determine the factors that affect the adherence to home exercise programs among caregivers of children with cerebral palsy (CP).Methods: The caregivers of 147 children with CP were recruited for the study. The adherence status of the caregivers to an exercise program was assessed by a survey. The sociodemographic data of both children and caregivers; family characteristics, CP type, and Gross Motor Function Classification System (GMFCS) level of the disabled child; and inventories related to mental health and burnout of the caregivers were evaluated to determine whether these data were related with the adherence status or not.Results: Using statistically significant parameters in univariate tests [age, weight, and GMFCS level of the children and age and Maslach emotional exhaustion (EE) score of the caregiver], a logistic regression model was constructed to predict the adherence to exercise programs. GMFCS level and Maslach EE score were statistically significant independent factors that predicted the adherence to home exercise programs.Conclusion: The severity of the functional limitation of children with CP seems to enhance the adherence of caregivers to home exercise programs, while the burnout of caregivers has a negative impact. Caregivers should be supported socially and medically for a successful home exercise program.