Home-Based Rehabilitation Adherence Scale – Chinese Version

Description

The rehabilitation exercise adherence scale is designed based on the definition by WHO, which states that adherence refers to the degree to which an individual’s behavior is consistent with the recommendations of healthcare providers. The scale, developed by Zhao Gaiyun with a focus on patients undergoing total knee arthroplasty, includes three dimensions and 11 items, with a maximum score of 44.

Authors and Contact Email

Zhao Gaiyun, Qian Huijuan, Wang Fanfan, et al.

Purpose

To assess the adherence of home-based rehabilitation exercises in patients who have undergone total knee arthroplasty.

Test Year

2019

Administration Method and Scoring

The scale comprises three dimensions:
依从性 (Adherence)
– 身体锻炼依从 (Physical exercise adherence)
– 照顾者监督锻炼依从 (Caregiver supervision adherence)
– 主动寻求建议 (Proactive advice-seeking)
The total Cronbach’s α coefficient for the scale ranges from 0.747 to 0.885, with an overall coefficient of 0.850, indicating good reliability and validity.

Reliability and Validity

The scale has demonstrated good reliability and validity, with Cronbach’s α coefficients ranging from 0.747 to 0.885 for its dimensions, and an overall coefficient of 0.850.

Factors and Subscales

The scale consists of three dimensions (3个维度):
1. 身体锻炼依从 (Physical exercise adherence)
2. 照顾者监督锻炼依从 (Caregiver supervision adherence)
3. 主动寻求建议 (Proactive advice-seeking)

Keywords

Rehabilitation, Exercise Adherence, Total Knee Arthroplasty, Healthcare Recommendations

Items in Chinese

1. 根本做不到
2. 偶尔做得到
3. 基本做得到
4. 完全能做到
5. 严格按照康复训练方案的时间要求进行功能锻炼
6. 严格按照康复训练方案的次数要求进行功能锻炼
7. 每天坚持做主动屈膝康复训练
8. 能够不遗漏康复训练方案中的任何一项运动
9. 能够每天坚持做主动伸膝康复训练
10. 在锻炼过程中出现膝部疼痛时,会主动向医护人员寻求建议
11. 在锻炼过程中出现膝部肿胀时,会主动向医护人员寻求建议
12. 感觉患肢关节功能不能达到医护人员告诉预期效果时,能积极向医护人员寻求建议
13. 没有人督促时能够主动进行康复训练
14. 家人或朋友督促功能锻炼时,能照做
15. 能根据医护人员的指导每天进行锻炼

Items in English

1. Completely unable to do
2. Occasionally able to do
3. Generally able to do
4. Fully able to do
5. Strictly adhering to the time requirements of the rehabilitation training plan for functional exercises
6. Strictly adhering to the frequency requirements of the rehabilitation training plan for functional exercises
7. Persistently performing the active knee flexion rehabilitation training every day
8. Able to not miss any exercise in the rehabilitation training plan
9. Able to persistently perform the active knee extension rehabilitation training every day
10. When experiencing knee pain during exercise, will proactively seek advice from healthcare providers
11. When experiencing knee swelling during exercise, will proactively seek advice from healthcare providers
12. When feeling the joint function of the affected limb does not meet the expected results as told by healthcare providers, can actively seek advice from healthcare providers
13. Able to proactively conduct rehabilitation training without supervision
14. When family or friends supervise functional exercises, can follow through
15. Can perform exercises daily according to the guidance of healthcare providers

References

赵改云,钱会娟,王凡凡,等.全膝关节置换术患者居家康复训练依从性量表的编制及信效度检验[J].护理学杂志,2019,34(12):94-97.
李晓丽.赋能教育对全膝关节置换术患者康复的效果评价[D].福建医科大学,2022.
DOI:10.27020/d.cnki.gfjyu.2022.001097.