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Peer-reviewedCC BYNursing open

Association Between Exercise Adherence and Long-Term Quality of Life in Ischemic Stroke Survivors: A 2-Year Prospective Cohort Study.

5 affiliations
  1. 1Operating Room & Anesthesiology Department, The First Affiliated Hospital of Shantou University Medical College, Shantou, China.
  2. 2Nursing Department, The First Affiliated Hospital of Shantou University Medical College, Shantou, China.
  3. 3Nursing Department, Shantou University Mental Health Center, Shantou, China.
  4. 4Institute of Nursing Research, The First Affiliated Hospital of Shantou University Medical College, Shantou, China.
  5. 5Department of Urology, The First Affiliated Hospital of Shantou University Medical College, Shantou, China.

Abstract

Aims

This study aimed to investigate factors associated with quality of life within 2 years post-discharge, with a particular focus on exercise adherence.Design

A prospective observational cohort study.Methods

Participants were enrolled during hospitalisation and followed up at discharge and at 1, 3, 6, 12 and 24 months post-discharge via questionnaires. Linear mixed-effects models were used to identify factors associated with quality of life.Data sources

Data were collected from ischemic stroke patients (discharged from The First Affiliated Hospital of Shantou University Medical College, January to August 2021) using structured questionnaires, medical records and validated scales.Results

Of 355 enrolled stroke survivors, 242 (68.2%) completed the two-year follow-up. Functional disability, exercise adherence, family history of stroke and prior stroke were independently associated with long-term quality of life.Conclusion

Greater exercise adherence is independently associated with better quality of life on average over the 24-month follow-up period among stroke survivors.Implications for the profession and/or patient care

Nurses and rehabilitation guidelines should prioritise exercise adherence support during long-term follow-up to sustain post-stroke quality of life.

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BibTeX
@article{ziyuan2026association,
  title = {{Association Between Exercise Adherence and Long-Term Quality of Life in Ischemic Stroke Survivors: A 2-Year Prospective Cohort Study.}},
  author = {Jin Ziyuan and Zhang Hong and Liu Zhili and Wu Yanchun and Lin Hongchun},
  journal = {Nursing open},
  year = {2026},
  month = oct,
  doi = {10.1002/nop2.70965},
  url = {https://europepmc.org/article/MED/42963343},
  note = {CC BY},
}
RIS
TY  - JOUR
TI  - Association Between Exercise Adherence and Long-Term Quality of Life in Ischemic Stroke Survivors: A 2-Year Prospective Cohort Study.
AU  - Jin Ziyuan
AU  - Zhang Hong
AU  - Liu Zhili
AU  - Wu Yanchun
AU  - Lin Hongchun
PY  - 2026
DA  - 2026/10/30
JO  - Nursing open
DO  - 10.1002/nop2.70965
UR  - https://europepmc.org/article/MED/42963343
AB  - Aims  This study aimed to investigate factors associated with quality of life within 2 years post-discharge, with a particular focus on exercise adherence.Design  A prospective observational cohort study.Methods  Participants were enrolled during hospitalisation and followed up at discharge and at 1, 3, 6, 12 and 24 months post-discharge via questionnaires. Linear mixed-effects models were used to identify factors associated with quality of life.Data sources  Data were collected from ischemic stroke patients (discharged from The First Affiliated Hospital of Shantou University Medical College, January to August 2021) using structured questionnaires, medical records and validated scales.Results  Of 355 enrolled stroke survivors, 242 (68.2%) completed the two-year follow-up. Functional disability, exercise adherence, family history of stroke and prior stroke were independently associated with long-term quality of life.Conclusion  Greater exercise adherence is independently associated with better quality of life on average over the 24-month follow-up period among stroke survivors.Implications for the profession and/or patient care  Nurses and rehabilitation guidelines should prioritise exercise adherence support during long-term follow-up to sustain post-stroke quality of life.
SN  - 2054-1058
ER  -