Objectives: To investigate the treatment compliance of patients with ischemic stroke to remote ischemic conditioning (RIC) and to determine the factors that influence compliance. Methods: We conducted a retrospective study of patients with ischemic stroke who were treated with RIC. Treatment compliance was determined and analyzed in patients who had received 1 year of RIC training. Factors that influenced patient compliance were also determined using univariate and multivariate regression analyses. Results: Between March 2017 and February 2018, 91 patients were recruited into this study. The mean (±SD) age was 57.98 ± 10.76 years, and 78 (85.7%) patients were male. The baseline Kolcaba comfort scale of patients with good compliance scores were higher than those with poor compliance. The scores of the four dimensions in the scale and the total score are as follows: physiological dimensions, 15.0 (12.0,17.0) vs 17.0 (13.0,19.0); psychological dimensions, 30.0 (25.0,34.0) vs 31.0 (27.0,35.0); sociological dimensions, 20.0 (18.0,24.0) vs 21.0 (18.0,23.0); environmental dimensions, 19.0 (12.0,24.0) vs 20.0 (17.0,22.0); and total points, 82.0 (69.0,94.0) vs 91.0 (78.0,98.0). the differences between the groups were significant (p < 0.05), except for the sociological dimensions. A history of hypertension, number of follow-ups, and the physiological, psychological, and environmental dimensions of the comfort scale were related to patient compliance, out of which the number of follow-ups (Adjusted OR = 2.498, 95% confidence interval (CI) 1.257-4.964) and the physiological discomfort (Adjusted OR = 1.128, 95% CI 1.029-1.236) independently influenced compliance (p < 0.05). Conclusion: In patients with ischemic cerebrovascular disease who were treated with RIC, the number of follow-up visits and physiological discomfort associated with RIC treatment independently influenced patient compliance. Further studies are needed to investigate the RIC protocols and their corresponding nursing models.

中文翻译：

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影响缺血性中风患者长期远程缺血调理治疗依从性的因素。

目的：调查缺血性脑卒中患者对远程缺血调节（RIC）治疗的依从性，并确定影响依从性的因素。方法：我们对接受 RIC 治疗的缺血性卒中患者进行了回顾性研究。在接受 1 年 RIC 培训的患者中确定和分析治疗依从性。还使用单变量和多变量回归分析确定影响患者依从性的因素。结果：2017 年 3 月至 2018 年 2 月期间，本研究招募了 91 名患者。平均 (±SD) 年龄为 57.98 ± 10.76 岁，78 (85.7%) 名患者为男性。具有良好依从性评分的患者的基线 Kolcaba 舒适量表高于依从性较差的患者。量表四个维度得分及总分如下：生理维度，15.0（12.0，17.0）vs 17.0（13.0，19.0）；心理维度，30.0 (25.0,34.0) vs 31.0 (27.0,35.0)；社会学维度，20.0 (18.0,24.0) vs 21.0 (18.0,23.0)；环境维度，19.0 (12.0,24.0) vs 20.0 (17.0,22.0)；和总分，82.0 (69.0,94.0) vs 91.0 (78.0,98.0)。除社会学维度外，各组之间的差异是显着的（p < 0.05）。高血压病史、随访次数以及舒适量表的生理、心理和环境维度与患者依从性相关，其中随访次数（调整后OR=2.498，95%置信区间） CI) 1.257-4.964) 和生理不适（调整后的 OR = 1.128，95% CI 1.029-1。236) 独立影响依从性 (p < 0.05)。结论：在接受 RIC 治疗的缺血性脑血管病患者中，随访次数和与 RIC 治疗相关的生理不适独立影响患者的依从性。需要进一步的研究来调查 RIC 协议及其相应的护理模式。