Outcome of Stroke rehability and education program in elderly patient, Surin Hospital

Abstract

Background: Stroke is one of the most mortality and morbidity causes of Thai elderly each year. Immediate intervention, rehabilitation and disease education will decrease morbidity or disabilities of elderly patient consequently improve their quality of life.
Objective: To evaluate outcome of stroke rehability and education program provided to elderly patient with stroke in Surin hospital.
Study design: Experimental study
Method: Patients were 102 elderly patients (aged over 60 years) diagnosed as new case of stroke. Patients were devided into two groups; both were assigned stroke nursing care plan and study group was provided additional stroke rehability manual, stroke education program and rehability checklist. Research tools were questionnaire and patient assessment protocol. Data from both group was analysed by using percentage, mean, standard deviation and repeated measurement to compare difference between two groups.
Result: Outcome in study group after assigned stroke rehability manual, stroke education program and rehability checklist found that mean of stroke knowledge between two group was statistically different at significant level p = 0.05 (repeated measurement = 0.000), mean ADL (activities of daily living) and IDL (Instrument Daily Living) score were significantly different between two groups (p = 0.05, repeated measurement = 0.000). Mean quality of life score was also significantly different (p = 0.05, repeated measurement = 0.000) and motor complication was decreased (increased motor function ).
Conclusion: After stroke rehability manual, stroke education program and rehability checklist were applied, ADL and IDL score of elderly stroke patient were statistically increased (repeated measurement = 0.000). Quality of life of elderly patient in study group was also higher than those of control group. Stroke care program in elderly patient focused on disease education and rehabilitation, monitored by activity checklist, home visit and physician appointment along with providing hospital stroke care plan may decrease cost and length of hospitalization in long term.