Outcomes of Home Visit and Rehabilitation Process of Intermediate Care on Stroke Patients in Mueang District Surin

Abstract

Background: Post stroke patients are among of target group of Intermediate Care (IMC) according to the policy of the Ministry of Public Health. They received for follow-up home visits and rehabilitation until the completion of 6 months.
Objectives: To analyze and evaluate of home visit and rehabilitation program of Intermediate care on stroke patients in in Mueang district, Surin.
Methods: Our design of this study is a retrospective analytic study. Post stroke patients, who lives in Mueang district, Surin province and received services according to home visit and rehabilitation process from 1^st December 2017 to 31^st March 2020 were recruited as the subjects. Participants consisted of 320 patients that organized into 3 groups based on Modified Rankin Scale (MRS), were assessed for their ADL by Barthel index (BI), MRS before discharge and every stage of the process. A questionnaire of working behavior was used for 24 nurses, who works in Subdistrict Health Promotion Hospital, Mueang district, Surin province. Data were analyzed by using Percentage, Mean, Standard Deviation and ANOVA (p<0. 05).
Results: The multidisciplinary team uses home visit and rehabilitation program of Intermediate Care on stroke patients regularly. The study found the average of BI increased from before discharge. MRS 3 and MRS 4,5 found the average of BI in 3^rd month after discharge (91.4±19.1, 70.5±26.8) were increased which was a statistically significant difference (p<0. 05).And MRS 4,5 found the average of BI when 6^th month after discharge (76.4±28.6), were increased from 3^rd month after discharge which was a statistically significant difference (p<0. 05).
Conclusions: Home visit and rehabilitation program of Intermediate Care on stroke patients require a multidisciplinary team to work together. So that home visits and rehabilitation services for MRS 3 patients should be provided within 3 months, while MRS 4,5 patients should have at least four regular home visits and rehabilitation services within 6 months to minimize loss and helps to stimulate the recovery process and to improve the quality of life of the patient to the best.