Outcomes of Rehabilitation and Factors Associated with Functional Gain in Intermediate Care of Stroke Patients, Damnoen Saduak District, Ratchaburi Province
Keywords:
Stroke, Intermediate care, Outcomes of rehabilitationAbstract
This study was a retrospective aims to assess outcomes of stroke rehabilitation and factors associated with functional gain in intermediate care of home-based rehabilitation in stroke patients from September 1, 2022 to August 31, 2023, a sample of 40 patients were selected according to the inclusion criteria. The research tool is an assessment of Barthel index. The data were analyzed using descriptive statistics, Paired t-test and Fisher’s exact test. The study results revealed as follows:
1. There was significant functional gain (p<.01) after home-based rehabilitation compared to before, with mean functional gain was 7.25±4.8 and mean rehabilitation effectiveness was 69.66±36.29%.
2.There were 7 factors that associated with functional gain significantly; body mass index (p<.05) motor power of upper extremity after rehabilitation (p<.01) motor power of lower extremity after rehabilitation (p<.01) complications from stroke events(p<.01) pneumonia (p<.05).bedsore (p<.01) and joint stiffness (p<.05).
Therefore, home visiting teams should improve rehabilitation services, such as promoting adequate nutrition, strengthening exercise and providing knowledge to prevent complications to increase the ability to do activities of daily living of patients.
References
Akazawa, N., Harada, K., Okawa, N., Tamura, K., & Moriyama, H. (2019). Low body mass index negatively affects muscle mass and intramuscular fat of chronic stroke survivors. PLOS ONE, 14(1), 1-12. https://doi.org/10.1371/journal.pone.0211145
Charoendee, K., Boribun, N., Butchumsaeng, A., & Rungrueang, S.(2022). Annual report of non-communicable diseases 2022. Bangkok: Aksorn graphic and design. (in Thai)
Che, B., Shen, S., Zhu, Z., Wang, A., Xu, T., Peng, Y., Li, Q., Ju, Z., Geng, D., Chen, J., He, J., Zhang, Y., & Zhong, C. (2020). Education level and long‐term mortality, recurrent stroke, and cardiovascular events in patients with ischemic stroke. Journal of the American Heart Association, 9(16), 1-12. https://doi.org/10.1161/jaha.120.016671
Deepradit, S., Powwattana, A., Lagampan, S., & Thiangtham, W. (2023). Effectiveness of a family-based program for post-stroke patients and families: A cluster randomized controlled trial. International Journal of Nursing Sciences, 10(4), 446-455.
Department of Medical Services. (2020). Guideline for intermediate care in the elderly. Bangkok: Beyond publishing Co.Ltd. (in Thai)
Department of Older Persons. (2023). Number of elderly people in Thailand by province 2023. http://www.dop.go.th/th/statistics_page?cat=1&id=2. (in Thai)
Hsieh, Y.-W., Wang, C.-H., Wu, S.-C., Chen, P.-C., Sheu, C.-F., & Hsieh, C.-L. (2007). Establishing the minimal clinically important difference of the barthel index in stroke patients. Neurorehabilitation and Neural Repair, 21(3), 233–238.
Jungjaroennorasook, N. (2022). Factors affecting poor functional outcomes of intermediate care rehabilitation in post-stroke patients. J Thai stroke Soc, 21(3), 19-30. (in Thai)
Kaeowichian, N., Chuenklin, T., & Koetwichai, W. (2021). Intermediate care policy in Thailand: What should be done?. Journal of Health Science, 30(5), 894-906.
Kongsawasdi, S., Klaphajone, J., Wivatvongvana, P., & Watcharasaksilp, K. (2019). Prognostic factors of functional outcome in ischemic stroke during 6 months after onset. J Clin Med Res, 11(5), 375-382.
Kuptniratsaikul, V., et al. (2016). The Effectiveness and efficiency of inpatient rehabilitation services in Thailand: a prospective multicenter study. Rehabil Process Outcome, 2016(5), 13-18.
Lohanchun, B., et al. (2017). Standard rehabilitation services. Nonthaburi: Sahamitr Printing and Publishing company. (in Thai)
Lohanchun, B., et al. (2019). Guideline for intermediate care (service plan). Samut Sakhon: Born to be publishing. (in Thai)
Maneechot, B., & Sasat, S. (2019). Selected factors related to physical functional ability among stroke older persons. Journal of Nursing Science Chulalongkorn University, 31(3), 87-100. (in Thai)
Matsakunphan, P., Saringkharinakun, T., Riothong, K., Thimayom, P., & Wichianphaisan, P. (2016). Clinical practice guidelines for stroke rehabilitation. Bangkok: Tana Press and Graphic. (in Thai)
Pattanasuwanna, P., (2019). Outcomes of intermediate phase post-stroke inpatient rehabilitation in community hospital. ASEAN J Rehabil Med, 29(1), 8-13.
Pipatsrisawat, S., (2020). Outcomes of rehabilitation in intermediate phase of stroke patients. Chiangrai medical journal, 12(3), 47-56. (in Thai)
Saligupta, P., (2023). Clinical factors related to good functional outcome of patients in intermediate care program in Chiangrai provice. Chiangrai medical journal, 15(3), 88-99. (in Thai)
Sathapornsathid, A., (2021). Outcomes of rehabilitation in acute ischemic stroke patients receiving thrombolytic injection compared with non-thrombolytic group. Region 4-5 Medical Journal, 40(2), 241-253. (in Thai)
Thiamkao, S. (2022). Incidence of stroke in Thailand. Thai journal of Neurology, 39(2), 39-46. (in Thai)
Downloads
Published
Issue
Section
License
Copyright (c) 2024 ฺ
This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.
บทความทีตีพิมพ์ในวารสารนี้ถือว่าเป็นลิขสิทธิ์ของวิทยาลัยพยาบาลบรมราชชนนี ราชบุรี และผลงานวิชาการหรือวิจัยของคณะผู้เขียน ไม่ใช่ความคิดเห็นของบรรณาธิการหรือผู้จัดทํา
