Development of Continuity of Care Model for stroke patients

Abstract

The purposes of this action research design were 1) to development of continuity of care model for stroke patients and 2) to compare differences in access to continuity of care and the difference between recovery time and activities of daily living (ADL) during January 2016 till December 2017. The samples were 72 new stroke patients, selected by purposive sampling. Developing model using the cycle of PAOR comprised of four parts: (1) planning was problem analysis (2) action was development of a continuity of care model for stroke patients (3) observe was implement the model and (4) reflection was evaluation. The research instruments comprised of parts; medical record and activities of daily living scale (ADL). Data were analyzed by using descriptive statistics and ANOVA. The findings of this research study revealed that continuity of care model for stroke patients comprised process of patients admission, home visit, multidisciplinary team and continuity of care, stroke patients received continuity of care increased 55.74 percent in 2016, 91.67 percent in 2017 and recovery time and activities of daily living had statistically significant different (p<.05). These findings suggest that in first month had highest score difference of 33.33 and followed between 1^st month and 3^rd month was score difference of 14.07. These findings indicate that, if the stroke patient receives a quickly recovery in the first 3 months, they will highest chance of recovery, reduce complications and reduce disability.