Development of Monitoring and Evaluating Problems of Stroke Patients for Referral Form for Post Stroke Patients in Community
Keywords:
long term care; monitoring and evaluating problems; referral; post-stroke patientsAbstract
Stroke patients need to be evaluated and monitored for their problems for a long-term care. This research aimed to develop a form for monitoring and evaluating problems of post-stroke patients in the community if needed. The methodology employed a research and development design, which consisted of a survey of problems, developing and testing the tool, and tool evaluation. This study was conducted among three groups of participants: (1) 15 post-stroke patient caregivers, (2) 20 experts evaluating the continuing care for post-stroke patients in the community, (3) a group of 60 persons trying the tool, and (4) 336 people for the tool evaluation. The research tools included (1) a form evaluating the consistency of continuing care for post-stroke patients in the community, (2) a questionnaire assessing general data, and (3) a form assessing and evaluating problems of post-stroke patients in the community. Data were collected using questionnaires and analyzed using descriptive statistics. The Cohen's Kappa statistic was used to evaluate inter-rater reliability (IRR). The monitoring and evaluating problems of stroke patients in the community form for referral was developed as a checklist composed of 13 items, including: 1) Receiving a visit from a public health official after being discharged from the hospital; 2) Weakness after being discharged from the hospital; 3) Problems of communication with others after a stroke; 4) Daily activities; 5) Poor balance in a sitting position; 6) Spasticity; 7) Pain; 8) Chance of an accident by falling; 9) Fecal and urinary incontinence after suffering a stroke; 10) Emotional problems; 11) Intellectual disability; 12) Problems of relationships with family; and 13) Living after a stroke. This tool showed the highest consistency between raters, with 98.81 percent and a Kappa statistic value of 1. Therefore, this tool is suitable to use for monitoring and evaluating the post-stroke patients in the community at least once a week in order to properly and timely manage them, resulting in more efficient post-stroke care in the community.
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