Outcomes of Intermediate Care Service in Stroke Rehabilitation Patients at A Hospital in Ubon Ratchathani Province
Keywords:
Stroke, Subacute phase, Intermediate careAbstract
Background and Objective: Stroke is a common, serious, and disabling global health-care problem, and rehabilitation is a major part of patient care. This study aimed to evaluate the outcomes of an intermediate care service, on daily living activities of patients with stroke rehabilitation.
Method: The retrospective cohort study consisted of 35 stroke patients who were discharged from an intermediate care service with intensive rehabilitation training by a multidisciplinary care team. which was proposed in the healthcare system between January 1st, 2020-April 30th, 2022. Barthel index (BI) of Thai version and return to daily living activities are used. Patients get rehabilitation and followed up until reach 6 months. Analyses of the data were to assess: frequencies, percentages, means, and standard deviations of population characteristics and to compare barthel index change with study variables by using chi-square test, paired sample t-test and repeated measurement ANOVA.
Result: The result showed that 51.43% patients were female and average age 56.14±13.98 years, which the most was ischemic stroke 85.71%. The comparison of BI change after discharge in patients who received the intermediate care program was shown statistical significantly increasing of BI (before 6.11±5.78, after 15.43±5.43, mean diff = 9.31, p<0.001), 25.71% of patient was physically independent.
Conclusion: It could be concluded that the patients with stroke, receiving the intermediate care service in a hospital could develop an ability to perform their activities of daily living much better than otherwise
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