Effects of Developing a Continuous Rehabilitation Model for Stroke Patients in Wanon Niwat District, Sakon Nakhon Province
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Abstract
Patients with stroke often experience impaired ability to perform activities of daily living and reduced quality of life, which affect both patients and their caregivers. Therefore, the development and evaluation of a rehabilitation program are essential to enhance functional ability and improve patients’ quality of life. This study aimed (1) to compare levels of activities of daily living, quality of life, and utility values of health-related quality of life among stroke patients before and after participating in a rehabilitation model, and (2) to evaluate the satisfaction of stroke patients and their caregivers with the developed rehabilitation model. A quasi-experimental one-group pretest–posttest design was conducted among 50 purposively selected stroke patients from March to September 2025. Data were collected using the Barthel Activities of Daily Living Index (BI), the EQ-5D-5L quality of life questionnaire, and a satisfaction survey. Descriptive statistics and paired t-test were used for data analysis. The results revealed that prior to participation, patients had a mean BI score of 8.02 ± 5.06, which significantly improved to 15.74 ± 4.60 after six months of continuous rehabilitation (p< 0.001). The mean EQ-5D-5L utility score significantly increased from 0.20 ± 0.29 to 0.63 ± 0.29 (p< 0.001). Both patients and caregivers reported high levels of satisfaction, with mean scores of 47.51 ± 2.66 and 47.14 ± 2.96 out of 50, respectively. In conclusion, the stroke rehabilitation program was effective in enhancing patients ability to perform activities of daily living and improving health-related quality of life, while also generating high satisfaction among both patients and caregivers. These findings highlight the importance of integrating structured rehabilitation programs into healthcare facilities on a continuous basis to support functional recovery and improve long-term quality of life in stroke patients.
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