Original Article

Effect of Extended Care on Functional Rehabilitation of Stroke-induced Hemiplegic Patients

Abstract

Background: We aimed to observe the effect of extended care on improving motor function and activities of daily living of stroke-induced hemiplegic patients.

Methods: Patients clinically diagnosed as stroke with hemiplegia and hospitalized in the Neurology Department at Tianjin Haibin People's Hospital, China from 2019 to 2020 were selected. One hundred twenty patients were enrolled and randomly divided into the intervention group (60 patients) and the control group (60 patients). The control group was given routine rehabilitation treatment and care. Based on routine rehabilitation treatment and care, the intervention group was given transitional care. After discharge, the patients were followed up. Barthel indexes (BIs) were collected to evaluate the activities of daily living of patients. The Fugl-Meyer Motor Function Assessment (FMA) was adopted to evaluate the patients’ motor function.

Results: There was no statistically significant difference in the total BI scores between the two groups of patients at the two time points before intervention and at discharge. The total scores of the intervention group were higher than those of the control group after 1 month and 3 months of discharge, and the difference was statistically significant (P<0.05). There was no statistically significant difference in total FMA scores between the two groups of patients before intervention, indicating comparability. After 3 months of discharge, the total FMA score of the intervention group patients was higher than that of the control group, and the differences were statistically significant (P<0.05).

Conclusion: Continuous care can effectively improve motor function and daily living ability of stroke patients with hemiplegia.

1. GBD 2019 Diseases and Injuries Collabo-rators (2020). Global burden of 369 dis-eases and injuries in 204 countries and territories, 1990-2019: a systematic analy-sis for the Global Burden of Disease Study 2019. Lancet, 396(10258): 1204-1222.
2. Feigin VL, Forouzanfar MH, Krishnamurthi R, et al (2014). Global and regional bur-den of stroke during 1990-2010:Findings from the global burden of disease study 2010. Lancet, 389(9913): 245-254.
3. Wang W, Jiang B, Sun H, et al (2017). Preva-lence, incidence, and mortality of stroke in China: Results from a nationwide population-based survey of480687 adults. Circulation, 135(8): 759-771.
4. Mitka M (2011). Coalition updates recom-mendations on standards for primary stroke centers. JAMA, 306(16): 1747-1748.
5. Heart Disease and Stroke Statistics-2017 Update. A report from the American Heart Association [EB/OL]. [2017-05-26]. https://www.ahajournals.org/journal/circ
6. Yang Y (2016). The disability rate of 5-year post-stroke and its correlation factors:a national survey in China. PloS One, 11(11): e0165341.
7. Llison R, Evans PH, Kilbride C, Campbell JL (2008). Secondary prevention of stroke: using the experiences of patients and carers to inform the development of an educational resource. Fam Pract, 25: 355-361.
8. Prvu BJ, Alexander KP, Dolor RJ, (2012). Transitional care after hospitalization for acute stroke, or myocardial infarc-tion: a systematic review. Ann Int Med, 157(6): 407-416.
9. Yew KS, Cheng EM (2015). Diagnosis of acute stroke. Am Fam Physician, 91(8): 528-36.
10. Yoo YJ, Lim SH (2022). Assessment of Lower Limb Motor Function, Ambula-tion, and Balance after Stroke. Brain Neurorehabil, 15(2): e17.
11. Liu F, Tsang RC, Zhou J, Zhou M, Zha F, Long J, Wang Y (2020). Relationship of Barthel Index and its Short Form with the Modified Rankin Scale in acute stroke patients. J Stroke Cerebrovasc Dis, 29(9): 105033.
12. Hohmann CT, Neumann-Haefelin MD, Klotz JM, Freidank A, Radziwill R (2014). Providing systematic detailed in-formation on medication upon hospital discharge as an important step towards improved transitional care. J Clin Pharm Ther, 39(3): 286-291.
13. Zawawi NSM, Aziz NA, Fisher R, Ahmad K, Walker MF (2020). The unmet needs of stroke survivors and stroke caregiv-ers:a systematic narrative review. J Stroke Cerebrovasc Dis, 29(8): 104875.
14. Cleary A, Dowling M (2009). Knowledge and attitudes of mental health profes-sionals in Ireland to the concept of re-covery in mental health: a questionnaire survey. J Psychiatr Ment Heal Nurs, 16(6): 539-545.
15. Dreier-Wolfgramm A, Michalowsky B, Aus-trom MG, et al (2017). Dementia care management in primary care current collaborative care models and the case for interprofessional education. Gerontol Geriatr, 50(Suppl 2): 68-77.
16. Wu Z, Xu J, Yue C, Li Y, Liang Y (2020). Collaborative care model based telere-habilitation exercise training program for acute stroke patients in China:a ran-domized controlled trial. J Stroke Cerebro-vasc Dis, 29(12): 105328.
17. Scheffler E, Mash R (2020). Figuring it out by yourself: Perceptions of home-based care of stroke survivors, family caregiv-ers and community health workers in a low-resourced setting, South Africa. Afr J Prim Health Care Fam Med, 12(1): e1-e12.
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IssueVol 53 No 1 (2024) QRcode
SectionOriginal Article(s)
DOI https://doi.org/10.18502/ijph.v53i1.14693
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How to Cite
1.
Li J, Zhang J, Zhao B, Ma J, Liu C, Zhang Y, Gao Y. Effect of Extended Care on Functional Rehabilitation of Stroke-induced Hemiplegic Patients. Iran J Public Health. 2024;53(1):167-174.