Study on home-based rehabilitation of stroke patients
10.3760/cma.j.issn.1674-2907.2018.24.007
- VernacularTitle:脑卒中患者家庭康复现状调查研究
- Author:
Biyu NI
1
;
Hui YU
;
Xueping WANG
;
Zuoyan LIU
Author Information
1. 四川大学华西医院康复医学中心
- Keywords:
Stroke;
Home-based rehabilitation;
Self-perceived burden;
Caregiver burden
- From:
Chinese Journal of Modern Nursing
2018;24(24):2883-2887
- CountryChina
- Language:Chinese
-
Abstract:
Objective To investigate the home-based rehabilitation of stroke patients in China, and to compare the curative effects under different factors, so as to discuss the strategies for home-based rehabilitation. Methods A total of 234 cases of stroke patients who has been discharged from the center of rehabilitation medicine of a Class Ⅲ Grade A hospital were selected by random cluster sampling method. Family rehabilitation status of patients and their caregivers was investigated by outpatient follow-up, home follow-up and telephone follow-up survey. In the survey, the general information questionnaire, the Barthel Index (BI), the Instrumental Activities of Daily Living (IADL), the Self-perceived Burden Scale (SPBS) and the Zarit Caregiver Burden Interview (ZBI) were applied. Results The results showed that the BI score was (61.77±22.83). The average score of IADL was (7.25±6.26). The SPB score was (29.26±7.07). 91.13% of the patients in the study group had a sense of burden. The ZBI score of the caregivers was (43.97±12.28), 59.40% of which had moderate or severe burden. The result of single factor analysis showed that the differences in the scores of BI, IADL, SPBS and ZBI of patients in different gender were statistically significant (P＜ 0.05). There were significant differences in BI and IADL scores among patients of different ages, main caregivers, family rehabilitation time and caregivers' gender (P＜ 0.05). The differences in the scores of IADL and SPBS of patients with different educational level were statistically significant (P＜0.05). The differences in BI and ZBI scores of patients with different disease types were statistically significant (P＜0.05). Conclusions The family rehabilitation of stroke patients is poor. Medical workers should pay attention to the rehabilitation of patients after discharge, especially to female stroke patients, caregivers and to strengthen the rehabilitation knowledge training for male caregivers. It is suggested that community rehabilitation, family doctor responsibility system and hospital-community-family Union should be vigorously developed so as to improve the family rehabilitation of stroke patients, reduce readmission rate, increase the utilization of social resources, and improve the health level of the whole people.
