EFFECTIVENESS OF CARE FOR PATIENTS WITH SUBACUTE STROKE, KAMALASAI DISTRICT, KALASIN
Keywords:
Subacute stroke, Intermediate care, Rehabilitation, Barthel ADL indexAbstract
This study was a retrospective study. The object evaluated the effectiveness of the intermediate care program in Kamalasai District, Kalasin Province. The study examined the change in Barthel ADL score before rehabilitation and followed up after six months among a total of 147 patients in stroke clinic. The data were analyzed using frequency, percentage, mean, standard deviation, Komogorov-Smirnov, and Repeated Measures ANOVA. The results showed that 67.76% of the sample were male, 28.6% were aged 61 to 70, and 43.5% had an underlying disease. In 39.47% of cases, hypertension was the most prevalent underlying condition. In comparison to the mean score, the Barthel ADL index in the 1st month was 71.22±34.42, the 2nd month was 76.26±32.76, the 3rd month was 78.37±31.42, the 4th month was 79.90±30.32, the 5th month was 80.51±30.31, and the 6th month was 80.88±30.87, respectively, showing a statistically significant rise (P-value 0.001) per month. 23.03% of patients were reported to have problems. At 14.29%, joint stiffness or dislocation was the most frequent complication. As a result, the Kamalasai Hospital's intermediate care program for stroke patients has potentially improved the Barthel ADL score.
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