Development of Intermediate Rehabilitation setting from hospital to community after stroke

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Kanyarat Khumjun Panjit Wannapira Phanphrin Pinsakul Sasithorn Somjit

Abstract

Many stroke patients are unable to get rehabilitation services after discharge from the hospital. They might have highly risk to become disability people.The aim of this study was to development of Intermediate Rehabilitation setting from hospital to community after stroke and to study the results of the rehabilitation of stroke patient. This research was performed at BuddhachinarajPhitsanulok Hospital during November 2015-October 2016, in Intermediate Care (IMC) patients(onset less than 6 months with Barthel Index (BI) < 75) and long term care (LTC) (onset more than 6 months) The study has four stages: 1 analyzing the old rehabilitation services in community, 2 developing the rehabilitation setting, 3 Implemented the setting designed and evaluation. 4. conclusion. Wilcoxon Signed Ranks Test and Mann-Whitney U were used and statistically significantat 0.05. The development of the IMC Patient Rehabilitation Services System in the community of Muang District covers 25 service areas averagely twice a month by thepatient care team designs. Every day one physiotherapist provides rehabilitation services in the community with the community team. Set priority of IMC services before LTC. Evaluation of services daily in the line group has been used. 48 IMC patients and 36LTCs patients which BI < 75 were analyzed. The average numbers of treatment were5.4 and 3.5 times respectively. The median BI of both group were same at the beginning (BI = 40). At the end of treatment, BI score had increase in both groups (p < 0.001) but differencein amount which 90 in IMC and 50 in LTC (p < 0.001).In summary, the development of a community-based intermediate rehabilitation setting in stroke patient enable patients to access continuous rehabilitation services and improve function.

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Research Article