A study of the outcome of the stroke rehabilitation program in Wong Tai Sin Hospital

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A study of the outcome of the stroke rehabilitation program in Wong Tai Sin Hospital

 

Author: Chan, Yin-ling
Title: A study of the outcome of the stroke rehabilitation program in Wong Tai Sin Hospital
Degree: M.Sc.
Year: 1998
Subject: Cerebrovascular disease -- Patients -- Rehabilitation -- China -- HongKong -- Case studies
Hong Kong Polytechnic University -- Dissertations
Department: Multi-disciplinary Studies
Dept. of Rehabilitation Sciences
Pages: ix, 123 leaves : ill. ; 30 cm
Language: English
InnoPac Record: http://library.polyu.edu.hk/record=b1436971
URI: http://theses.lib.polyu.edu.hk/handle/200/1194
Abstract: This prospective study aims to evaluate the effectiveness of the stroke rehabilitation program through measuring the outcome in functional performance, cognitive function and psychological well-being by using Modified Barthel Index (MBI), Cantonese Mini-mental State Examination (CMMSE) and Philadelphia Geriatric Center Morale Scale (PGCMS) respectively. It also explores factors affecting discharge placement and correlation among the three measures. 32 subjects with a first stroke were admitted to a six to eight weeks comprehensive rehabilitation program with multidisciplinary supports. The program was tailored to individual patients needs for a period of approximately three hours per day, four to five times per week. The reliability of the assessment tools were evaluated in a pilot test. This main study adopted the repeated measure design. All data were collected by occupational therapists. The results showed that the rehabilitation program in Wong Tai Sin Hospital significantly improved, the functional performance, cognitive function and dissatisfaction feeling of the stroke patients, but not the overall psychological well-being. Clinicians were recommended to pay more attention to the psychological adjustment of stroke patients. Age, functional performance and cognitive function contributed to the choice of discharge placement. Patients discharged to institutions were older in age and had relatively lower functional and cognitive scores. Moreover, functional performance and cognitive function were correlated significantly but not with psychological well-being.

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