Program evaluation of sub-acute stroke rehabilitation program

Pao Yue-kong Library Electronic Theses Database

Program evaluation of sub-acute stroke rehabilitation program


Author: Lee, Mi-suen Connie
Title: Program evaluation of sub-acute stroke rehabilitation program
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, 136 leaves : ill. ; 30 cm
Language: English
InnoPac Record:
Abstract: Stroke rehabilitation is a restorative learning process which hastens and maximizes recovery of patients suffering from stroke by treating the disabilities caused by stroke, and prepares patients to integrate as fully as possible into the community. This study was done to investigate whether patients improve in level of independence and cognitive function after completing the Sub-acute Stroke Rehabilitation Program in Tung Wah Hospital. A total of 50 patients were admitted to the program during a four-month period, their motor and cognitive level of independence were measured by Functional Independence Measure (FIM) motor and cognitive subscales and Neurobehavioral Cognitive Status Examination (NCSE) on both admission and discharge occasions. Results indicated that there were significant improvement in the motor level of independence and cognitive function in terms of the FIM scores (motor subscale t (df=49) =11.02, p<0.001; cognitive subscale t (df=49) = 5.00, p<0.001) and the NCSE scores (t(df=29) = ranged from 2.47 to 3.73, p<0.05). It was identified that team approach, family involvement and structured program are contributing factors to the improvement. Moreover, it is believed that appropriate selection of patients to join the program and understanding of the recovery process of stroke patients when designing treatment program can enhance the effectiveness of the rehabilitation program. Findings of the study also revealed that side of paralysis was not a factor affecting patients' outcome in the Sub-acute SRP (t (df=49) =2.11, p=0.154). The FIM motor (36.2 % of variance) and cognitive (73.3 % of variance) subscales scores were significant predictors of (p<0.000) patients' motor and cognitive functions at discharge; which are potentially useful as the admission criteria of a program. Results of the study indicated that the motor items of FIM are useful for reflecting the level of independence of stroke patients in inpatient rehabilitation. NCSE was found to be more standardized and comprehensive as compared with the FIM cognitive subscale in documenting patients' progress in cognitive function in stroke rehabilitation.

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