Home-based rehabilitation versus hospital-based rehabilitation for stroke patients in post-acute care stage: Comparison on the quality of life
Background: This study focused on the integrated post-acute care (PAC) stage of stroke patients, and employed a retrospective study to examine the satisfaction with life quality in two groups, one that received home-based rehabilitation and one that received hospital-based rehabilitation. A secondar...
| Main Authors: | , , , , |
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| Format: | Article |
| Language: | English |
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Elsevier
2023-09-01
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| Series: | Journal of the Formosan Medical Association |
| Subjects: | |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S0929664623001572 |
| _version_ | 1797745992357904384 |
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| author | Yu-Chung Chen Willy Chou Rong-Bin Hong Jen-Ho Lee Jer-Hao Chang |
| author_facet | Yu-Chung Chen Willy Chou Rong-Bin Hong Jen-Ho Lee Jer-Hao Chang |
| author_sort | Yu-Chung Chen |
| collection | DOAJ |
| description | Background: This study focused on the integrated post-acute care (PAC) stage of stroke patients, and employed a retrospective study to examine the satisfaction with life quality in two groups, one that received home-based rehabilitation and one that received hospital-based rehabilitation. A secondary purpose was to analyze the correlations among the index and components concerning their quality of life (QOL) and compare the advantages and disadvantages of these two approaches to PAC. Methods: This research was a retrospective study of 112 post-acute stroke patients. The home-based group received rehabilitation for one to two weeks, and two to four sessions per week. The hospital-based group received the rehabilitation for three to six weeks, and 15 sessions per week. The home-based group mainly received the training and guidance of daily activities at the patients’ residence. The hospital-based group mainly received physical facilitation and functional training in the hospital setting. Results: The mean scores of QOL assessment for both groups were found to be significantly improved after intervention. Between-group comparisons showed that the hospital-based group had better improvement than the home-based group in mobility, self-care, pain/discomfort and depression/anxiety. In the home-based group, the MRS score and the participant's age can explain 39.4% of the variance of QOL scores. Conclusion: The home-based rehabilitation was of lower intensity and duration than the hospital-based one, but it still achieved a significant improvement in QOL for the PAC stroke patients. The hospital-based rehabilitation offered more time and treatment sessions. Therefore hospital-based patients responded with better QOL outcomes than the home-based patients. |
| first_indexed | 2024-03-12T15:31:43Z |
| format | Article |
| id | doaj.art-a411415a85a24391980df6cf7ccf4b15 |
| institution | Directory Open Access Journal |
| issn | 0929-6646 |
| language | English |
| last_indexed | 2024-03-12T15:31:43Z |
| publishDate | 2023-09-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Journal of the Formosan Medical Association |
| spelling | doaj.art-a411415a85a24391980df6cf7ccf4b152023-08-10T04:33:48ZengElsevierJournal of the Formosan Medical Association0929-66462023-09-011229862871Home-based rehabilitation versus hospital-based rehabilitation for stroke patients in post-acute care stage: Comparison on the quality of lifeYu-Chung Chen0Willy Chou1Rong-Bin Hong2Jen-Ho Lee3Jer-Hao Chang4Department of Physical Medicine and Rehabilitation, Chi Mei Medical Center, Liouying, Tainan City, Taiwan; Institute of Allied Health Sciences, College of Medicine, National Cheng Kung University, Tainan City, TaiwanDepartment of Physical Medicine and Rehabilitation, Chi Mei Medical Center, Tainan City, Taiwan; Department of Physical Medicine and Rehabilitation, Chung San Medical University, Taichung City, TaiwanDepartment of Physical Medicine and Rehabilitation, Chi Mei Medical Center, Liouying, Tainan City, TaiwanDepartment of Physical Medicine and Rehabilitation, Chi Mei Medical Center, Liouying, Tainan City, TaiwanInstitute of Allied Health Sciences, College of Medicine, National Cheng Kung University, Tainan City, Taiwan; Department of Occupational Therapy, College of Medicine, National Cheng Kung University, Tainan City, Taiwan; Corresponding author. Department of Occupational Therapy and Institute of Allied Health Sciences, College of Medicine, National Cheng Kung University, Tainan, Taiwan.Background: This study focused on the integrated post-acute care (PAC) stage of stroke patients, and employed a retrospective study to examine the satisfaction with life quality in two groups, one that received home-based rehabilitation and one that received hospital-based rehabilitation. A secondary purpose was to analyze the correlations among the index and components concerning their quality of life (QOL) and compare the advantages and disadvantages of these two approaches to PAC. Methods: This research was a retrospective study of 112 post-acute stroke patients. The home-based group received rehabilitation for one to two weeks, and two to four sessions per week. The hospital-based group received the rehabilitation for three to six weeks, and 15 sessions per week. The home-based group mainly received the training and guidance of daily activities at the patients’ residence. The hospital-based group mainly received physical facilitation and functional training in the hospital setting. Results: The mean scores of QOL assessment for both groups were found to be significantly improved after intervention. Between-group comparisons showed that the hospital-based group had better improvement than the home-based group in mobility, self-care, pain/discomfort and depression/anxiety. In the home-based group, the MRS score and the participant's age can explain 39.4% of the variance of QOL scores. Conclusion: The home-based rehabilitation was of lower intensity and duration than the hospital-based one, but it still achieved a significant improvement in QOL for the PAC stroke patients. The hospital-based rehabilitation offered more time and treatment sessions. Therefore hospital-based patients responded with better QOL outcomes than the home-based patients.http://www.sciencedirect.com/science/article/pii/S0929664623001572RehabilitationStrokePost-acute careQuality of life |
| spellingShingle | Yu-Chung Chen Willy Chou Rong-Bin Hong Jen-Ho Lee Jer-Hao Chang Home-based rehabilitation versus hospital-based rehabilitation for stroke patients in post-acute care stage: Comparison on the quality of life Journal of the Formosan Medical Association Rehabilitation Stroke Post-acute care Quality of life |
| title | Home-based rehabilitation versus hospital-based rehabilitation for stroke patients in post-acute care stage: Comparison on the quality of life |
| title_full | Home-based rehabilitation versus hospital-based rehabilitation for stroke patients in post-acute care stage: Comparison on the quality of life |
| title_fullStr | Home-based rehabilitation versus hospital-based rehabilitation for stroke patients in post-acute care stage: Comparison on the quality of life |
| title_full_unstemmed | Home-based rehabilitation versus hospital-based rehabilitation for stroke patients in post-acute care stage: Comparison on the quality of life |
| title_short | Home-based rehabilitation versus hospital-based rehabilitation for stroke patients in post-acute care stage: Comparison on the quality of life |
| title_sort | home based rehabilitation versus hospital based rehabilitation for stroke patients in post acute care stage comparison on the quality of life |
| topic | Rehabilitation Stroke Post-acute care Quality of life |
| url | http://www.sciencedirect.com/science/article/pii/S0929664623001572 |
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