Developing Programs to Promote the Ability of Performing Daily Activities of Patients with Stroke in the Discharge Stage from the Hospital

Abstract

Cerebrovascular disease is a worldwide important heath problem. This research and development had aimed to develop the programs to promote the ability to perform daily activities of patients with stroke in the  discharge from the hospital, in Sappasitthiprasong Hospital, Ubon Ratchathani. The research was divided into three steps. The first step; studied the situation of patients with stroke after returning home, second step;  developed and presented the program using results of the first step combined with methodology of  empirical evidence in developing the program and tools. The program consisted of patient assessment,  health education by video about stroke, Thai traditional massage, hot compression, demonstration and  feedback of physical therapy, body exercise. Home activities were followed up through six weeks, by home visited in the first and fifth week, by phone in second, fourth and sixth week. Third step; trialed and evaluated the program in 30 cerebrovascular patients and caregivers. The results showed that mean scores of ability to  perform daily activities of patients with stroke after using the program ( = 81.67, SD = 20.94) were higher than before using the program ( = 62.5, SD = 16.80) about 19.17 (p < 0.001). In conclusion, the development of the  program to promote ability to perform daily activities of patients with stroke in the discharge stage from  hospital can help patients to increase their daily activities