The Results of Multidisciplinary Care on the Rehabilitation of the Hemorrhagic Stroke Patients at the Male Surgery Ward, Phra Nakhon Si Ayutthaya Hospital

Abstract

     This descriptive research’s objective is to study the results of the multidisciplinary care on the rehabilitation of the hemorrhagic stroke patients. The sampling populations were the hemorrhagic stroke patients at the Male Surgery Ward, Phra Nakhon Si Ayutthaya Hospital. The data had been collected from October, 2013 to March, 2014. The sampling technique applied was purposive sampling. The researching instruments were questionnaire on personal information and Barthel ADL Index for the Activities of Daily Living Assessment/(ADL), which assesses the ability of doing daily routine of the patients. Furthermore, assessing of the ADL was applied in 4 phases as pre-research, before discharge, 4 and 12 weeks after discharge. The collected data, then, was analyzed by statistical software, using descriptive statistics technique. t-test statistics was applied in comparing the results of the hemorrhagic patients, before and after the care. By the result, it was found out that, among the 30 sampling populations, between 29 - 93 years of age (= 56.27, SD = 6.127), 16 were underlying hypertension disease and 7 of them had inappropriate healthcare behavior. The initial Glasgow Coma Scale (GCS) was between 5 - 15 ( = 12.93, SD = 3.140). Lt. basal ganglia hemorrhage was found for 30.00%. Most of the patients had been treated by using supportive treatment. GCS level and LOS before discharge was between 13 - 15 ( = 12.93, SD = 3.140), and 2 - 22 days (= 12.93, SD = 3.140) respectively. Initial ADL scores were between 0 - 20 (= 18.17, SD = 16.942 ; 10 - 85 (= 18.17, SD = 16.942) before discharge, 15 - 100 (= 68.83, SD = 2.455) and 20 - 100 (= 85.17, SD = 2.219) after discharge 4 and 12 weeks respectively. The result of comparing the scores of the patients doing daily activities, between initial admission - before discharge, and before discharge - 4 weeks after discharge and 4 weeks after discharge - 12 weeks after discharge, was that the two phases are significantly different at the level of .05.
     The result of this research could be applied in developing the system for treating the hemorrhagic stroke patients for better quality. The development could support the patients to get inclusive and complete care. They could well rehabilitate. The chances of the disease’s complication could be lessened and prevented. Moreover, the result of this research could be applied in creating activities to enhance knowledge and skills for the relatives who care for the hemorrhagic stroke patients admitted at the hospital, so that the continual care for the patients could be more effective.