The Results from the Implementation of the Program for Hemiplegia Patients to Rehabilitate Their Hands and Arms for use in Daily Activities

Abstract

     Patients suffering from Hemiplegia are physically and motionally impaired which in turn creates considerable issues in many activities Since they are not physically mobile as they were in the past, the ability is complete daily activities is greatly reduced. Nurses, therefore, have a major role in assisting patients with hemiparesis in performing their daily activities. This single group experimental research measures the results both before and after the experiment is concluded. The objective of this research is to compare the scores of hemiplegia patients in performing daily activities before and after completing a program to rehabilitate their hands and arms. The sample group was selected by specific sampling. This group consists of 30 hemiplegia patients resting in the area of Bang Pa-in Hospital in the Phra Nakhon Si Ayutthaya province. The sample group participated in four week rehabilitation program. The tools used were a lesson plan for the rehabilitation program for hands and arms in hemiplegia patients with a content validity of 0.82 and an assessment form concerning the ability to complete daily activities. The tools have a reliability of 0.84. The statistical tools used are frequency, percentage, average, and standard deviation. A comparison was concluded by comparing the scores of hemiplegia patients according to their ability to complete daily activities before and after the completion of rehabilitation program for hands and arms. A paired t-test was used in analysis when repeated measures ANOVA with a significance of 0.05. The results found that the 30 hemiplegia patients who
participated in the rehabilitation program for their hands and arms had higher average scores after participation in the program. Week I [The differences of the average=0.47, 95% CI=0.25-0.68, p-value<0.001] Week II [The differences of the average=2.10, 95% CI=1.68-2.52, p-value<0.001] Week III [The differences of the average=3.77, 95% CI=3.22-4.31, p-value<0.001] and Week IV [The differences of the average=4.33, 95% CI=3.82-4.84, p-value<0.001]. The trend of the program for the rehabilitation increases the scores of their ability to complete daily activities requiring the use of hands and arms of hemiplegia patients. As such, the increase in the score of their ability to complete daily activities requiring hands and arms of hemiplegia patients is not mainly caused by one single factor. Therefore, the program for the rehabilitation of hands and arms of hemiplegia patients should be researched further and applied to the nursing care of the aforementioned patients to support their daily activities.